teknik-assessment nyeri (1)

7/25/2019 Teknik-Assessment Nyeri (1)

1/745

{\rtf\ansi\deff0{\fonttbl{\f0 Segoe UI;}{\f1 Times;}{\f2 Arial;}{\f3 Symbol;}{\f4 Times New Roman;}}{\colortbl\red0\green0\blue0;\red35\green31\blue32;\red163\green105\blue51;\red79\green76\blue77;\red255\green255\blue255;\red123\green121\blue121;\red17\green16\blue14;\red46\green45\blue45;\red60\green75\blue167;\red16\green15\blue13;\red32\green36\blue89;}\paperw12845\paperh17777\margl0\margr0\margt0\margb0\sectd\sbknone\sected\cols1\colno1\colw12840\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-363\par\pard\plain\li1150\sl-256\f0\fs26\charscalex89\cf1\b\i0\ul0\strike0 TEKNIK\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-347\par\pard\plain\li4488\sl-395\f0\fs40\cf2\b\i\ul0\strike0 Assessment\f0\fs40\cf2\b\i0\ul0\strike0 Nyeri\par\pard\plain\sl-371\par\pard\plain\li3446\sl-196\f0\fs20\cf1\b\i0\ul0\strike0 Yudiyanta,\f0\fs20\cf1\b\i0\ul0\strike0 Novita\f0\fs20\cf1\b\i0\ul0\strike0 Khoirunnisa,\f0\fs20\cf1\b\i0\ul0\strike0 Ratih\f0\fs20\cf1\b\i0\ul0\strike0 Wahyu\f0\fs20\cf1\b\i0\ul0\strike0 Novitasari\par\pard\plain\li3483\sl-231\f0\fs16\cf3\b\i0\ul0\strike0 Departemen\f0\fs16\cf3\b\i0\ul0\strike0 Neurologi,\f0\fs16\cf3\b\i0\ul0\strike0 Fakultas\f0\fs16\cf3\b\i0\ul0\strike0 Kedokteran\f0\fs16\cf3\b\i0\ul0\strike0 Universitas\f0\fs16\cf3\b\i0\ul0\strike0 Gadjah\f0\fs16\cf3\b\i0\ul0\strike0 Mada,\par\pard\plain\li5421\sl-240\f0\fs16\cf3\b\i0\ul0\strike0 Yogyakarta,\f0\fs16\cf3\b\i0\ul0\strike0 Indonesia\par\pard\plain\sl-200\par\pard\plain\sl-352\par\pard\plain\li5890\sl-167\f0\fs18\cf2\b\i0\ul0\strike0 ABSTRAK\par\pard\plain\li1207\sl-238\f0\fs18\cf1\b0\i0\ul0\strike0 Kontrol\f0\fs18\cf1\b0\i0\ul0\strike0nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 tetap\f0\fs18\cf1\b0\i0\ul0\strike0 merupakan\f0\fs18\cf1\b0\i0\ul0\strike0 problem\f0\fs18\cf1\b0\i0\ul0\strike0 signi

fikan\f0\fs18\cf1\b0\i0\ul0\strike0 pada\f0\fs18\cf1\b0\i0\ul0\strike0 pelayanan\f0\fs18\cf1\b0\i0\ul0\strike0 kesehatan\f0\fs18\cf1\b0\i0\ul0\strike0 di\f0\fs18\cf1\b0\i0\ul0\strike0 seluruh\f0\fs18\cf1\b0\i0\ul0\strike0 dunia.\f0\fs18\cf1\b0\i0\ul0\strike0 Penanganan\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 yang\f0\fs18\cf1\b0\i0\ul0\strike0 efektif\f0\fs18\cf1\b0\i0\ul0\strike0 tergantung\par\pard\plain\li1207\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 pada\f0\fs18\cf1\b0\i0\ul0\strike0 pemeriksaan\f0\fs18\cf1\b0\i0\ul0\strike0 dan\f0\fs18\cf1\b0\i0\ul0\strike0 penilaian\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 yang\f0\fs18\cf1\b0\i0\ul0\strike0 seksama\f0\fs18\cf1\b0\i0\ul0\strike0 berdasarkan\f0\fs18\cf1\b0\i0\ul0\strike0informasi\f0\fs18\cf1\b0\i0\ul0\strike0 subjektif\f0\fs18\cf1\b0\i0\ul0\strike0 maupun\f0\fs18\cf1\b0\i0\ul0\strike0 objektif.\f0\fs18\cf1\b0\i0\ul0\strike0Anamnesis\f0\fs18\cf1\b0\i0\ul0\strike0 pasien\f0\fs18\cf1\b0\i0\ul0\strike0

nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 sebaiknya\par\pard\plain\li1207\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 menggunakan\f0\fs18\cf1\b0\i0\ul0\strike0 kombinasi\f0\fs18\cf1\b0\i0\ul0\strike0 pertanyaan\f0\fs18\cf1\b0\i0\ul0\strike0 terbuka\f0\fs18\cf1\b0\i0\ul0\strike0 dan\f0\fs18\cf1\b0\i0\ul0\strike0 tertutup\f0\fs18\cf1\b0\i0\ul0\strike0 untuk\f0\fs18\cf1\b0\i0\ul0\strike0 memperoleh\f0\fs18\cf1\b0\i0\ul0\strike0 informasi\f0\fs18\cf1\b0\i0\ul0\strike0 masalah\f0\fs18\cf1\b0\i0\ul0\strike0 pasien.\f0\fs18\cf1\b0\i0\ul0\strike0 Selain\f0\fs18\cf1\b0\i0\ul0\strike0 itu,\f0\fs18\cf1\b0\i0\ul0\strike0 perhatikan\f0\fs18\cf1\b0\i0\ul0\strike0 juga\f0\fs18\cf1\b0\i0\ul0\strike0 faktor-\par\pard\plain\li1207\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 faktor\f0\fs18\cf1\b0\i0\ul0\strike0seperti\f0\fs18\cf1\b0\i0\ul0\strike0 tempat\f0\fs18\cf1\b0\i0\ul0\strike0 wawancara,\f0\fs18\cf1\b0\i0\ul0\strike0 sikap\f0\fs18\cf1\b0\i0\ul0\strike0 yang\f0\fs18\cf1\b0\i0\ul0\strike0 suportif\f0\fs18\cf1\b0\i0\ul0\strike0 dan\f0\

fs18\cf1\b0\i0\ul0\strike0 tidak\f0\fs18\cf1\b0\i0\ul0\strike0 menghakimi,\f0\fs18\cf1\b0\i0\ul0\strike0 tanda-tanda\f0\fs18\cf1\b0\i0\ul0\strike0 verbal\f0\fs18\cf1\b0\i0\ul0\strike0 dan\f0\fs18\cf1\b0\i0\ul0\strike0 nonverbal,\f0\fs18\cf1\b0\i0\ul0\strike0 dan\f0\fs18\cf1\b0\i0\ul0\strike0 meluangkan\f0\fs18\cf1\b0\i0\ul0\strike0 waktu\par\pard\plain\li1207\sl-240\f0\fs18\cf1\b0\i0\ul0\strike0 yang\f0\fs18\cf1\b0\i0\ul0\strike0 cukup.\f0\fs18\cf1\b0\i0\ul0\strike0 Penggunaan\f0\fs18\cf1\b0\i0\ul0\strike0 mnemonik\f0\fs18\cf1\b0\i0\ul0\strike0 PQRST\f0\fs18\cf1\b0\i0\ul0\strike0 (\f0\fs18\cf1\b0\i\ul0\strike0 Provokatif\f0\fs18\cf1\b0\i\ul0\strike0 Quality\f0\fs18\cf1\b0\i\ul0\strike0 Region\f0\fs18\cf1\b0\i\ul0\strike0 Severity\f0\fs18\cf1\b0\i\ul0\strike0 Time\f0\fs18\


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cf1\b0\i0\ul0\strike0 )\f0\fs18\cf1\b0\i0\ul0\strike0 juga\f0\fs18\cf1\b0\i0\ul0\strike0 akan\f0\fs18\cf1\b0\i0\ul0\strike0 membantu\f0\fs18\cf1\b0\i0\ul0\strike0 mengumpulkan\f0\fs18\cf1\b0\i0\ul0\strike0 informasi\f0\fs18\cf1\b0\i0\ul0\strike0 vital\par\pard\plain\li1207\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 yang\f0\fs18\cf1\b0\i0\ul0\strike0 berkaitan\f0\fs18\cf1\b0\i0\ul0\strike0 dengan\f0\fs18\cf1\b0\i0\ul0\strike0 proses\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 pasien.\f0\fs10\cf1\b0\i0\ul0\strike0 (1)\par\pard\plain\sl-300\par\pard\plain\li1207\sl-184\f0\fs18\cf1\b\i0\ul0\strike0 Kata\f0\fs18\cf1\b\i0\ul0\strike0 kunci:\f0\fs20\cf1\b0\i\ul0\strike0 Assessment\f0\fs20\cf1\b0\i0\ul0\strike0 nyeri,\f0\fs20\cf1\b0\i0\ul0\strike0 kontrol\f0\fs20\cf1\b0\i0\ul0\strike0 nyeri\par\pard\plain\sl-200\par\pard\plain\sl-349\par\pard\plain\li5842\sl-167\f0\fs18\cf2\b\i0\ul0\strike0 ABSTRACT\par\pard\plain\li1207\sl-238\f0\fs18\cf1\b0\i0\ul0\strike0 Pain\f0\fs18\cf1\b0\i0\ul0\strike0 control\f0\fs18\cf1\b0\i0\ul0\strike0 is\f0\fs18\cf1\b0\i0\ul0\strike0 still\f0\fs18\cf1\b0\i0\ul0\strike0 an\f0\fs18\cf1\b0\i0\ul0\strike0 important\f0\fs18\cf1\b0\i0\ul0\strike0 issue\f0\fs18\cf1\b0\i0\ul0\strike0 in\f0\fs18\cf1\b0\i0\ul0\strike0 health\f0\fs18\cf1\b0\i0\ul0\strike0 management.\f0\fs18\cf1\b0\i0\ul0\strike0 An\f0\fs18\cf1\b0\i0\ul0\strike0 effective\f0\fs18\cf1\b0\i0\ul0\strike0 management\f0\fs18\cf1\b0\i0\ul0\strike0 depends\f0\fs18\cf1\b0\i0\ul0\strike0 on\f0\fs18\cf1\b0\i0\ul0\strike0 through\f0\fs18\cf1\b0\i0\ul0\strike0 examination\f0\fs18\cf1\b0\i0\ul0\strike0 and\f0\fs18\cf1\b0\i0\ul0\strike0 assessment\par\pard\plain\li1207\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 based\f0\fs18\cf1\b0\i0\ul0\strike0 on\f0\fs18\cf1\b0\i0\ul0\strike0 objective\f0\fs18\cf1\b0\i0\ul0\strike0 as\f0\fs18\cf1\b0\i0\ul0\strike0 well\f0\fs18\cf1\b0\i0\ul0\s

trike0 as\f0\fs18\cf1\b0\i0\ul0\strike0 subjective\f0\fs18\cf1\b0\i0\ul0\strike0 information.\f0\fs18\cf1\b0\i0\ul0\strike0 Combination\f0\fs18\cf1\b0\i0\ul0\strike0 of\f0\fs18\cf1\b0\i0\ul0\strike0 closed\f0\fs18\cf1\b0\i0\ul0\strike0 and\f0\fs18\cf1\b0\i0\ul0\strike0 open\f0\fs18\cf1\b0\i0\ul0\strike0 questions\f0\fs18\cf1\b0\i0\ul0\strike0 can\f0\fs18\cf1\b0\i0\ul0\strike0 be\f0\fs18\cf1\b0\i0\ul0\strike0 utilized\f0\fs18\cf1\b0\i0\ul0\strike0 in\f0\fs18\cf1\b0\i0\ul0\strike0 a\f0\fs18\cf1\b0\i0\ul0\strike0 supportive\f0\fs18\cf1\b0\i0\ul0\strike0 and\f0\fs18\cf1\b0\i0\ul0\strike0 non-\par\pard\plain\li1207\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 inclined\f0\fs18\cf1\b0\i0\ul0\strike0 manner\f0\fs18\cf1\b0\i0\ul0\strike0 in\f0\fs18\cf1\b0\i0\ul0\strike0 relaxed\f0\fs18\cf1\b0\i0\ul0\strike0 environment,\f0\fs18\cf1\b0\i0\ul0\strike0 together\f0\fs18\cf1\b0\i0\ul0\strike0 with\f0\fs18\cf1\b0\i0\ul0\strike0 observation\f0\fs18\cf1\b0\i0\ul0\strike0 on\f0\fs18\cf1\b0\i0\ul0\strike0 verbal\f0\fs18\cf1\b

0\i0\ul0\strike0 as\f0\fs18\cf1\b0\i0\ul0\strike0 well\f0\fs18\cf1\b0\i0\ul0\strike0 as\f0\fs18\cf1\b0\i0\ul0\strike0 non\f0\fs18\cf1\b0\i0\ul0\strike0 verbal\f0\fs18\cf1\b0\i0\ul0\strike0 clues.\f0\fs18\cf1\b0\i0\ul0\strike0 Use\f0\fs18\cf1\b0\i0\ul0\strike0 of\f0\fs18\cf1\b0\i0\ul0\strike0 PQRST\f0\fs18\cf1\b0\i0\ul0\strike0 mnemonics\f0\fs18\cf1\b0\i0\ul0\strike0 can\f0\fs18\cf1\b0\i0\ul0\strike0 help\par\pard\plain\li1207\sl-240\f0\fs18\cf1\b0\i0\ul0\strike0 obtain\f0\fs18\cf1\b0\i0\ul0\strike0 important\f0\fs18\cf1\b0\i0\ul0\strike0 information.\f0\fs18\cf1\b\i0\ul0\strike0 Yudiyanta,\f0\fs18\cf1\b\i0\ul0\strike0 Novita\f0\fs18\cf1\b\i0\ul0\strike0 Khoirunnisa,\f0\fs18\cf1\b\i0\ul0\strike0 Ratih\f0\fs18\cf1\b\i0\ul0\strike0 Wahyu\f0\fs18\cf1\b\i0\ul0\strike0 Novitasari.\f0\fs18\cf1\b\i0\ul0\strike0 Pain\f0\fs18\cf1\b\i0\ul0\strike0 Assessment.\par\pard\plain\sl-313\par\pard\plain\li1207\sl-166\f0\fs18\cf1\b\i0\ul0\strike0 Keywords:\f0\fs18\cf1\b0\i0\ul0\strike0 Pain\f0\fs18\cf1\b0\i0\ul0\strike0

assessment,\f0\fs18\cf1\b0\i0\ul0\strike0 pain\f0\fs18\cf1\b0\i0\ul0\strike0 control\par\sect\sected\sbknone\cols3\colno1\colw4630\colsr10\colno2\colw3590\colsr10\colno3\colw4600\pard\plain\sl-200\par\pard\plain\sl-353\par\pard\plain\li1038\sl-167\f0\fs18\cf2\b\i0\ul0\strike0 PENDAHULUAN\par\pard\column\plain\sl-200\par\pard\plain\sl-353\par\pard\plain\li0\sl-165\f0\fs18\charscalex99\cf1\b0\i0\ul0\strike0 anak,\f0\fs18\charscalex99\cf1\b0\i0\ul0\strike0 dewasa,\f0\fs18\charscalex99\cf1\b0\i0\ul0\strike0 dan\f0\fs18\charscalex99\cf1\b0\i0\ul0\strike0pasien\f0\fs18\charscalex99\cf1\b0\i0\ul0\strike0 tersedasi\f0\fs18\charscalex99\cf1\b0\i0\ul0\strike0 dengan\par\pard\column\plain\sl-200\par\pard\plain\sl-353\par\pard\plain\li0\sl-165\f0\fs18\cf1\b0\i0\ul0\strike0 tingkat\f0\fs18\cf1\


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b0\i0\ul0\strike0 nyerinya\par\sect\sected\sbknone\cols6\colno1\colw4630\colsr10\colno2\colw3590\colsr10\colno3\colw270\colsr10\colno4\colw850\colsr10\colno5\colw1770\colsr10\colno6\colw1680\pard\plain\li1037\sl-238\f0\fs18\cf1\b0\i0\ul0\strike0 Sensasi\f0\fs18\cf1\b0\i0\ul0\strike0 penglihatan,\f0\fs18\cf1\b0\i0\ul0\strike0 pendengaran,\f0\fs18\cf1\b0\i0\ul0\strike0 bau,\par\pard\plain\li0\sl-238\column\f0\fs18\cf1\b0\i0\ul0\strike0 pemberian\f0\fs18\cf1\b0\i0\ul0\strike0 obat\f0\fs18\cf1\b0\i0\ul0\strike0 ataupun\f0\fs18\cf1\b0\i0\ul0\strike0 tanpa\f0\fs18\cf1\b0\i0\ul0\strike0 pemberian\par\pard\plain\li0\sl-238\column\f0\fs18\charscalex83\cf1\b0\i0\ul0\strike0 T\par\pard\plain\li0\sl-238\column\f0\fs18\charscalex85\cf1\b0\i\ul0\strike0 Temporal\par\pard\plain\li0\sl-238\column\f0\fs18\charscalex98\cf1\b0\i0\ul0\strike0 atau\f0\fs18\charscalex98\cf1\b0\i0\ul0\strike0 periode/waktu\par\pard\plain\li0\sl-238\column\f0\fs18\cf1\b0\i0\ul0\strike0 yang\par\sect\sected\sbknone\cols3\colno1\colw4630\colsr10\colno2\colw3590\colsr10\colno3\colw4600\pard\plain\li1037\sl-240\f0\fs18\cf1\b0\i0\ul0\strike0 rasa,\f0\fs18\cf1\b0\i0\ul0\strike0 sentuhan,\f0\fs18\cf1\b0\i0\ul0\strike0 dan\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 merupakan\f0\fs18\cf1\b0\i0\ul0\strike0 hasil\par\pard\plain\li1037\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 stimulasi\f0\fs18\cf1\b0\i0\ul0\strike0 reseptor\f0\fs18\cf1\b0\i0\ul0\strike0 sensorik.\f0\fs18\cf1\b0\i0\ul0\strike0 Nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 adalah\par\pard\plain\li1037\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 sensasi\f0\fs18\cf1\b0\i0\ul0\strike0 yang\f0\fs18\cf1\b0\i0\ul0\strike0penting\f0\fs18\cf1\b0\i0\ul0\strike0 bagi\f0\fs18\cf1\b0\i0\ul0\strike0 tubuh.\f0\fs18\cf1\b0\i0\ul0\strike0 Provokasi\par\pard\plain\li1037\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 saraf-saraf\f0\fs18\cf1\b0\i0\ul0\strike0 sensorik\f0\fs1

8\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 menghasilkan\par\pard\plain\li0\sl-239\column\f0\fs18\cf1\b0\i0\ul0\strike0 obat\f0\fs18\cf1\b0\i0\ul0\strike0 sesuai\f0\fs18\cf1\b0\i0\ul0\strike0 tingkat\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 yang\f0\fs18\cf1\b0\i0\ul0\strike0 dirasakan\par\pard\plain\li0\sl-240\f0\fs18\cf1\b0\i0\ul0\strike0 pasien.\f0\fs10\cf1\b0\i0\ul0\strike0 3\f0\fs18\cf1\b0\i0\ul0\strike0 Pendekatan\f0\fs18\cf1\b0\i0\ul0\strike0 untuk\f0\fs18\cf1\b0\i0\ul0\strike0 memperoleh\par\pard\plain\li0\sl-239\f0\fs18\charscalex89\cf1\b0\i0\ul0\strike0 riwayat\f0\fs18\charscalex89\cf1\b0\i0\ul0\strike0 detail\f0\fs18\charscalex89\cf1\b0\i0\ul0\strike0 dari\f0\fs18\charscalex89\cf1\b0\i0\ul0\strike0 seorang\f0\fs18\charscalex89\cf1\b0\i0\ul0\strike0 pasien\f0\fs18\charscalex89\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\charscalex89\cf1\b0\i0\ul0\strike0 sebaik-\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 nya\f0\fs18\cf1\b0\i0\ul0\strike0 menggunakan\f0\f

s18\cf1\b0\i0\ul0\strike0 kombinasi\f0\fs18\cf1\b0\i0\ul0\strike0 pertanyaan\par\pard\plain\li0\sl-239\column\f0\fs18\cf1\b0\i0\ul0\strike0 berkaitan\f0\fs18\cf1\b0\i0\ul0\strike0 dengan\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\par\pard\plain\sl-314\par\pard\plain\li0\sl-165\f0\fs18\cf1\b0\i0\ul0\strike0 Tujuan\f0\fs18\cf1\b0\i0\ul0\strike0 kebijakan\f0\fs18\cf1\b0\i0\ul0\strike0 penatalaksanaan\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 di\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 rumah\f0\fs18\cf1\b0\i0\ul0\strike0 sakit\f0\fs18\cf1\b0\i0\ul0\strike0 adalah:\par\sect\sected\sbknone\cols4\colno1\colw3210\colsr10\colno2\colw1410\colsr10\colno3\colw3590\colsr10\colno4\colw4600\pard\plain\li1037\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 reaksi\f0\fs18\cf1\b0\i0\ul0\strike0 ketidaknyamanan,\par\pard\plain\li1037\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 penderitaan.\f0\fs10\cf1\b0\i0\ul0\strike0 1\par\pard\plain\li0\sl-240\column\f0\fs18\cf1\b0\i\ul0\strike0 distress\f0\fs18\cf1\b0\i0\ul0\strik

e0 ,\f0\fs18\cf1\b0\i0\ul0\strike0 atau\par\pard\plain\li0\sl-239\column\f0\fs18\cf1\b0\i0\ul0\strike0 terbuka\f0\fs18\cf1\b0\i0\ul0\strike0 dan\f0\fs18\cf1\b0\i0\ul0\strike0 tertutup\f0\fs18\cf1\b0\i0\ul0\strike0 untuk\f0\fs18\cf1\b0\i0\ul0\strike0 memperoleh\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 informasi\f0\fs18\cf1\b0\i0\ul0\strike0 yang\f0\fs18\cf1\b0\i0\ul0\strike0diperlukan\f0\fs18\cf1\b0\i0\ul0\strike0 untuk\f0\fs18\cf1\b0\i0\ul0\strike0 menge-\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 tahui\f0\fs18\cf1\b0\i0\ul0\strike0 masalah\f0\fs18\cf1\b0\i0\ul0\strike0 pasien.\f0\fs18\cf1\b0\i0\ul0\strike0 Selain\f0\fs18\cf1\b0\i0\ul0\strike0 itu,\f0\fs18\cf1\b0\i0\ul0\strike0 perhatikan\par\pard\plain\li0\sl-239\column\f0\fs18\cf1\b0\i0\ul0\str


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ike0 a.\f0\fs18\cf1\b0\i0\ul0\strike0 Semua\f0\fs18\cf1\b0\i0\ul0\strike0 pasien\f0\fs18\cf1\b0\i0\ul0\strike0 yang\f0\fs18\cf1\b0\i0\ul0\strike0 mengalami\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 mendapat\f0\fs18\cf1\b0\i0\ul0\strike0 pelayanan\f0\fs18\cf1\b0\i0\ul0\strike0 sesuai\f0\fs18\cf1\b0\i0\ul0\strike0 pedoman\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 dan\f0\fs18\cf1\b0\i0\ul0\strike0 prosedur\f0\fs18\cf1\b0\i0\ul0\strike0 manajemen\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 RSUP\f0\fs18\cf1\b0\i0\ul0\strike0 Dr\par\sect\sected\sbknone\cols3\colno1\colw4630\colsr10\colno2\colw3590\colsr10\colno3\colw4600\pard\plain\li1037\sl-240\f0\fs18\cf1\b0\i0\ul0\strike0 Kontrol\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 tetap\f0\fs18\cf1\b0\i0\ul0\strike0 merupakan\f0\fs18\cf1\b0\i0\ul0\strike0 problem\par\pard\plain\li1037\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 signifikan\f0\fs18\cf1\b0\i0\ul0\strike0pada\f0\fs18\cf1\b0\i0\ul0\strike0 pelayanan\f0\fs18\cf1\b0\i0\ul0\strike0 kesehatan\f0\fs18\cf1\b0\i0\ul0\strike0 di\f0\fs18\cf1\b0\i0\ul0\strike0 se-\par\pard\plain\li1037\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 luruh\f0\fs18\cf1\b0\i0\ul0\strike0 dunia.\f0\fs18\cf1\b0\i0\ul0\strike0 Penanganan\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 yang\f0\fs18\cf1\b0\i0\ul0\strike0 efektif\par\pard\plain\li1037\sl-239\f0\fs18\charscalex97\cf1\b0\i0\ul0\strike0 tergantung\f0\fs18\charscalex97\cf1\b0\i0\ul0\strike0 pada\f0\fs18\charscalex97\cf1\b0\i0\ul0\strike0 pemeriksaan\f0\fs18\charscalex97\cf1\b0\i0\ul0\strike0 dan\f0\fs18\charscalex97\cf1\b0\i0\ul0\strike0 penilaian\par\pard\plain\li1037\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 yang\f0\fs18\cf1\b0\i0\ul0\strike0 seksama\f0\fs18\cf1\b0\i0\ul0\strike0 baik\f

0\fs18\cf1\b0\i0\ul0\strike0 berdasarkan\par\pard\plain\li1037\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 informasi\f0\fs18\cf1\b0\i0\ul0\strike0 subjektif\f0\fs18\cf1\b0\i0\ul0\strike0 maupun\f0\fs18\cf1\b0\i0\ul0\strike0 objektif.\f0\fs10\cf1\b0\i0\ul0\strike0 2\par\pard\plain\li1036\sl-240\f0\fs18\cf1\b0\i0\ul0\strike0 Teknik\f0\fs18\cf1\b0\i0\ul0\strike0 pemeriksaan/penilaian\f0\fs18\cf1\b0\i0\ul0\strike0 oleh\f0\fs18\cf1\b0\i0\ul0\strike0 tenaga\par\pard\plain\li1036\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 kesehatan\f0\fs18\cf1\b0\i0\ul0\strike0 dan\f0\fs18\cf1\b0\i0\ul0\strike0 keengganan\f0\fs18\cf1\b0\i0\ul0\strike0 pasien\f0\fs18\cf1\b0\i0\ul0\strike0 untuk\par\pard\plain\li1036\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 melaporkan\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 merupakan\f0\fs18\cf1\b0\i0\ul0\strike0 dua\f0\fs18\cf1\b0\i0\ul0\strike0 masalah\par\pard\plain\li1036\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 utama.\f0\fs18\cf1\b0\i0\ul0\strike0 Masalah-masalah\f0\fs18\cf1\b0\i0\ul0\

strike0 yang\f0\fs18\cf1\b0\i0\ul0\strike0 berkaitan\par\pard\plain\li1036\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 dengan\f0\fs18\cf1\b0\i0\ul0\strike0 kesehatan,\f0\fs18\cf1\b0\i0\ul0\strike0 pasien,\f0\fs18\cf1\b0\i0\ul0\strike0 dan\f0\fs18\cf1\b0\i0\ul0\strike0 sistem\par\pard\plain\li1036\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 pelayanan\f0\fs18\cf1\b0\i0\ul0\strike0 kesehatan\f0\fs18\cf1\b0\i0\ul0\strike0 secara\f0\fs18\cf1\b0\i0\ul0\strike0 keseluruhan\par\pard\plain\li1036\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 diketahui\f0\fs18\cf1\b0\i0\ul0\strike0 sebagai\f0\fs18\cf1\b0\i0\ul0\strike0 salah\f0\fs18\cf1\b0\i0\ul0\strike0 satu\f0\fs18\cf1\b0\i0\ul0\strike0 penghambat\par\pard\plain\li1036\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 dalam\f0\fs18\cf1\b0\i0\ul0\strike0 penatalaksaan\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 yang\f0\fs18\cf1\b0\i0\ul0\strike0 tepat.\par\pard\plain\sl-314\par\pard\plain\li1036\sl-165\f0\fs18\cf1\b0\i0\ul0\strike0 Penanganan\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\f

0\fs18\cf1\b0\i0\ul0\strike0 adalah\f0\fs18\cf1\b0\i0\ul0\strike0 upaya\f0\fs18\cf1\b0\i0\ul0\strike0 mengatasi\par\pard\plain\li1036\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 yang\f0\fs18\cf1\b0\i0\ul0\strike0 dilakukan\f0\fs18\cf1\b0\i0\ul0\strike0 pada\f0\fs18\cf1\b0\i0\ul0\strike0 pasien\f0\fs18\cf1\b0\i0\ul0\strike0 bayi,\par\pard\plain\li0\sl-239\column\f0\fs18\cf1\b0\i0\ul0\strike0 juga\f0\fs18\cf1\b0\i0\ul0\strike0 faktor-faktor\f0\fs18\cf1\b0\i0\ul0\strike0 seperti\f0\fs18\cf1\b0\i0\ul0\strike0 menentukan\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 tempat\f0\fs18\cf1\b0\i0\ul0\strike0 ketika\f0\fs18\cf1\b0\i0\ul0\strike0 melakukan\f0\fs18\cf1\b0\i0\ul0\strike0 wawancara,\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike


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0 menunjukkan\f0\fs18\cf1\b0\i0\ul0\strike0 sikap\f0\fs18\cf1\b0\i0\ul0\strike0 yang\f0\fs18\cf1\b0\i0\ul0\strike0 suportif\f0\fs18\cf1\b0\i0\ul0\strike0 dan\f0\fs18\cf1\b0\i0\ul0\strike0 tidak\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 menghakimi,\f0\fs18\cf1\b0\i0\ul0\strike0 memperhatikan\f0\fs18\cf1\b0\i0\ul0\strike0 tanda-tanda\par\pard\plain\li0\sl-239\f0\fs18\charscalex89\cf1\b0\i0\ul0\strike0 verbal\f0\fs18\charscalex89\cf1\b0\i0\ul0\strike0 dan\f0\fs18\charscalex89\cf1\b0\i0\ul0\strike0 nonverbal,\f0\fs18\charscalex89\cf1\b0\i0\ul0\strike0 dan\f0\fs18\charscalex89\cf1\b0\i0\ul0\strike0 meluangkan\f0\fs18\charscalex89\cf1\b0\i0\ul0\strike0 waktu\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 yang\f0\fs18\cf1\b0\i0\ul0\strike0 cukup\f0\fs18\cf1\b0\i0\ul0\strike0 untuk\f0\fs18\cf1\b0\i0\ul0\strike0 melakukan\f0\fs18\cf1\b0\i0\ul0\strike0 wawancara.\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0Penggunaan\f0\fs18\cf1\b0\i0\ul0\strike0 mnemonik\f0\fs18\cf1\b0\i0\ul0\strike0 PQRST\f0\fs18\cf1\b0\i0\ul0\strike0 juga\f0\fs18\cf1\b0\i0\ul0\strike0 akan\par\pard\plain\li0\sl-239\f0\fs18\charscalex99\cf1\b0\i0\ul0\strike0 membantu\f0\fs18\charscalex99\cf1\b0\i0\ul0\strike0 untuk\f0\fs18\charscalex99\cf1\b0\i0\ul0\strike0 mengumpulkan\f0\fs18\charscalex99\cf1\b0\i0\ul0\strike0 informasi\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 vital\f0\fs18\cf1\b0\i0\ul0\strike0 yang\f0\fs18\cf1\b0\i0\ul0\strike0 berkaitan\f0\fs18\cf1\b0\i0\ul0\strike0 dengan\f0\fs18\cf1\b0\i0\ul0\strike0 proses\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 pasien.\f0\fs10\cf1\b0\i0\ul0\strike0 1\par\pard\plain\sl-315\par\pard\plain\li0\sl-167\f0\fs18\cf1\b\i0\ul0\strike0 Mnemonik\f0\fs18\cf1\b\i0\ul0\strike0 PQRST\f0\fs18\cf1\b\i0\ul0\strike0 untuk\f0\fs18\cf1\b\i0\ul0\strike0 Evaluasi\f0\fs18\cf1\b\i

0\ul0\strike0 Nyeri\par\pard\plain\li0\sl-238\f0\fs18\cf1\b0\i0\ul0\strike0 P\f0\fs18\cf1\b0\i0\ul0\strike0 Paliatif\f0\fs18\cf1\b0\i0\ul0\strike0 atau\f0\fs18\cf1\b0\i0\ul0\strike0 penyebab\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\par\pard\plain\li0\sl-240\f0\fs18\cf1\b0\i0\ul0\strike0 Q\f0\fs18\cf1\b0\i\ul0\strike0Quality\f0\fs18\cf1\b0\i0\ul0\strike0 /kualitas\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 R\f0\fs18\cf1\b0\i0\ul0\strike0 Regio\f0\fs18\cf1\b0\i0\ul0\strike0 (daerah)\f0\fs18\cf1\b0\i0\ul0\strike0 lokasi\f0\fs18\cf1\b0\i0\ul0\strike0 atau\f0\fs18\cf1\b0\i0\ul0\strike0 penyebaran\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 S\f0\fs18\cf1\b0\i0\ul0\strike0 Subjektif\f0\fs18\cf1\b0\i0\ul0\strike0 deskripsi\f0\fs18\cf1\b0\i0\ul0\strike0 oleh\f0\fs18\cf1\b0\i0\ul0\strike0 pasien\f0\fs18\cf1\b0\i0\ul0\strike0 mengenai\par\pard\plain\li0\sl-239\column\f0\fs18\cf1\b0\i0\ul0\strike0 Sardj

ito\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 b.\f0\fs18\cf1\b0\i0\ul0\strike0 Menghindari\f0\fs18\cf1\b0\i0\ul0\strike0 dampak/risiko\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 ter-\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 hadap\f0\fs18\cf1\b0\i0\ul0\strike0 proses\f0\fs18\cf1\b0\i0\ul0\strike0 penyembuhan\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 c.\f0\fs18\cf1\b0\i0\ul0\strike0 Memberikan\f0\fs18\cf1\b0\i0\ul0\strike0 kenyamanan\f0\fs18\cf1\b0\i0\ul0\strike0 pada\f0\fs18\cf1\b0\i0\ul0\strike0 pasien\f0\fs10\cf1\b0\i0\ul0\strike0 3\par\pard\plain\sl-315\par\pard\plain\li0\sl-165\f0\fs18\cf1\b0\i\ul0\strike0 Assessment\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 awal\f0\fs18\cf1\b0\i0\ul0\strike0 pada\f0\fs18\cf1\b0\i0\ul0\strike0 pasien\f0\fs18\cf1\b0\i0\ul0\strike0 dengan\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 bisa\f0\fs18\cf1\b0\i0\ul0\strike0 dibantu\f0\fs18\cf1\b0

\i0\ul0\strike0 menggunakan\f0\fs18\cf1\b0\i0\ul0\strike0 penilaian\par\pard\plain\li0\sl-240\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 awal\f0\fs18\cf1\b0\i0\ul0\strike0 (Pasero,\f0\fs18\cf1\b0\i0\ul0\strike0 Mc\f0\fs18\cf1\b0\i0\ul0\strike0 Caffery\f0\fs18\cf1\b0\i0\ul0\strike0 M)\f0\fs18\cf1\b0\i0\ul0\strike0 (\f0\fs18\cf1\b\i0\ul0\strike0 Lampiran\par\pard\plain\li0\sl-239\f0\fs18\cf1\b\i0\ul0\strike0 1\f0\fs18\cf1\b0\i0\ul0\strike0 ).\f0\fs18\cf1\b0\i0\ul0\strike0 Bila\f0\fs18\cf1\b0\i0\ul0\strike0 pada\f0\fs18\cf1\b0\i0\ul0\strike0 pasien\f0\fs18\cf1\b0\i0\ul0\strike0 anak-anak,\f0\fs18\cf1\b0\i\ul0\strike0 assessment\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 awal\f0\fs18\cf1\b0\i0\ul0\strike0 menggunakan\f0\fs18\cf1\b0\i0\ul0\strik


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e0 penilaian\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 awal\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 untuk\f0\fs18\cf1\b0\i0\ul0\strike0 anak-anak.\f0\fs18\cf1\b0\i0\ul0\strike0 Untuk\f0\fs18\cf1\b0\i0\ul0\strike0 pasien\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 kanker\par\pard\plain\li0\sl-240\f0\fs18\cf1\b0\i0\ul0\strike0 digunakan\f0\fs18\cf1\b0\i\ul0\strike0 initial\f0\fs18\cf1\b0\i\ul0\strike0 assessment\f0\fs18\cf1\b0\i\ul0\strike0 management\par\pard\plain\li0\sl-240\f0\fs18\cf1\b0\i\ul0\strike0 of\f0\fs18\cf1\b0\i\ul0\strike0 Cancer\f0\fs18\cf1\b0\i\ul0\strike0 Pain\f0\fs18\cf1\b0\i0\ul0\strike0 (\f0\fs18\cf1\b\i0\ul0\strike0 Lampiran\f0\fs18\cf1\b\i0\ul0\strike0 2\f0\fs18\cf1\b0\i0\ul0\strike0 ).\par\pard\plain\sl-313\par\pard\plain\li0\sl-165\f0\fs18\cf1\b0\i0\ul0\strike0 Anamnesis\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri\f0\fs18\cf1\b0\i0\ul0\strike0 juga\f0\fs18\cf1\b0\i0\ul0\strike0 perlu\f0\fs18\cf1\b0\i0\ul0\strike0 menanyakan\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 riwayat\f0\fs18\cf1\b0\i0\ul0\strike0 penyakit\f0\fs18\cf1\b0\i0\ul0\strike0 dahulu\f0\fs18\cf1\b0\i0\ul0\strike0 tentang\f0\fs18\cf1\b0\i0\ul0\strike0 nyeri,\f0\fs18\cf1\b0\i0\ul0\strike0 yang\par\pard\plain\li0\sl-239\f0\fs18\cf1\b0\i0\ul0\strike0 meliputi:\par\sect\sected\sbknone\cols3\colno1\colw2570\colsr10\colno2\colw6730\colsr10\colno3\colw3520\pard\plain\sl-268\par\pard\plain\li1037\sl-129\f0\fs14\charscalex97\cf1\b\i\ul0\strike0 Alamat\f0\fs14\charscalex97\cf1\b\i\ul0\strike0 korespondensi\par\pard\plain\sl-200\par\pard\plain\sl-341\par\pard\plain\li810\sl-220\f0\fs24\cf4\b\i0\ul0\strike0 214\par\pard\column\plain\sl-268\par\pard\plain\li0\sl-129\f0\fs14\cf1\b0\i\ul0\strike0 email:\f0\fs14\cf1\b0\i\ul0\strike0 [email protected]\par\pard\column\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\

par\pard\plain\sl-367\par\pard\plain\li0\sl-148\f0\fs16\cf5\b\i0\ul0\strike0 CDK-226/\f0\fs16\cf5\b\i0\ul0\strike0 vol.\f0\fs16\cf5\b\i0\ul0\strike0 42\f0\fs16\cf5\b\i0\ul0\strike0 no.\f0\fs16\cf5\b\i0\ul0\strike0 3,\f0\fs16\cf5\b\i0\ul0\strike0 th.\f0\fs16\cf5\b\i0\ul0\strike0 2015{\shp{\*\shpinst\shpleft300\shptop16372\shpright1320\shpbottom16713\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz1\shplid15305{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 1020}}{\sp{\sn geoBottom}{\sv 341}}{\sp{\sn posrelh}{\sv 1}}

{\sp{\sn posrelv}{\sv 1}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;5;(0,340);(1020,340);(1020,0);(0,0);(0,340)}}{\sp{\sn pSegmentInfo}{\sv 2;12;16384;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 16041548}}{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}

{\sp{\sn fBehindDocument}{\sv 1}}}}{\shp{\*\shpinst\shpleft10054\shptop643\shpright11523\shpbottom2112\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz6\shplid15305{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 1469}}{\sp{\sn geoBottom}{\sv 1469}}


7/745

{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;5;(0,1469);(1469,1469);(1469,0);(0,0);(0,1469)}}{\sp{\sn pSegmentInfo}{\sv 2;12;16384;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 16777215}}{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}}}{\shp{\*\shpinst\shpleft10054\shptop643\shpright11523\shpbottom2112\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz8\shplid15305{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 1469}}{\sp{\sn geoBottom}{\sv 1469}}

{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;5;(1469,0);(0,0);(0,1469);(1469,1469);(1469,0)}}{\sp{\sn pSegmentInfo}{\sv 2;12;16384;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fillOpacity}{\sv 0}}{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn lineColor}{\sv 9584170}}{\sp{\sn lineDashing}{\sv 0}}

{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}}}{\shp{\*\shpinst\shpleft8466\shptop643\shpright9935\shpbottom2112\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz9\shplid15305{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 1469}}{\sp{\sn geoBottom}{\sv 1469}}{\sp{\sn posrelh}{\sv 1}}

{\sp{\sn posrelv}{\sv 1}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;5;(0,1469);(1469,1469);(1469,0);(0,0);(0,1469)}}{\sp{\sn pSegmentInfo}{\sv 2;12;16384;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 16777215}}{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn fLine}{\sv 0}}


8/745

{\sp{\sn lineDashing}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}}}{\shp{\*\shpinst\shpleft8466\shptop643\shpright9935\shpbottom2112\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz11\shplid15305{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 1469}}{\sp{\sn geoBottom}{\sv 1469}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;5;(1469,0);(0,0);(0,1469);(1469,1469);(1469,0)}}{\sp{\sn pSegmentInfo}{\sv 2;12;16384;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fillOpacity}{\sv 0}}{\sp{\sn lineWidth}{\sv 12700}}

{\sp{\sn lineColor}{\sv 9584170}}{\sp{\sn lineDashing}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}}}{\shp{\*\shpinst\shpleft1037\shptop4325\shpright11525\shpbottom6820\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz51\shplid15305{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 10488}}

{\sp{\sn geoBottom}{\sv 2495}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;5;(0,2494);(10488,2494);(10488,0);(0,0);(0,2494)}}{\sp{\sn pSegmentInfo}{\sv 2;12;16384;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 14871797}}{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}

{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}}}{\shp{\*\shpinst\shpleft1037\shptop6990\shpright11525\shpbottom9031\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz52\shplid15305{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}


9/745

{\sp{\sn geoRight}{\sv 10488}}{\sp{\sn geoBottom}{\sv 2041}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;5;(0,2041);(10488,2041);(10488,0);(0,0);(0,2041)}}{\sp{\sn pSegmentInfo}{\sv 2;12;16384;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 14871797}}{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineDashing}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}}}{\shp{\*\shpinst\shpleft1037\shptop15688\shpright6196\shpbottom15688\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz84\shplid27549{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}

{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn lineColor}{\sv 2105123}}{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn lineDashing}{\sv 0}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}}}{\shp{\*\shpinst\shpleft300\shptop470\shpright0\shpbottom470\shpfhdr0\shpbxpage\shpbypage

\shpwr3\shpwrk0\shpfblwtxt1\shpz152\shplid27549{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn lineColor}{\sv 16777215}}{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn lineDashing}{\sv 0}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fArrowheadsOK}{\sv 1}}

{\sp{\sn fBehindDocument}{\sv 1}}}}{\shp{\*\shpinst\shpleft12546\shptop470\shpright12846\shpbottom470\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz153\shplid27549{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}


10/745

{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn lineColor}{\sv 16777215}}{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn lineDashing}{\sv 0}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}}}{\shp{\*\shpinst\shpleft300\shptop17308\shpright0\shpbottom17308\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz154\shplid27549{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn lineColor}{\sv 16777215}}{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn lineDashing}{\sv 0}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fArrowheadsOK}{\sv 1}}

{\sp{\sn fBehindDocument}{\sv 1}}}}{\shp{\*\shpinst\shpleft12546\shptop17308\shpright12846\shpbottom17308\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz155\shplid27549{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn lineColor}{\sv 16777215}}{\sp{\sn lineWidth}{\sv 12700}}

{\sp{\sn lineDashing}{\sv 0}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}}}{\shp{\*\shpinst\shpleft470\shptop300\shpright470\shpbottom0\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz156\shplid27549{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}

{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn lineColor}{\sv 16777215}}{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn lineDashing}{\sv 0}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}}}


11/745

{\shp{\*\shpinst\shpleft470\shptop17478\shpright470\shpbottom17778\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz157\shplid27549{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn lineColor}{\sv 16777215}}{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn lineDashing}{\sv 0}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}}}{\shp{\*\shpinst\shpleft12376\shptop300\shpright12376\shpbottom0\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz158\shplid27549{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}

{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn lineColor}{\sv 16777215}}{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn lineDashing}{\sv 0}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}}}{\shp{\*\shpinst\shpleft12376\shptop17478\shpright12376\shpbottom17778\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz159\shplid27549

{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn lineColor}{\sv 16777215}}{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn lineDashing}{\sv 0}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}

}}{\shp{\*\shpinst\shpleft300\shptop470\shpright0\shpbottom470\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz160\shplid27549{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}


12/745

{\sp{\sn lineColor}{\sv 2105123}}{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn lineDashing}{\sv 0}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}}}{\shp{\*\shpinst\shpleft12546\shptop470\shpright12846\shpbottom470\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz161\shplid27549{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn lineColor}{\sv 2105123}}{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn lineDashing}{\sv 0}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}

}}{\shp{\*\shpinst\shpleft300\shptop17308\shpright0\shpbottom17308\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz162\shplid27549{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn lineColor}{\sv 2105123}}{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn lineDashing}{\sv 0}}

{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}}}{\shp{\*\shpinst\shpleft12546\shptop17308\shpright12846\shpbottom17308\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz163\shplid27549{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}

{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn lineColor}{\sv 2105123}}{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn lineDashing}{\sv 0}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}}}{\shp{\*\shpinst\shpleft470\shptop300\shpright470\shpbottom0


13/745

\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz164\shplid27549{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn lineColor}{\sv 2105123}}{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn lineDashing}{\sv 0}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}}}{\shp{\*\shpinst\shpleft470\shptop17478\shpright470\shpbottom17778\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz165\shplid27549{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}

{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn lineColor}{\sv 2105123}}{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn lineDashing}{\sv 0}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}}}{\shp{\*\shpinst\shpleft12376\shptop300\shpright12376\shpbottom0\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz166\shplid27549{\sp{\sn shapeType}{\sv 20}}

{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn lineColor}{\sv 2105123}}{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn lineDashing}{\sv 0}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}}}

{\shp{\*\shpinst\shpleft12376\shptop17478\shpright12376\shpbottom17778\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz167\shplid27549{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn fFillOK}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn lineColor}{\sv 2105123}}


14/745

{\sp{\sn lineWidth}{\sv 12700}}{\sp{\sn lineDashing}{\sv 0}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}}}{\shp{\*\shpinst\shpleft960\shptop620\shpright10020\shpbottom2240\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz168\shplid15305{\sp{\sn shapeType}{\sv 1}}{\sp{\sn lTxid}{\sv 23536}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn dxTextLeft}{\sv 0}}{\sp{\sn dyTextTop}{\sv 0}}{\sp{\sn dxTextRight}{\sv 0}}{\sp{\sn dyTextBottom}{\sv 0}}{\sp{\sn fBehindDocument}{\sv 1}}{\shptxt\pard\plain \ql\li0\ri0\widctlpar\sl1525\slmult0\pvpara\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0{{\*\shppict{\pict{\*\picprop{\sp{\sn shapeType}{\sv 75}}{\sp{\sn fFlipH}{\sv 0}}

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15/745

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16/745

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17/745

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


18/745

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19/745

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20/745

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21/745

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22/745

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


23/745

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


24/745

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teknik-assessment nyeri (1)

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