Vous êtes sur la page 1sur 16

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

Pendekatan Wellness

1. Fisik : menjaga kesehatan fisik: quality of life :


makanan yang baik, olahraga teratur, perawatan
kesehatan
dan
menggunakan
pelayanan
kesehatan yang sesuai
2. Emosional: mampu mnegekpresikan perasaan dan
dapat menerima perasaan orang lain dan positive
thinking
3. Intelektual:

melalui

pendidikan

formal

atau

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 yang membuahkan penghasilan atau
kepuasan
6. Spiritual: mampu menghargai dan mensyukuri
hidup dan kehidupan

No
1

45-59 Years (PRE SENIUM)

Physical

They should know the


consequences because of
aging
Periodically health
examination
Physical activity
Nutrition

2
3

Mental/Spiritual/Emoti
onal
Social

Ready to face process of aging


Emptynest to retirement
Hobbies development

Economy/Vocational

Maybe still work ...... >


savings

No
1

60-70 Years

Physical

Periodically health examination


Physical activity
Nutrition
Aids devices

2
3

Mental/Spiritual/Emoti Mental status assessment


onal
Emptynest, retirement, death
Social
of spouses

Social activities : hobbies,


community
4

Economy/Vocational

Savings or dependent to their


children

No
1

> 70 Years

Physical

Periodically health examination


Physical activity
Nutrition
Aids devices
Care givers ??? Home
environment assessment ??

2
3

Mental/Spiritual/E
motional
Social

Mental status assessment


Emptynest, retirement, death of
spouses
Social activities : hobbies,
community

Economy/Vocation Savings????
al

ROLES OF CLINICIANS

GUIDING through the intricacies of the


health care delivery system (technological
procedures)
COORDINATING with multidisciplinary
teams
ADVOCATING choice
CONSULTING decision making process
COLLABORATING with family caregivers
SUPPORTING the patient and family
caregivers especially in the situations
where care givers is labor intensive and

How and where to care our older people


????
COMMUNITY BASED

OUR
HOME ????

NURSING
HOME/panti
werdha ?

IS THERE ANY???
IF NOT ?????

CARE GIVER
ENVIRONMENTA
L ASSESSMENT

HOSPITAL BASED

HOSPITAL ?

COSTLY

Community approach for


elderly

POSBINDU (Pos Pembinaan Terpadu )


or Posyandu Lansia

POSBINDU
Definition
Suatu wadah pelayanan kepada lanjut usia di
masyarakat, yang proses pembentukan dan
pelaksanaannya dilakukan oleh masyarakat
bersama LSM, lintas sektor pemerintah dan non
pemerintah, dengan menitik beratkan pada
upaya preventif dan promotif.

Kegiatan
1.Kegiatan pengukuran berat badan,
tinggi badan (BMI)
2.Kegiatan pemeriksaan tekanan darah
3.Kegiatan pemeriksaan kadar HB, gula
darah dan kolesterol darah ( 6 bulan
sekali)
4.Kegiatan konseling dan penyuluhan
kesehatan, gizi
5.Konseling usaha ekonomi produktif
6.Kegiatan
aktivitas
fisik/senam
seminggu sekali

Enter

Sambil menunggu
giliran dilakukan
penyuluhan
kelompok

Exit

Informasi dan
kegiatan sosial

Proses Kegiatan
Posbindu
4

Registrasi
dan
pencatatan
oleh kader

Konseling
individu

Tinggi
badan,
berat
badan
(BMI)

Pengukuran
tekanan darah,
lab sederhana,
terapi

Predictors of caregiver
burden
THE PATIENT

is demented and/or disruptive


is highly dependent on the
caregiver

Predictors of caregiver
burden
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

Predictors of caregiver burden


THE 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

Predictors of caregiver burden


THE CLINICIAN
??
??
??

Vous aimerez peut-être aussi