7.2 Prevntive Care in Elderly

7/23/2019 7.2 Prevntive Care in Elderly

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PREVENTIVE CARE IN

ELDERLYTo prevent disability and maintenance

of function !" #uality of life $p%ysical&

mental& social& economy'

(%aron )ondodiputro dr!& *AR(!&*+Dept! ,f Public +ealt% -aculty of

*edicine

.npad


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Pende/atan Wellness

0! -isi/ 1 men2a3a /ese%atan 4si/1 #uality of life 1ma/anan yan3 bai/& ola%ra3a teratur& pera5atan/ese%atan dan men33una/an pelayanan/ese%atan yan3 sesuai

6! Emosional1 mampu mne3e/presi/an perasaan dandapat menerima perasaan oran3 lain dan positivethinking

7! Intele/tual1 melalui pendidi/an formal atau


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8! (osial1 ber/ontribusi ter%adap lin3/un3an danmasyara/at& mampu %idup berdampin3an secara%armonis den3an sesama

9! Vo/asional1 mampu memberdaya/an diri dalam

berba3ai a/tivitas& bai/ secara rela5an maupunpe/er2aan yan3 membua%/an pen3%asilan atau/epuasan

:! (piritual1 mampu men3%ar3ai dan mensyu/uri%idup dan /e%idupan


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No 89;9< Years $PRE (ENI.*'

0 P%ysical T%ey s%ould /no5 t%econse#uences because ofa3in3

Periodically %ealt%e=amination

P%ysical activityNutrition

6 *ental>(piritual>Emotional

Ready to face process of a3in3

7 (ocial Emptynest to retirement+obbies development

8 Economy>Vocational *aybe still 5or/ !!!!!! "savin3s


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No :?;@? Years

0 P%ysical Periodically %ealt% e=amination

P%ysical activityNutrition

Aids devices

6 *ental>(piritual>Emoti

onal

*ental status assessment

7 (ocial Emptynest& retirement& deat%of spouses

(ocial activities 1 %obbies&community

8 Economy>Vocational (avin3s or dependent to t%eirc%ildren


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No " @? Years

0 P%ysical Periodically %ealt% e=amination

P%ysical activity

Nutrition

Aids devices

Care 3ivers +ome

environment assessment 6 *ental>(piritual>E

motional

*ental status assessment

7 (ocial Emptynest& retirement& deat% ofspouses

(ocial activities 1 %obbies&community

8 Economy>Vocational

(avin3s


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).IDIN) t%rou3% t%e intricacies of t%e%ealt% care delivery system $tec%nolo3ical

procedures' C,,RDINATIN)5it% multidisciplinaryteams

ADV,CATIN)c%oice

C,N(.LTIN)decision ma/in3 process C,LLAB,RATIN)5it% family care3ivers (.PP,RTIN) t%e patient and family

care3ivers especially in t%e situations

5%ere care 3ivers is labor intensive and

ROLES OF CLINICIANS


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+o5 and 5%ere to care our older people

,.R+,*E

N.R(IN)+,*E>panti

5erd%a

+,(PITAL

CARE )IVER ENVIR,N*ENTA

L A((E((*ENT

I( T+ERE ANYI- N,T

C,(TLY

C,**.NITY BA(ED +,(PITAL BA(ED


9/16

Community approac% for

elderly

P,(BIND. $Pos Pembinaan Terpadu 'or Posyandu Lansia


10/16

P,(BIND.

De4nition

(uatu 5ada% pelayanan /epada lan2ut usia di

masyara/at& yan3 proses pembentu/an danpela/sanaannya dila/u/an ole% masyara/atbersama L(*& lintas se/tor pemerinta% dan nonpemerinta%& den3an meniti/ berat/an pada

upaya preventif dan promotif!


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e3iatan

0!e3iatan pen3u/uran berat badan&tin33i badan $B*I'

6!e3iatan pemeri/saan te/anan dara%

7!e3iatan pemeri/saan /adar +B& 3uladara% dan /olesterol dara% $ : bulanse/ali'

8!e3iatan /onselin3 dan penyulu%an/ese%atan& 3ii9!onselin3 usa%a e/onomi produ/tif:!e3iatan a/tivitas 4si/>senam

semin33u se/ali


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Proses e3iatan

Posbindu

Re3istrasidanpencatatan

ole% /ader

Tin33ibadan&berat

badan$B*I'

Pen3u/urante/anan dara%&lab seder%ana&

terapi

onselin3individu

Informasi dan/e3iatan sosial(ambil menun33u

3iliran dila/u/anpenyulu%an/elompo/

Enter E=it

1

2 3

4

5


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Predictors of care3iverburden

THE PATIENT

is demented and>or disruptive

is %i3%ly dependent on t%ecare3iver


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Predictors of care3iverburden

THE CAREGIVER

feels 3uilty about an3er andresentment to5ard t%e patient

%ad a conictual relations%ip 5it% t%e

patient before t%e illnessdoes not understand muc% about t%epatientFs condition

%as %is>%er o5n illness and>ordisability

is depressed& isolated or lonely

%as poor relation%ips 5it% ot%erfamily members

%as little personal time a5ay from

care3ivin3


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Predictors of caregiver burdenTHE FAMILY

denies t%e patientFsdia3nosis

leaves most of t%e

care3ivin3 to one personis in conict

%as fe5 4nancial resources

%as conictual relations%ip

5it% t%e medical providers


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Predictors of caregiver burden

THE CLINICIAN

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Documents

7.2 Prevntive Care in Elderly