PREVENTIVE CARE IN ELDERLY

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PREVENTIVE CARE IN ELDERLY

• To prevent disability and maintenance of function
  .gt 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 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
   informal, serta kegiatan kognitif membaca,
   menulis, melukis

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

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No 45-59 Years (PRE SENIUM) 45-59 Years (PRE SENIUM)
1 Physical They should know the consequences because 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 ...... gt savings
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No 60-70 Years 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 of spouses
Social activities hobbies, community
4 Economy/Vocational Savings or dependent to their children
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No gt 70 Years gt 70 Years
1 Physical Periodically health examination
Physical activity
Nutrition
Aids devices
Care givers ??? Home environment assessment ??
2 Mental/Spiritual/Emotional Mental status assessment
3 Social Emptynest, retirement, death of spouses
Social activities hobbies, community
4 Economy/Vocational Savings????
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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 demanding

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How and where to care our older people ????
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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 dilakukan oleh masyarakat bersama
LSM, lintas sektor pemerintah dan non pemerintah,
dengan menitik beratkan pada upaya preventif dan
promotif.
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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

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Enter
Exit
Informasi dan kegiatan sosial
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Sambil menunggu giliran dilakukan penyuluhan
kelompok
Proses Kegiatan Posbindu
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Registrasi dan pencatatan oleh kader
Konseling individu
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Pengukuran tekanan darah, lab sederhana, terapi
Tinggi badan, berat badan (BMI)
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3
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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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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
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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
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Predictors of caregiver burden
THE CLINICIAN
??
??
??