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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

Pendekatan Wellness 1. Emosional: mampu mnegekpresikan perasaan dan dapat menerima perasaan orang lain dan positive thinking 3. Intelektual: melalui pendidikan formal atau . olahraga teratur. perawatan kesehatan dan menggunakan pelayanan kesehatan yang sesuai 2. Fisik : menjaga kesehatan fisik: quality of life : makanan yang baik.

4. baik secara relawan maupun pekerjaan yang membuahkan penghasilan atau kepuasan 6. Spiritual: mampu menghargai dan mensyukuri hidup dan kehidupan . Vokasional: mampu memberdayakan diri dalam berbagai aktivitas. mampu hidup berdampingan secara harmonis dengan sesama 5. Sosial: berkontribusi terhadap lingkungan dan masyarakat.

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 4 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. death Social of spouses Social activities : hobbies. community 4 Economy/Vocational Savings or dependent to their children . retirement.

community 4 Economy/Vocation Savings???? al . retirement. death of spouses Social activities : hobbies.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.

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 .

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

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

terapi 3 . berat badan (BMI) Pengukuran tekanan darah.Enter Sambil menunggu giliran dilakukan penyuluhan kelompok Exit 5 Informasi dan kegiatan sosial Proses Kegiatan Posbindu 4 Registrasi dan pencatatan oleh kader Konseling individu 1 2 Tinggi badan. lab sederhana.

Predictors of caregiver burden THE PATIENT is demented and/or disruptive is highly dependent on the caregiver .

isolated or lonely has poor relationhips with other family members has little personal time away from caregiving .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 patient’s condition has his/her own illness and/or disability is depressed.

Predictors of caregiver burden THE FAMILY denies the patient’s 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 ?? ?? ?? .