FORMAT PENCATATAN DAN PELAPORAN KESEHATAN LANJUT USIA DI PUSKESMAS DAN DI POSYANDU LANSIA

PUSKESMAS : WONGGEDUKU BARAT

KECAMATAN : WONGGEDUKU
BULAN : JANUARI 2020
Kegiatan
Sasaran Lansia Kunjungan Lansia Jumlah Lansia dengan Kelainan Pengobatan Konseling Jml.
Sehari-hari Jml.
Tek. Jml. Kunju
Jml 45-59 60-69 >70 45-59 60-69 >70 Kemandirian IMT Kole Asa Lansia Penyu
Jml Darah Ggn Ggn Pember Panti n
No Nama Desa Panti Hb ster m Ggn Dgn l Ket.
P osyandu Ggn Ggn pengl pend Lain- Diruju dayaan Wredhs gan
Wredha L P L P L P L P L P L P Kura ol DM urat kogni Kelainan Diobati B L S uhan
ME ginjal ihata engar Lain k Dibina Ruma
A B C L K T R ng ting ting tif
B L B L B L B L B L B L n an h
gi gi
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 17 17 18 19 20 21 22 23 24 25 26 27 28
1 Linonggasay 1 0 63 47 18 7 15 8 0 0 2 2 0 1 0 2 0 0 0 2 7 2 0 0 0 0 3 0 0 0 1 1 0 0 0 0 4 0 9 0 0 0 0 0 0 0 0
2 Puday 1 0 77 50 10 10 8 12 0 3 0 13 0 1 0 0 0 0 0 1 17 1 0 0 0 0 4 0 0 1 0 3 0 0 0 0 10 0 18 0 0 0 0 0 0 0 0
3 Tobimeita 1 0 36 30 5 3 2 3 0 1 0 5 0 1 1 1 0 0 0 0 9 0 0 0 0 0 2 0 0 0 0 2 0 0 0 0 5 0 9 0 0 0 0 0 0 0 0
4 Kasukia 1 0 24 17 6 5 3 3 1 1 0 7 0 0 2 3 0 0 0 2 14 2 0 0 0 0 2 0 0 0 1 3 0 0 0 0 10 0 16 0 0 0 0 0 0 0 0
5 Ranotundobu 1 0 12 13 2 0 2 0 0 3 0 5 0 0 0 0 0 0 0 0 8 0 0 0 0 0 1 0 0 0 1 3 0 0 0 0 3 0 8 0 0 0 0 0 0 0 0
6 Baruga 1 0 32 31 13 8 6 3 0 1 0 6 1 2 0 3 0 0 0 0 13 0 0 0 0 0 2 0 0 0 2 3 0 0 0 0 6 0 13 0 0 0 0 0 0 0 0
7 Anggadola 1 0 23 10 4 3 2 0 0 0 1 7 0 0 0 0 0 0 0 0 8 0 0 0 0 0 2 0 0 1 0 2 0 0 0 0 4 0 8 0 0 0 0 0 0 0 0
8 Lamokuni 1 0 24 16 2 3 1 2 0 3 0 8 0 1 0 0 0 0 0 0 12 0 0 0 0 0 4 0 0 0 1 2 0 0 0 0 4 0 12 0 0 0 0 0 0 0 0
9 Lambangi 1 0 73 55 15 12 7 7 1 6 1 4 0 1 0 2 0 0 0 1 15 1 0 0 0 0 2 0 0 0 0 3 0 0 0 0 11 0 16 0 0 0 0 0 0 0 0
10 Lahotutu 1 0 52 37 11 7 2 3 1 5 0 4 0 0 0 1 0 0 0 0 11 0 0 0 0 0 2 0 0 0 2 3 0 0 0 0 4 0 11 0 0 0 0 0 0 0 0
11 Waturai 1 0 47 29 17 8 2 1 0 3 0 6 0 2 0 0 0 0 0 0 11 0 0 0 0 0 3 0 0 0 1 1 0 0 0 0 6 0 11 0 0 0 0 0 0 0 0
12 Teteona 1 0 14 14 3 2 2 0 0 0 0 8 0 0 0 1 0 1 0 0 9 1 0 0 0 0 1 0 0 0 0 2 0 0 0 0 7 0 10 0 0 0 0 0 0 0 0
13 Ambu’uwiu 1 0 18 20 11 8 1 3 0 4 0 2 0 0 0 1 0 0 0 0 7 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 6 0 7 0 0 0 0 0 0 0 0
14 Tetewonua 1 0 14 13 10 8 3 3 0 2 0 4 0 0 0 2 0 0 0 2 8 2 0 0 0 0 2 0 0 0 2 1 0 0 0 0 5 0 10 0 0 0 0 0 0 0 0
15 Wonggeduku 1 0 15 49 36 10 10 4 0 3 0 10 0 2 2 1 0 0 0 3 18 3 0 0 0 0 9 0 0 2 1 0 0 0 0 0 9 0 21 0 0 0 0 0 0 0 0
94
JUMLAH 15 0 524431 163 94 66 52 3 35 4 91 1 11 5 17 0 1 0 11 167 12 0 0 0 0 40 0 0 4 12 29 0 0 0 0 0 179 0 0 0 0 0 0 0 0

Mengetahui
Kepala UPTD Puskesmas Wonggeduku Barat Pengelola Program,

Hj. Rosnani, SKM.,M.Kes Chitra Rhamayana Helmi, S.Kep

NIP. 19740127 199303 2 002 NIP. 19831110 201407 2 004

FORMAT PENCATATAN DAN PELAPORAN KESEHATAN LANJUT USIA DI PUSKESMAS

 POSYANDU :
DESA/KELURAHAN :
PUSKESMAS : WONGGEDUKU BARAT
KECAMATAN : WONGGEDUKU
BULAN : JANUARI 2020

LanjsiaPermberdayaan
Jumlah
Kunju Kegiatan Pengobat
Umur Hasil Pemeriksaan Kasus
ngan sehari-hari an
Konseling

Penyuluhan
45- 60- Kemandiria Gula Asam
No Nama Lansia >70 Ggn IMT Tek. Darah Hb Kolesterol Ket
59 69 n Darah Urat Ggn Ggn Ggn
Ggn Dio Diru
B L kognit Pengli Pende B L S
Ginjal bati juk
P/L P/L P/L A B C ME L N K T N R N K N T N T N T if hatan ngaran

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
1 Tn. Hamzah, S 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 Myalgia
2 Ny. Nurhalida, L 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Diare
3 Ny. Sumatin 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Asma
4 Tn. Abang 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 TB Paru
5 Ny. Habiba 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 HT
6 Tn. Masalandra 1 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 HT, CC
7 Tn. Muddin 1 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 HT, Febris
8 Tn. Amran 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 LBP, Gastritis
9 Tn. Rudini 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 V. Ictum
10 Ny. Namia 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 OA
11 Tn. Abang 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 TB Paru
12 Ny. Sutiyem 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 DM
13 Ny. Rosmiati 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 OA
14 Tn. Amara 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Myalgia
15 Susp.
Ny. Sunartin 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
Limpoma
16 Tn. Arjun Kilat 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Caries Dentis
17 Ny. Misrawati 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 ISPA
18 Tn. Dahlan 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Gastritis
19 Ny. Siti Alyah 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 Katarak
20 Tn. Budi Liambo 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 ISPA
21 Ny. Juariah 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 ISPA
22 Tn. Arlin Madi 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 TB Paru
23 Ny. Hasnawia 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Myalgia
24 Ny. Hariani 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 ISPA
25 Ny. Moni 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Konjungtivitis
26 Tn. Johari 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Gastritis
27 Ny. Risna 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 ISPA
28 Tn. Aripin 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Hemoroid
29 Tn. Ketut Sirna 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Abses
30 Tn. Zainal Abidin 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 ISPA
31 Tn. Mirwan 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Squec TB
 32 Ny. Marnia 1 0 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 HT
33 Tn. Usman 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Dermatitis
34 Ny. Salma 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Myalgia
35 Tn. Lukas 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Asma
36 Ny. Yeti Mal 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 LBP
37 Ny. Hasnawia 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Myalgia
38 Ny. Namia 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Dyspepsia
39 Tn. Siliku 1 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 HT
40 Ny. Wanali 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 OA
41 Tn. Ketut Sirna 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 V. Ictum
42 Ny. Asniwati 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Cefalgia
43 Tn. Mirwan 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Dermatitis
44 Ny. Jumarni 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Caries Dentis
45 Susp.
Ny. Aida Nurani 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
Bronchitis
46 Tn. Daeng
0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Susp. TB
Ngunjung
47 Tn. Mirwan 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Susp. TB
48 Ny. Serli Agus
1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Myalgia
Misi
49 Ny. Namia 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Dermatitis
50 Tn. Ketut Sirna 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 V. Ictum
51 Tn. Hasrin 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 TB Paru
52 Tn. Mirwan 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Susp. TB
53 Tn. Yamin Ade 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Febris
54 Tn. Israwan 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 OA
55 Tn. Hamzah, S 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 Myalgia
56 Ny. Nurhalida, L 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Diare
57 Ny. Sumatin 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Asma
58 Tn. Abang 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 TB Paru
59 Ny. Habiba 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 HT
60 Tn. Masalandra 1 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 HT, CC
61 Tn. Muddin 1 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 HT, Febris
62 Tn. Amran 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 LBP, Gastritis
63 Tn. Rudini 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 V. Ictum
64 Ny. Namia 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 OA
JUMLAH 41 23 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0

Mengetahui
Kepala UPTD Puskesmas Wonggeduku Barat Programer Lansia,

Hj. Rosnani, SKM.,M.Kes Chitra Rhamayana Helmi, S.Kep

NIP. 19740127 199303 2 002 NIP. 19831110 201407 2 004
 LAPORAN TRIWULAN
PROGRAM KESEHATAN USIA LANJUT KAB KONAWE
TAHUN 2020

Bulan : Januari 2020

1. Data Dasar
No DATA JUMLAH
1 Jumlah Penduduk 9.063 jiwa
2 Jumlah Penduduk pra Lansia (> 45-59 Tahun) L :524
P :386
3 Jumlah Penduduk Lansia (60-69 Tahun) L :163
P :94
4 Jumlah Penduduk Lansia (> 70 Tahun) L :66
P :52
5 Jumlah RS yang mempunyai Poliklinik Khusus geriatri 0
6 Jumlah Dokter Spesialis Penyakit Dalam 0
7 Jumlah Dokter Sub spesialis geriatri 0
8 Jumlah Dokter Puskesmas Terlatih Pelayanan Kesehatan Lansia
dan geriatri
9 Jumlah perawat/bidan terlatih pelayanan kesehatan lansia dan 0
geriatri
10 Jumlah Tenaga kesehatan lainnya terlatih pelayanan kesehatan 0
Lansia dan geriatri
11 Komite Daerah Provinsi Sulawesi Tenggara 0
12 Jumlah Kabupatenta sudah ada Komda lansia 0
13 Jumlah Panti Werdha 0
14 Jumlah Desa 15
15 Jumlah Kader terlatih 0

2. Data Pengembangan Program

No DATA JUMLAH
1 Jumlah Puskesmas yang melaksanakan pelayanan kesehatan dasar -
2 Jumlah Pantai Werda yang di Bina 0
3 Jumlah Desa yang memiliki Posyandu Lansia 15
4 Jumlah Kelompok Lanjut (Posyandu Lansia) aktif 15
Umur 45-59 tahun 86
Umur 60-69 tahun 21
5 Jumlah Lansia yang dibina
Umur ≥ 70 tahun 8
Total 115
Tingkat Kemandirian A 99
Tingkat Kemandirian B 16
6 Jumlah Lansia yang dibina
Tingkat Kemandirian C 0
Total 115

Puday, 01 Februari 2020

Mengetahui:
Kepala UPTD Puskesmas Wonggeduku Barat Programer Lansia,

Hj. Rosnani, SKM.,M.Kes Chitra Rhamayana Helmi, S.Kep

NIP. 19740127 199303 2 002 NIP. 19831110 201407 2 004

LAPORAN BULANAN
 PROGRAM KESEHATAN USIA LANJUT KAB.KONAWE
TAHUN 2020

3. Data Nama Puskesmas yang sudah melaksanakan

Pelayanan Kesehatan Santun Lansia

Jumlah Petugas Jumlah Peralatan Jumlah Kelompok

No Nama Desa
Pelatih Lansia Kit Lansia
1 Linonggasay 2 0 1
2 Puday 0 0 0
3 Tobimeita 0 0 0
4 Kasukia 0 0 0
5 Ranotundobu 0 0 0
6 Baruga 0 0 0
7 Anggadola 0 0 0
8 Lamokuni 2 0 1
9 Lambangi 0 0 0
10 Lahotutu 0 0 0
11 Waturai 0 0 0
12 Teteona 0 0 0
13 Ambu’uwiu 0 0 0
14 Tetewonua 0 0 0
15 Wonggeduku 0 0 0
Jumlah 4 0 2

4. Data 10 Penyakit terbanyak pada Lansia

JUMLAH
No NAMA PENYAKIT
KASUS
1 Hipertensi 34
2 DM 8
3 Kolesterol 1
4 Asam Urat 27
5 Gangguan Ginjal 0
6 Gangguan Penglihatan 1
7 Gangguan Pendengaran 0
8 Penyakit Lain-Lain 44
JUMLAH
115