World Health Organization (2016), Menyebutkan Bahwa Stroke Adalah Terputusnya Aliran Darah Ke Otak, Umumnya Akibat Pecahnya Pembuluh Darah Ke Otak Atau Karena Tersumbatnya Pembuluh Darah Ke Otak Sehingga Pasokan Nutrisi Dan Oksigen Ke Otak Berkurang. Berdasarkan Hasil Riset Kesehatan Dasar (2018), Stroke Juga Menjadi Peringkat Ketiga Penyebab Utama Kecacatan Di Seluruh Dunia. Prevalensi Stroke Di Indonesia Berdasarkan Wawancara Sebesar 12,1% Pada Tahun 2013 Dan Menjadi 10,9% Pada Tahun 2018. Dari Data Tersebut Disimpulkan Bahwa Prevalensi Penyakit Stroke Di Indonesia Setiap Tahun Mengalami Perubahan. Tujuan Penulisan Adalah Agar Dapat Menerapkan Dan Melakukan Asuhan Keperawatan Kepada Klien, Membandingkan Kesenjangan Antara Teori Dan Kasus, Mengidentifikasi Faktor Pendukung Dan Penghambat, Memecahkan Masalah Pada Klien. Dalam Penyusunan Tugas Akhir Ini Penulis Menggunakan Metode Deskriptif Dengan Tipe Studi Kasus, Pengumpulan Data Meliputi Observasi, Wawancara, Pemeriksaan Head To Toe, Dokumentasi, Kepustakaan Dan Subjek Adalah Klien. Hasil Yang Didapatkan Pada Ny. T Dimulai Dari Pengkajian, Pengkajian Pola Integritas Ego Ditandai Dengan Tidak Ada Perasaan Perasaan Putus Asa, Pola Neurosensori Ditandai Dengan Tingkat Kesadaran Compos Mentis, Pola Pernafasan Ditandai Dengan Tidak Terdapat Hambatan Jalan Nafas. Kesimpulan Ditemukan Adanya Kesenjangan Dari Pengkajian Dan Perumusan Diagnosa Keperawatan Antara Teori Dan Kasus Pada Pada Ny. T. Sikap Kooperatif Pasien Dan Keluarga Yang Terbuka Serta Bekerja Sama Dengan Perawat.

Kata Kunci: Non Hemoragik Stroke, Dokumentasi Keperawatan, Asuhan Keperawatan

The World Health Organization (2016) States That Stroke Is A Cut In Blood Flow To The Brain, Generally Due To Rupture Of Blood Vessels To The Brain Or Due To Blockage Of Blood Vessels To The Brain So That The Supply Of Nutrients And Oxygen To The Brain Is Reduced. Based On The Results Of Basic Health Research (2018), Stroke Is The Third Leading Cause Of Disability Worldwide. The Prevalence Of Stroke In Indonesia Based On Interviews Was 12.1% In 2013 And Became 10.9% In 2018. From These Data It Can Be Concluded That The Prevalence Of Stroke In Indonesia Has Changed Every Year. The Purpose Of This Study Was To Investigate The Application And Performance Of Nursing Care To Clients; To Compare Gaps Between Theories And Cases; To Identify Supporting And Inhibiting Factors; And To Solve Problem For Clients. Data In This Descriptive Case Study Type Were Collected Through Observation, Interview, Head To Toe Examination, Documentation And Literature Studies. The Subject Was The Client. The Results Obtained At Mrs. T Started From The Assessment. The Study Of The Pattern Of Ego Integrity Was Characterized By No Feeling Of Hopelessness. The Neurosensory Pattern Was Marked By The Level Of Consciousness Compos Mentis. The Breathing Pattern Was Characterized By No Airway Obstruction. It Was Concluded That There Was A Gap In The Assessment And Formulation Of Nursing Diagnoses Between Theory And Cases In Mrs. T. The Patient And Her Families Had Cooperative Attitude, They Were Open And Cooperated With The Nurses. Keywords: Non Haemorhagic Stroke, Nursing Documentation, Nursing Care Knowing