ASKEP KOMUNITAS LANSIA

Raden Ahmad Dedy Mardani, Ners., MNS

outlines
 Status Kesehatan
 Akses Pelayanan Kesehatan
 Kekerasan pada Lansia
 Kesehatan Mental Lansia
 Bencana dan Lansia
 Strategi Promosi dan Perlindungan Kesehatan Lansia
Status Kesehatan
 Morbidity dan Mortlity meningkat
 Penyakit degeneratif
 Penyakit komplikasi
 Penyakit Kronik
Akses Pelayanan Kesehatan
 Lansia daerah tertinggal
 Keterbatasan pelayanan kesehatan
 Biaya pengobatan mahal
 Asurasnsi kesehatan terbatas
 Pelayanan pencegahan terbatas
 Transportasi terbatas
Kekerasan Lansia
 Physical abuse,
 Sexual abuse,
 Emotional or psychological abuse,
 Financial exploitation,
 Neglect by caregiver, self-neglect), or abandonment
 Muggings,
 Break-ins,
 Rapes, robberies, and scams
Kesehatan Mental Lansia
 Social isolation
 Loneliness,
 Depression,
 Suicide, and alcohol addiction.
 Tremendous loss and role transition
Bencana dan Lansia
 Disproportionately vulnerable during disasters because they
are more likely to have chronic illnesses; functional
limitations; and sensory, physical, and cognitive disabilities
 Live alone and on limited incomes
 Slow to request help and are unlikely to follow through on a
request.
Strategi
 Health Promotion: emphasis on helping people change their
lifestyles and move toward a state of optimal health
 Helath Prevention: focuses on protecting people from
disease and injury by providing immunizations and reducing
exposure to carcinogens, toxins, and environmental health
hazards.
Fokus Intervensi Individu dan Keluarga
 Health screenings  In-home care (home health,
 Lifestyle modification
personal care, or household
assistance)
 Health education (one-to-one
or group)  Home-delivered meals
 Counseling  Social support (telephone
reassurance and home
 Support groups
visiting)
 Primary health care
 Case management
 Immunizations
 Home maintenance help
 Home safety
Fokus Intervensi Komunitas
 Communitywide health educational campaigns
 Community coalitions
 Collaboration
 Crime prevention activities
 Participation in community-based health
Partnership
 Plan programs where elders usually congregate.
 Incorporate outreach activities into all programs.
 Allow plenty of time for elders to share life experiences.
 Keep teaching sessions relatively short.
 Incorporate multiple repetitions and reinforcement of
information.
 Structure health education activities.
 Encourage the involvement of families, friends, and significant
others.
 Advocate for improvements
 The following sections discuss selected health promotion and
health protection needs of community elders
Attentions
 Health Service
 Nutrition
 Excercise and fitnes
 Fall Prevention
 Community Safety