pleno mo 2 blok 20.pptx

7/23/2019 pleno mo 2 blok 20.pptx

1/18

Permasalahan Kesehatanpada Lansia


2/18

Permasalahan penyakit padalansia

No

Jenis Penyakit 55-64tahun

65-74tahun

>75tahun

1 Hipertensi 45,9 % 57,6% 63,8 %

2 Artritis 45, % 51,9 % 54,8 %

3 !tr"ke 33, % 46,1 % 67, %

4 PP#K 5,6 % 8,6 % 9,4 %

5 $ 5,5 % 4,8 % 3,5 %

6 Kanker 3,2 % 3,9 % 5, %

7 Penyakit &ant'n(K"r"ner

2,8 % 3,6 % 3,2 %

8 )at' (in*al 1,3 % 1,2 % 1,1 %

9 +a(al &ant'n( ,7 % ,9 % 1,1 %

1 +a(al (in*al ,5 % ,5 % ,6 %iskesda,213


3/18


4/18

$i-.'lty in initiatin( "r maintainin(sleep

/#0 e.essie daytime sleepiness

s'ally d'e t" a primary sleepdis"rder sleep apnea, nar."lepsy,peri"di. lim m"ement dis"rder

"st ."mm"nly d'e t" Psy.hiatri. illness Pys.h"physi"l"(i. pr"lems $r'( "r Al."h"l $ependen.e

estless Le( !yndr"me

ns"mnia


5/18

Alter the enir"nment t" make it less dist'rin( at

ni(ht minimie ni(ht time li(htin(, s"'nds and

pr".ed'res las and itals and make the ed

."m"rtale

ake s're the patient is a.tie n"t nappin( d'rin(

the day :ith physi.al therapy, amily, and "l'nteers

t" help keep the patient ."mpany;

arm milk?tea, relain( m'si.?:hite s"'nd, and

massa(es .an e help'l;

!aer medi.ati"ns "r the (eriatri. p"p'lati"n in.l'del": d"se 0ra"d"ne "r irtaa ine;

0reatment "r ns"mnia


6/18

@is'al and hearin( impairment

Cataracts

n.iden.e is a"'t 2% " th"se "lder

than 65 and 5% " th"se "lder than 75 9% s'..ess :ith s'r(ery isi"n

impr"ed t" at least 2?4

!'r(ery is sae takin( less than 3min'tes reakd":n " "ld lens, andne: lens implant

A"'t 15% " patients need additi"n

laser .aps'l"t"my ater lens implant


7/18

Hearin( mpairment

ABe.ts 1% " ad'lts "er a(e 65 and 25%"er a(e 75

Can ."ntri'te t" s".ial is"lati"n, an(er,

depressi"n, amily ar('ments; Cer'men drier and thi.ker

0ympani. memrane thi.ker

#ssi.'lar *"ints de(enerate

C".hlear .han(es l"ss " hair .ells,stiBenin( " asilar memrane, and ne'r"nall"ss

$e.reased .entral a'dit"ry pr".essin(


8/18

!trate(ies t" mpr"e C"mm'ni.ati"n:ith Hearin( mpaired pe"ple

Ask the listener preerred :ay t"."mm'ni.ate :ith them

#tain listener=s attenti"n e"re speakin(


9/18

aln'triti"n

dentiy elderly :h" are at risk "

maln'triti"n :ith /A s."re

aln'triti"nApathy, depressi"nP""r ."n.entrati"n

P""r Appetite

L"ss " m's.lestren(th

ed'.ed m"ility

ed'.ed eedin(.apailities


10/18

Causes of weight loss in olderpersons

Dedi.ati"nsD


11/18

Consequences of

alnutrition $iminished 'n.ti"nal aility

C"mpr"mised imm'ne 'n.ti"n

mpaired :"'nd healin(

C"nstipati"n, diarrh"ea, pain ed'.ed renal 'n.ti"n

espirat"ry ail're

!keletal m's.le atr"phy

n.reased len(th " stay !'r(ery stress, in.reased

meta"li. rate

eddish hair, atr"phy " t"n('e

papillae "ridit F m"rtalit


12/18

!ntellectual !pairent

"#$%&!'&()* +!*&"*&

A pr"(ressie ne'r"l"(i. dis"rder that

res'lts in mem"ry l"ss, pers"nality .han(es,(l"al ."(nitie dys'n.ti"n, and 'n.ti"nal

impairments; L"ss " sh"rtEterm mem"ry ism"st pr"minent early; n the late sta(es "disease, patients are t"tally dependent 'p"n"thers "r asi. a.tiities " daily liin( s'.h

as eedin( and t"iletin(


13/18

+eentia ABe.ts 6E8% "er a(e 65 and 3% "er

a(e 85

As ay ""mers a(e this :ill e m"re andm"re ."mm"n

isk a.t"rs A(e, Gamily Hist"ry, $":n=s!yndr"me, Head tra'ma, Ge:er years "

ed'.ati"n, C@ risk a.t"rs Patients :ith mild ."(nitie impairment

pr"(ress t" Alheimer=s at a rate " 12%

per year


14/18

C"nstipati"n in "lder pe"ple I 6 y

e('lar 'se " laaties

Ass".iated aniety, depressi"n p""r health per.epti"n

C"mpli.ati"n e.al impa.ti"n

e.al in."ntinen.e

'rinary retenti"n

si(m"id "l'l's

J m"ridity intestinal "str'.ti"n,

'l.erati"n

PAC0#/

C#/!0PA0#/


15/18


16/18

1; edi.ati"ns

Anti.h"liner(i. dr'(strisy.li.,antipsi.h"ti.,antihistamin,antiem

eti. dr'( "r detr's"r hypera.tiity P"lypharma.y 5 medi.ati"ns

#piates, .al.i'm s'pplement

/!A$, CC) niedipin, erapamil r"n s'plement

2; mpaired m"ility

3; $epressi"n

isk Ga.t"rs C"nstipati"n in


17/18

4; /e'r"l"(i.al ."nditi"ns

Parkins"n, $, spinal ."rd in*'ry

$ementia ,str"k $ehydrati"n

L": dietary er

5; eta"li. dist'ran.es

Hyp"thyr"idism, hyper.al.emia, hyp"kalemia

Patients re.eiin( renal dialysis

6; La.k " pria.y "r ."m"rt

7; P""r t"ilet a..es


18/18

pleno mo 2 blok 20.pptx

Documents