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  • Geriatri 4 Assessment Pada Lansia

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    Maria Dewi Pinkan
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    This document discusses concepts related to geriatric health and rehabilitation. It covers: 1. Models of health status including disease, impairment, functional limitation, and disability. 2. The process of patient management including examination, intervention, evaluation, diagnosis, prognosis, and planning. 3. Factors related to aging like sensory changes, impairments in cognition and depression, clinical evaluation, pharmacology considerations, and general strategies for physical therapy.

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    bahan ajar assessment pada lansia

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    Geriatri 4 Assessment pada Lansia

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    This document discusses concepts related to geriatric health and rehabilitation. It covers: 1. Models of health status including disease, impairment, functional limitation, and disability. 2. The process of patient management including examination, intervention, evaluation, diagnosis, prognosis, and planning. 3. Factors related to aging like sensory changes, impairments in cognition and depression, clinical evaluation, pharmacology considerations, and general strategies for physical therapy.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    28 views12 pages

    Geriatri 4 Assessment Pada Lansia

    Uploaded by

    Maria Dewi Pinkan
    This document discusses concepts related to geriatric health and rehabilitation. It covers: 1. Models of health status including disease, impairment, functional limitation, and disability. 2. The process of patient management including examination, intervention, evaluation, diagnosis, prognosis, and planning. 3. Factors related to aging like sensory changes, impairments in cognition and depression, clinical evaluation, pharmacology considerations, and general strategies for physical therapy.

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    of 12

    FT GERIATRI

    PERTEMUAN 4
    IRAWAN WIBISONO
    KONSEP STATUS KESEHATAN

    Disease • Saad Nagi Model


    Impairme Functional
    Syndromee
    nt Limitation
    Lesion
    Disabilit
    y
    SKEMA MANAJEMEN PASIEN

    Examinati
    on

    Interventi Evaluatio
    on n

    Prognosis
    Diagnosis
    &
    Planning
    CONCEPT ASSESSMENT

    • Component Assessment : Mobility, ADL, Instrumen & Recreation


    • Parameter assessment : Independence & Capacity vs Habit
    • Modes of Assessment : Direct Observation & Self Report
    • Selected Instrument : Katz index, FIM, OARS, MAI, MDS, OASIS,
    ENVIRONMENT DESIGN

    Sensory changes :
    • Visual
    • Hearing
    • Smell & Taste
    • Touch
    • Tactile
    • Thermal
    • Precaution : Stair, Escalator & Driving
    IMPAIRMENT

    • Cognitive
    • Depression an function
    • Clinical Evaluation
    • Geriatric Pharmacology
    COGNITIVE

    Precaution :
    • Memory and learning
    • Intelligence
    • Executive Functioning
    • Personality

    Assessment : Differential Diagnosis


    Instrument : MMSE
    Therapeutic
    Care Giver Issue
    DEPRESSION

    • Characteristic of Depressed person


    • Assessment
    • Model Of Depression
    • Rate of Depression
    • Depression in elderly
    • Factor Associated
    • Effect in function
    • Management : Pharmacotherapy, Psychotherapy & Exercise
    • Working with Depressed
    CLINICAL EVALUATION

    • Wellness Promotion
    • Common presenting sign and symptoms : Dyspnea, Dizziness &
    Confusion
    • Common Syndrome affecting Rehabilitation : Failure to thrive,
    Malnutrition, Dehydration,
    GERIATRIC PHARMACOLOGY

    • Problem of Polypharmacy
    • Altered response to drugs
    • Pharmacokinetic Changes : Drug absorption, Drug distribution, Drug metabolism, Drug
    Excretion
    • Pharmacodynamic Changes
    • Common Adverse drug : GI problem, Sedation, Confusion, Depression, Orthostatic
    Hypotension, Fatigue & weakness, Dizzines & Falls etc
    • Common drug : Psychotropic, Sedative-Hypnotic & antianxiety agent, Neurological Agent,
    treatment of pain & inflammation, Cardiovascular drug, Diuretics, Diabetes Mellitus,
    Antibacterial, Antiviral, Chemotherapy etc
    GENERAL STRATEGIES FOR PT

    • Distinguishing Drug effect


    • Scheduling around Dosage schedule
    • Promoting synergistic Effect PT & drug
    • Avoiding potentially harmful interaction PT & drug
    • Education
    TERIMA KASIH

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