pleno mo 2 blok 20.pptx
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Transcript of pleno mo 2 blok 20.pptx
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7/23/2019 pleno mo 2 blok 20.pptx
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Permasalahan Kesehatanpada Lansia
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Permasalahan penyakit padalansia
No
Jenis Penyakit 55-64tahun
65-74tahun
>75tahun
1 Hipertensi 45,9 % 57,6% 63,8 %
2 Artritis 45, % 51,9 % 54,8 %
3 !tr"ke 33, % 46,1 % 67, %
4 PP#K 5,6 % 8,6 % 9,4 %
5 $ 5,5 % 4,8 % 3,5 %
6 Kanker 3,2 % 3,9 % 5, %
7 Penyakit &ant'n(K"r"ner
2,8 % 3,6 % 3,2 %
8 )at' (in*al 1,3 % 1,2 % 1,1 %
9 +a(al &ant'n( ,7 % ,9 % 1,1 %
1 +a(al (in*al ,5 % ,5 % ,6 %iskesda,213
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$i-.'lty in initiatin( "r maintainin(sleep
/#0 e.essie daytime sleepiness
s'ally d'e t" a primary sleepdis"rder sleep apnea, nar."lepsy,peri"di. lim m"ement dis"rder
"st ."mm"nly d'e t" Psy.hiatri. illness Pys.h"physi"l"(i. pr"lems $r'( "r Al."h"l $ependen.e
estless Le( !yndr"me
ns"mnia
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Alter the enir"nment t" make it less dist'rin( at
ni(ht minimie ni(ht time li(htin(, s"'nds and
pr".ed'res las and itals and make the ed
."m"rtale
ake s're the patient is a.tie n"t nappin( d'rin(
the day :ith physi.al therapy, amily, and "l'nteers
t" help keep the patient ."mpany;
arm milk?tea, relain( m'si.?:hite s"'nd, and
massa(es .an e help'l;
!aer medi.ati"ns "r the (eriatri. p"p'lati"n in.l'del": d"se 0ra"d"ne "r irtaa ine;
0reatment "r ns"mnia
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@is'al and hearin( impairment
Cataracts
n.iden.e is a"'t 2% " th"se "lder
than 65 and 5% " th"se "lder than 75 9% s'..ess :ith s'r(ery isi"n
impr"ed t" at least 2?4
!'r(ery is sae takin( less than 3min'tes reakd":n " "ld lens, andne: lens implant
A"'t 15% " patients need additi"n
laser .aps'l"t"my ater lens implant
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Hearin( mpairment
ABe.ts 1% " ad'lts "er a(e 65 and 25%"er a(e 75
Can ."ntri'te t" s".ial is"lati"n, an(er,
depressi"n, amily ar('ments; Cer'men drier and thi.ker
0ympani. memrane thi.ker
#ssi.'lar *"ints de(enerate
C".hlear .han(es l"ss " hair .ells,stiBenin( " asilar memrane, and ne'r"nall"ss
$e.reased .entral a'dit"ry pr".essin(
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!trate(ies t" mpr"e C"mm'ni.ati"n:ith Hearin( mpaired pe"ple
Ask the listener preerred :ay t"."mm'ni.ate :ith them
#tain listener=s attenti"n e"re speakin(
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aln'triti"n
dentiy elderly :h" are at risk "
maln'triti"n :ith /A s."re
aln'triti"nApathy, depressi"nP""r ."n.entrati"n
P""r Appetite
L"ss " m's.lestren(th
ed'.ed m"ility
ed'.ed eedin(.apailities
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Causes of weight loss in olderpersons
Dedi.ati"nsD
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Consequences of
alnutrition $iminished 'n.ti"nal aility
C"mpr"mised imm'ne 'n.ti"n
mpaired :"'nd healin(
C"nstipati"n, diarrh"ea, pain ed'.ed renal 'n.ti"n
espirat"ry ail're
!keletal m's.le atr"phy
n.reased len(th " stay !'r(ery stress, in.reased
meta"li. rate
eddish hair, atr"phy " t"n('e
papillae "ridit F m"rtalit
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!ntellectual !pairent
"#$%&!'&()* +!*&"*&
A pr"(ressie ne'r"l"(i. dis"rder that
res'lts in mem"ry l"ss, pers"nality .han(es,(l"al ."(nitie dys'n.ti"n, and 'n.ti"nal
impairments; L"ss " sh"rtEterm mem"ry ism"st pr"minent early; n the late sta(es "disease, patients are t"tally dependent 'p"n"thers "r asi. a.tiities " daily liin( s'.h
as eedin( and t"iletin(
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+eentia ABe.ts 6E8% "er a(e 65 and 3% "er
a(e 85
As ay ""mers a(e this :ill e m"re andm"re ."mm"n
isk a.t"rs A(e, Gamily Hist"ry, $":n=s!yndr"me, Head tra'ma, Ge:er years "
ed'.ati"n, C@ risk a.t"rs Patients :ith mild ."(nitie impairment
pr"(ress t" Alheimer=s at a rate " 12%
per year
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C"nstipati"n in "lder pe"ple I 6 y
e('lar 'se " laaties
Ass".iated aniety, depressi"n p""r health per.epti"n
C"mpli.ati"n e.al impa.ti"n
e.al in."ntinen.e
'rinary retenti"n
si(m"id "l'l's
J m"ridity intestinal "str'.ti"n,
'l.erati"n
PAC0#/
C#/!0PA0#/
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1; edi.ati"ns
Anti.h"liner(i. dr'(strisy.li.,antipsi.h"ti.,antihistamin,antiem
eti. dr'( "r detr's"r hypera.tiity P"lypharma.y 5 medi.ati"ns
#piates, .al.i'm s'pplement
/!A$, CC) niedipin, erapamil r"n s'plement
2; mpaired m"ility
3; $epressi"n
isk Ga.t"rs C"nstipati"n in
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4; /e'r"l"(i.al ."nditi"ns
Parkins"n, $, spinal ."rd in*'ry
$ementia ,str"k $ehydrati"n
L": dietary er
5; eta"li. dist'ran.es
Hyp"thyr"idism, hyper.al.emia, hyp"kalemia
Patients re.eiin( renal dialysis
6; La.k " pria.y "r ."m"rt
7; P""r t"ilet a..es
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