elderly-and-disability-2-finalphop.ppt

8/14/2019 elderly-and-disability-2-finalphop.ppt

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PREVENTIVE CARE IN ELDERLY

To prevent disability and maintenance of

function .> quality of life (physical, mental,

social, economy)

Sharon Gondodiputro dr., MARS.,MH

Dept. Of Public Health Faculty of Medicine

Unpad


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Pendekatan Wellness

1. Fisik: menjaga kesehatan fisik: quality of life : makanan yangbaik, olahraga teratur, perawatan kesehatan dan

menggunakan pelayanan kesehatan yang sesuai

2. Emosional: mampu mnegekpresikan perasaan dan dapatmenerima perasaan orang lain dan positive thinking

3. Intelektual: melalui pendidikan formal atau informal, serta

kegiatan kognitif : membaca, menulis, melukis


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4. Sosial: berkontribusi terhadap lingkungan dan masyarakat,

mampu hidup berdampingan secara harmonis dengan

sesama

5. Vokasional: mampu memberdayakan diri dalam berbagai

aktivitas, baik secara relawan maupun pekerjaan yangmembuahkan penghasilan atau kepuasan

6. Spiritual: mampu menghargai dan mensyukuri hidup dan

kehidupan


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No 45-59 Years (PRE SENIUM)

1 Physical They should know the consequencesbecause of aging

Periodically health examination

Physical activity

Nutrition

2 Mental/Spiritual/Emotional Ready to face process of aging

3 Social Emptynest to retirement

Hobbies development

4 Economy/Vocational Maybe still work ...... > savings


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No 60-70 Years

1 Physical Periodically health examination

Physical activity

Nutrition

Aids devices

2 Mental/Spiritual/Emotional Mental status assessment

3 Social Emptynest, retirement, death ofspouses

Social activities : hobbies, community

4 Economy/Vocational Savings or dependent to their children


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No > 70 Years

1 Physical Periodically health examination

Physical activity

Nutrition

Aids devices

Care givers ??? Home environment

assessment ??

2 Mental/Spiritual/Emoti

onal

Mental status assessment

3 Social Emptynest, retirement, death of spouses

Social activities : hobbies, community

4 Economy/Vocational Savings????


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GUIDING through the intricacies of the health caredelivery system (technological procedures)

COORDINATINGwith multidisciplinary teams ADVOCATINGchoice

CONSULTINGdecision making process

COLLABORATINGwith family caregivers

SUPPORTING the patient and family caregiversespecially in the situations where care givers is laborintensive and demanding

ROLES OF CLINICIANS


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How and where to care our older people ????

OUR HOME ???? NURSING

HOME/panti werdha

?

HOSPITAL ?

CARE GIVER

ENVIRONMENTAL

ASSESSMENT

IS THERE ANY???

IF NOT ?????

COSTLY

COMMUNITY BASED HOSPITAL BASED


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Community approach for elderly

POSBINDU (Pos Pembinaan Terpadu )

or Posyandu Lansia


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POSBINDU

Definition

Suatu wadah pelayanan kepada lanjut usia di masyarakat,

yang proses pembentukan dan pelaksanaannya dilakukanoleh masyarakat bersama LSM, lintas sektor pemerintah

dan non pemerintah, dengan menitik beratkan pada upaya

preventif dan promotif.


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Proses Kegiatan

Posbindu

Registrasi dan

pencatatan oleh

kader

Tinggi badan,

berat badan

(BMI)

Pengukuran

tekanan darah,

lab sederhana,

terapi

Konseling

individu

Informasi dan kegiatan

sosialSambil menunggu giliran

dilakukan penyuluhan

kelompok

Enter Exit

1

2 3

4

5


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Predictors of caregiver burden

THE PATIENT

is demented and/or disruptive

is highly dependent on the caregiver


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THE CAREGIVER

feels guilty about anger and resentment

toward the patient

had a conflictual relationship with the patient

before the illness

does not understand much about the

patients condition

has his/her own illness and/or disability

is depressed, isolated or lonely

has poor relationhips with other family

members

has little personal time away from caregiving


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Predictors of caregiver burdenTHE FAMILY

denies the patients diagnosis

leaves most of the caregiving to

one person

is in conflict

has few financial resources

has conflictual relationship with the

medical providers


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THE CLINICIAN

??

??

??

elderly-and-disability-2-finalphop.ppt

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