Model Keperawatan Gerontik

 

MLDIF EI^IPBZBTBH JIPLHTCE Hs. @botcbr, M.Eip., Qp.Eip.Elm

ME Eipirbwbtbh Jirlhtce

 

Mldif eipirbwbtbh bdbptbsc Ply •

Mldif ybhj mimbhdbhj mbhuscb si`bjbc subtu scstim bdbptbsc mufbc dbrc tchjebtbh chdcvcdu ctu sihdcrc sbmpbc ei bdbptbsc dihjbh fchjeuhjbh.

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Tilrc chc mihkifbsebh prlsis eipirbwbtbh ybhj `irtukubh mim`bhtu sisilrbhj uhtue `irbdbptbsc tirobdbp piru`bobh ei`utuobh gsclfljcs, elhsip dcrc, uhjsc pirbh, dbh ou`uhjbh chtirdipihdihsc sifbmb siobt sbect (MbrrchirTlmiry, 2334 dbh Plgelo, 0>24)

 

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Mldif Bdbptbsc Ply (PBM) obdcr si`bjbc disbch `bowb risplh pircfbeu dbpbt dcou`uhjebh dihjbh abrb tcjb rbhjsbhjbh; lebf, elhtiestubf, dbh riscdubf5 prlsis elhtrlf btbu miebhcsmi elpchj dbpbt dcbesis scstim rijufbtlr dbh eljhbtlr uhtue chdcvcdu, dbh mifbfuc stb`cfczir dbhmifbfuc chlvbtlr su`scstim uhtue eiflmple.. eiflmple

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Tbhjjbpbh bdbptc chdcvcdu / eiflmple, ybhj `iruhjsc uhtue mimpirtbobhebh bdbptbsc chdcvcdu dbh piru`bobh fchjeuhjbh dbh beocrhyb mihchjebtebh eisiobtbh, eimudcbh dchcfbc dbfbm impbt mldi bdbptc; gsclfljcs, cdihtctbs elhsip dcrc-eiflmple, uhjsc pirbh, dbh chtirdipihdihsc

 

Qtcmufus lebf ybctu stcmufus ybhj fbhjsuhj `irobdbpbh dihjbh sisilrbhj, iiehyb sijirb Alhtlo; eirusbebh pbdb jchkbf tirsi`ut ybhj `csb mihyi`b`ebh ritihsc abcrbh chtrbsifufir, ocpirebfimcb, pbdb risplh gsclfljcs pbdb fbhscb dihjbh JJE. JJE. Qtcmufus elhtiestubf ybctu simub stcmufus fbch ybhj dcbfbmc sisilrbhj `bce chtirhbf mbupuh iestirhbf ybhj mimpihjbruoc sctubsc dbh dbpbt dcl`sirvbsc, dcueur dbh siabrb su`yietc dcfbplrebh. Alhtlo; eitcdbembmpubh fbhscb dbfbm mihjlhtrlf chtie abcrbh, eitcdbesicm`bhjbh hutrcsc `boebh mbf hutrcsc, eitcdbepbtuobh pbscih dbfbm prljrbm pihjl`btbh Qtcmufus riscdubf ybctu acrc-acrc tbm`bobh ybhj bdb dbh rifivbh dihjbh sctubsc ybhj bdb titbpc suebr uhtue dcl`sirvbsc. Alhtlo; eurbhjhyb pihjitboubh fbhscb dbfbm mimbobmc pihtchjhyb pim`btbsbh abcrbh dbh pihjbturbh dcct pbscih oimldcbfcscsb

 

Yhctbry Oumbh @ichj (mbhuscb ybhj siutuohyb)Pljir YHCTBPS Oumbh @ichjs mirupbebh mldif tilrc eipirbwbtbh Mbrtob Ifczb`ito Pljirs,

Tilrc mimbhdbhj tihtbhj mbhuscb/chdcvcdu si`bjbc uhct ybhj utuo dbh fchjeuhjbh si`bjbc chtijrbsc sum`ir ihirjc ihirjc uhtue prlsis prlsis eiocdupbh mbhuscb. mbhuscb.

Bhtbrb bfbm simistb dbh mbhuscb, bebh tirkbdc pirtuebrbh ihirjc mbupuh mbtirc ybhj `irfbhjsuhj siabrb tirus-mihirus.

 

Dbfbm prbetcehyb, silrbhj pirbwbt obrus dbpbt mimbhdbhj chdcvcdu siabrb utuo dbh olfcstce. Brtchyb `bowb dbfbm mim`ircebh pirbwbtbh tcdbe obhyb mifcobt pbdb elhdcsc gscehyb sbkb, mifbchebh dbpbt mim`ircebh bsuobh eipirbwbtbh siabrb elmpirioihsc pbdb simub bspie `clfljcs, pscelfljcs pscelfljcs ,slscl, spcrctubf dbh eufturbf Bspie-bspie Bspiebspie tirsi`ut sbfchj `irebctbh ybhj dbpbt mimpihjbruoc elhdcsc eisiobtbh chdcvcdu.

Qifbch ctu mihjihdbfcebh fchjeuhjbh fchjeuhjbh chtirhbf dbh ixtirhbf kujb dbpbt mim`bhtu pbscih dbfbm mihabpbc fivif tirtchjjc eisiobtbhhyb.

   

^ihirbpbhhyb Tilrc Pljir pbdb bsuobh eipirbwbtbh

Tirbpc beupuhtur

dbpbt mihju`bo plfb midbh ihirjc mbhuscb ybhj pbdb jcfcrbhhyb bebh mimcfcec eimbmpbh uhtue mihju`bo `cdbhj fchjeuhjbh dbh iietc dbfbm mihchjebtebh eisiobtbh.

 

Mldif elhsiptubf eipirbwbtbh Hiumbh Tilrc chc dceim`bhjebh lfio @itty Hiumbh

Mldif Qcstim Hiumbh mihjjuhbebh si`ubo scstim pihdiebtbh uhtue mihjjbm`brebh `bjbcmbhb efcih mihjbtbsc tiebhbh (strisslr) dbfbm fchjeuhjbh chtirhbf btbu iestirhbf mirieb. ^irbwbt ybhj mihjjuhbebh tilrc Hiumbh dbfbm prbetie pifbybhbh mirieb ^irbwbt `irleus pbdb risplhs efcih tirobdbp tiebhbh

 

@itty Hiumbh mihdcghcscebh mbhuscb siabrb utuo mirupbebh jb`uhjbh dbrc elhsip olfcstce ( gsclfljcs, pscelfljcs, slacbf `udbyb, pireim`bhjbh dbh vbrcb`if spcrctubf) dbh pihdiebtbh scstim tir`ueb. Qi`bjbc scstim tir`ueb, mbhuscb `irchtirbesc, `irbdbptbsc dihjbh dbh dcsisubcebh lfio fchjeuhjbh, ybhj dcjbm`brebh si`bjbc strisslr

 

Mldif Elhsip Eipirbwbtbh Wcrjchcb Oihdirslh tilrc eipirbwbtbh Wcrjchcb Oihdirslh mihabeup sifuruo ei`utuobh dbsbr silrbhj mbhuscb

eipirbwbtbh si`bjbc mim`bhtu chdcvcdu ybhj sbect dbh ybhj siobt dbfbm mifbesbhbebh betcvctbs ybhj mimcfcec elhtrc`usc tirobdbp eisiobtbh dbh pihyim`uobhhyb, dcmbhb chdcvcdu tirsi`ut bebh mbmpu mihjirkbebhyb tbhpb `bhtubh `cfb cb mimcfcec eieubtbh, eimbubh, dbh pihjitboubh ybhj dc`utuoebh.

Obf chc dcfbeuebh dihjbh abrb mim`bhtu mihdbpbtebh eim`bfc eimbhdcrcbhhyb siaipbt muhjech

 

Ei`ut Ei`utuobh uobh Dbsbr Mbhuscb Mihurut Wcrjchcb Oihdirslh 2. @irhbbs siabrb hlrmbf. 0. Mbebh dbh mchum dihjbh aueup. 1. Mim`ubhj eltlrbh tu`uo. 4. @irjirbe dbh mihkbjb plscsc ybhj dcchjchebh. 9. Tcdur dbh cstcrbobt. 7. Mimcfco pbebcbh ybhj sisubc. :. Mihkbjb suou tu`uo titbp t itbp dbfbm `btbs hlrmbf dihjbh mihyisubcebh pbebcbh dbh mihju`bo fchjeuhjbh.

 

Ei`ut Ei`utuobh uobh Dbsbr Mbhuscb Mihurut Wcrjchcb Oihdirslh (0) ?. Mihkbjb tu`uo titbp `irsco dbh tirbwbt sirtb mifchduhjc chtijumih. 3. Mihjochdbrc `bobyb fchjeuhjbh ybhj `csb mifuebc. 2>. @irelmuhcebsc dihjbh lrbhj fbch dbfbm mihjuhjebpebh imlsc, ei`utuobh, rbsb tbeut btbu pihdbpbt. 22. @irc`bdbo sisubc dihjbh eiybechbh. 20. @ieirkb dihjbh tbtb abrb ybhj mihjbhduhj uhsur pristbsc. 21. @irmbch btbu tirfc`bt dbfbm `ir`bjbc eijcbtbh rieribsc. 24. @ifbkbr mihjitbouc btbu mimubsebh rbsb pihbsbrbh ybhj mihuhtuh pbdb pireim`bhjbh hlrmbf dbh eisiobtbh sirtb mihjjuhbebh mi hjjuhbebh bscfctbs eisiobtbh ybhj tirsidcb.

 

Mldif elhsiptubf @udbyb Fichchjir Mbdifichi Fichchjir (2309-0>20) (2309-0 >20) mirupbebh sbfbo sbtu s btu tlelo pihtchj dbfbm pireim`bhjbh duhcb eipirbwbtbh.

Elhtrc`usc ybhj ochjjb echc dcjuhbebh dbfbm prbetce eipirbwbtbh bdbfbo tilrchyb ybehc Trbhsaufturbf Hurschj (Eipirbw (Eipirbwbtbh btbh Trbhseufturbf) btbu sirchj dcsi`ut kujb Aufturi Abri Toilry  (Tilrc  (Tilrc ^irbwbtbh @udbyb).

 

• Tilrc

trbsaufturbf hurschj dcpbhdbhj si`bjbc pihjitboubh tihtbhj chdcvcdu, eifubrjb, eiflmple, elmuhctbs, dbh chstctusc dbfbm scstim pirbwbtbh eisiobtbh ybhj `irbjbm. • Gleus utbmb tilrc Fichchjir bdbfbo bsuobh eipirbwbtbh sisubc dbh mimcfcec mbhgbbt `bjc lrbhj tbhpb mifcobt fbtbr `ifbebhj `udbyb ybhj `ir`idb btbu sirupb. • Tilrc

Fichchjir mifc`btebh pihjitboubh dbh pimbobmbh `udbyb ybhj `ir`idb siou`uhjbh dihjbh prbetce eipirbwbtbh.

 

• Trbhsaufturb Trbhsaufturbff

hurschj `irtukubh mim`ircebh bsuobh ybhj sisubc dihjbh hcfbc-hcfbc `udbyb, eiybechbh dbh prbetce. •  ^ihjitboubh `udbyb mimbchebh pirbh pihtchj `bjc pirbwbt uhtue mihbhjbhc pbscih. • Tilrc

chc mim`bhtu pirbwbt uhtue mimbobmc dbh mihjolrmbtc eirbjbmbh ybhj sirchj ebfc bdb dbfbm pirbwbtbh pbscih.

 

• Mifbfuc

tilrc Fichchjir chc mim`bhtu pirbwbt pirbwbt

uhtue `bjbcmbhb fbtbr `ifbebhj `udbybmihjbmbtc pbscih dcebctebh dihjbh eisiobtbhhyb. • mihjjuhbebh pihjitboubh ctu uhtue mim`bhtu rihabhb eipirbwbtbh ybhj bebh mim`bhtu pbscih mihkbdc siobt dihjbh aipbt sbm`cf titbp pieb tirobdbp `udbyb btbu eiybechbh pbscih.

 

Mldif elhsiptubf pircfbeu Klohslh

Dlrtoy I. Klohslh miybechc chdcvcdu `bowb bsuobh eipirbwbtbh dcfbeuebh uhtue mim`bhtu mimbscfctbsc tchjebo fbeu ybhj iietc dbh igscih uhtue mihaijbo tcm`ufhyb pihybect Qisilrbhj dcebtbebh siobt kceb mbmpu `irisplh bdbptc `bce gsce, mihtbf, imlsc dbh slscbf tirobdbp fchjeuhjbh chtirhbf dbh iestirhbf dihjbh obrbpbh dbpbt mimifcobrb eisiobtbhhyb.

 

Mihurut Klohslh bdb 4 tukubh bsuobh eipirbwbtbh eipbdb chdcvcdu, ybctu ; bjbr tchjebo fbeuhyb sisubc dihjbh tuhtutbh dbh obrbpbh mbsybrbebt mbmpu `irbdbptbsc tirobdbp piru`bobh uhjsc tu`uohyb

`irmbhbbt `bjc dcrchyb dbh lrbhj fbch btbu prlduetc

mbmpu mihjbtbsc mbsbfbo eisiobtbh ybhj fbchhyb .

 

^lch pihtchj tilrc klohslh 2. 

Tukubh pirbwbtbh ybctu tirabpbchyb eisicm`bhjbh pircfbeu dbh stb`cf dchbmcs.

0.  Efcih mirupbebh mboofue ybhj mimpuhybc pircfbeu ybhj tirdcrc ? su`scstim 1.  ^irbh pirbwbt mihjbtur dbh mihjbwbsc stb`cfctbs st b`cfctbs pircfbeu dbh eisicm`bhjbh 4.  ^ihyi`b` eisufctbh efcih bdbfbo striss pscecs dbh gcsce. 9.  Gleus chtirvisc ybctu ; miebhcsmi pihjbturbh dbh eiwbkc`bh ocdup   ^lfb chtirvihsc mim`ircebh eimudbobh, mihaijbo, mimpirtbobhebh, efcih 7. dbfbm mihjobdbpc striss guhjsc dbh gcsce

:.  Elhsieuihsc tchdbebh eipirbwbtbh

 

Mldif elhsiptubf Qifg abri Lrim •

Qbfbo sbtu mldif elhsiptubf ybhj dctirbpebh lfio pirbwbt bdbfbo tilrc Qifg Abri Diact  lfio  lfio Dlrltoib Lrim.

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Gleus utbmb dbrc mldif elhsiptubf chc bdbfbo eimbmpubh sisilrbhj uhtue mirbwbt dcrchyb sihdcrc siabrb mbhdcrc siochjjb tirabpbc eimbmpubh uhtue mimpirtbobhebh eisiobtbh dbh eisikbotirbbhyb.

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Tilrc chc mim`ircebh fbhdbsbh `bjc pirbwbt pihtchjhyb mimbhdcrcebh efcih sisubc tchjebt eitirjbhtuhjbhhyb `uebh mihimpbtebh efcih dbfbm plscsc dipihdih.

 

Lrim mihybtbebh `bowb sif abri ctu `uebh prlsis chtucsc titbpc mirupbebh subtu pircfbeu ybhj dbpbt dcpifbkbrc.

Bsuobh eipirbwbtbh ybhj dc`ircebh pirbwbt dcfbeuebh dihjbh eiybechbh `bowb sitcbp lrbhj mimpuhybc eimbmpubh uhtue mirbwbt dcrc sihdcrc siochjjb mim`bhtu chdcvcdu dbfbm mimihuoc ei`utuobh ocdup, mimifcobrb eisiobtbh, dbh mihabpbc eisikbotirbbh.

 

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^bdb tbouh 23:2 Lrim mihjim`bhjebh elhsip eipirbwbtbh ‖sifg ‖s ifg abri” abri” ybhj dcpu`fcebscebh Hurschj; Alhaipts lg ^rbatcai. Tirdbpbt tcjb `ihtue tilrc eimbhdcrcbh ybhj dcsbmpbcebh (mbmpu mirbwbt dcrc sihdcrc) ybehc; Lrim dbfbm abpb`fi lg sifg abri

2.

Tilrc Qifg Abri

0.

Tilrc Qifg Abri Diact

1.

Tilrc Hurschj Qystim

 

 

Tilrc Qifg Abri Tilrc chc mihjuhjebpebh ou`uhjbh bhtbrb tchdbebh uhtue mirbwbt dcrc dihjbh pireim`bhjbh uhjsc chdcvcdu.

Qif abri bdbfbo pirlrmbhai btbu prbetie eijcbtbh chdcvcdu uhtue `irchcscbtc dbh mim`ihtue pircfbeu mirieb dbfbm mimifcobrb eiocdupbh, eisiobtbh dbh eisikbotirbbh.

 

Tilrc Qifg Abri Diact Tilrc chc mihjuhjebpebh tihtbhj eitcdbembmpubh efcih dbfbm obf chc fbhscb dbfbm mirbwbt dcrc. Dbfbm tilrc chc eipirbwbtbh dc`ircebh kceb silrbhj diwbsb (pbdb ebsus eitirjbhtuhjbh) tcdbe mbmpu btbu tir`btbs dbfbm mifbeuebh sif abri siabrb iietc. Bsuobh eipirbwbtbh dc`ircebh kceb eimbmpubh mirbwbt `ireurbhj btbu tcdbe dbpbt tirpihuoc btbu bdbhyb eitirjbhtuhjbh.

 

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Dbfbm tilrc chc Lrim mihjuhjebpebh bdb fcmb mitldi ybhj dbpbt dcjuhbebh dbfbm mim`bhtu sifg abri, ybehc;

2. Tchd Tchdbebh bebh

uhtue btbu fbeuebh uhtue lrbhj fbch

0. Mim`ircebh pituhkue dbh pihjbrbobh 1. Mim`ircebh dueuhjbh gcsce dbh

psyaolfljcs

4. Mim`ircebh dbh mimifcobrb fchjeuhjbh ybhj 9. ^ihdcdcebh

mihdueuhj pihjim`bhjbh pirslhbf

 

Tilrc Hurschj Qystim •

Hurschj systim dc`ubt lfio pirbwbt dcdbsbrebh pbdb ei`utuobh sifg abri. Kceb bdb sifg abri diact, sifg abri bjihay, dbh sifg toirbpiutca mbeb eipirbwbtbh bebh dc`ircebh. efbscebsc dbrc hurschj systim ybctu;

Lrim

mihjcdihtcebsc

tcjb

2.

Zolffy Almpihsbtlry systim; Qctubsc dcmbhb chdcvcdu tcdbe dbpbt mifbeuebh tchdbebh sifg abri.

0.

^brtfy almpihsbtlry hurschj systim; ^irbwbt dbh efcih mimcfcec pirbh ybhj sbmb dbfbm mifbeuebh tchdbebh sifg abri.

1.

Qupplrtcvi iduabtcvi systim; ^bdb scstim chc lrbhj dbpbt mim`ihtue btbu dbpbt `ifbkbr mim`ihtue chtirhbf btbu iestirhbf sifg abri titbpc tcdbe dbpbt mifbeuebhhyb tbhpb `bhtubh.