Ppt Populasi Terlantar Kel 6
June 18, 2019 | Author: Nadya Paramitha | Category: N/A
Short Description
askep populasi terlantar...
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ASUHAN KEPERAW KEPERAWATAN KOMUNITAS KOMUNITAS ”POPULASI TERLANTAR” TERLANTAR” Diajukan untuk memenuhi salah satu tugas mata kuliah Keperawatan Komunitas Dosen Pembimbing: Pembimbing: Lilis Lismayanti, M. Kep Nina Pamelasari, M.Kep Miftahulfalah, MSN
Disusun Oleh: Kelmp! "#$A Ilham Aminu%in &asmin Maturi%i Na%ya Paramitha Pu'a (ahya Utami Selsa Permatasari
PROGRAM STUDI SARJANA KEPERAW KEPE RAWAT ATAN AN FAKUT FAKUTAS IMU IM U KESEHAT KESE HATAN AN UNI!ERSITAS MUHAMMADI"AH TASIKMAA"A #$%&
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'A' I ATAR 'EAKANG
A( AT ATAR 'EAKANG
Ppulasi )erasal %ari )ahasa latin yaitu ppulus *ra!yat, )erarti pen%u%u!+. &a%i, ppulasi a%alah Kumpulan in%ii%u se'enis yan- hi%up pa%a suatu %aerah %an a!tu tertentu. Penelantaran atau ne-le/t merupa!an hal yan- su%ah ti%a! asin-, lansia atau ana! yanan- ti%a ti%a! ! %ias %iasuh uh %an %an %ira %ira at se)a se)a-a -aim iman ana a mest mestin iny ya leh leh ana! ana! atau atau !elu !eluar ar-a -an nya serta penelantaran lansia !arena )er)a-ai alasan %ari !eluar-a san-at serin- ter'a%i. (nth nyata nyata yan- %apat !ita lihat a%alah penelantaran penelantaran lansia %apat !ita lihat %en-an penitipan lansia %i panti 'mp tanpa pernah %i 'en-u! la-i. '( RUMUS RUMUSAN AN MASA MASAAH AH 0. Apa!ah Apa!ah yanyan- %ima!s %ima!su% u% %en-an %en-an ppulasi ppulasi terlant terlantar ar 1 2. Apa sa'a!ah sa'a!ah fa/t fa/trr penye)a) penye)a) mun/uln mun/ulnya ya ppulasi ppulasi terla terlantar ntar11 $. 3a-aiman 3a-aimana!ah a!ah le leel el pen/e-a pen/e-ahan han ppu ppulasi lasi terla terlantar ntar11 4. 3a-aimana!ah 3a-aimana!ah Asuhan Asuhan Kepera Keperaatan atan Kmunitas Kmunitas Pa%a Pa%a Lansia yan- terlantar1 terlantar1 )( TUJUAN 0. Untu! Untu! men-etahu men-etahuii Apa yan- %ima!s %ima!su% u% %en-an %en-an ppulasi ppulasi terlant terlantar ar.. 2. Untu! men-etahui men-etahui fa/tr fa/tr penye)a) penye)a) mun/ulny mun/ulnya a ppulasi ppulasi terlantar terlantar. $. Untu! Untu! men-etahu men-etahuii leel leel pen/e-ahan pen/e-ahan ppulas ppulasii terlantar terlantar.. 4. Untu! men-etahui men-etahui Asuhan Asuhan Kepera Keperaatan atan Kmunitas Kmunitas Pa%a Pa%a Lansia yanyan- terlantar terlantar..
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'A' II TINJAUAN PUSTAKA A( DEFINISI Ppulasi terlantar men--am)ar!an seseran- yan- ti%a! memili!i tempat tin--al se/ara tetap maupun yan- hanya hanya sen-a'a %i)uat untu! ti%ur. ti%ur. Ppulasi Ppulasi terlantar )iasanya )iasanya %i -ln-!an !e %alam -ln-an masyara!at ren%ah %an ti%a! memili!i !eluar-a. Masyara Masyara!at !at yanyan- men'a%i men'a%i ppulasi ppulasi terlantar terlantar )isa %ari semua semua lapisan lapisan masyara! masyara!at at seperti ran- mis!in, ana!5ana!, masyara!at yan- ti%a! memili!i !eterampilan, petani, i)u rumah tan--a, pe!er'a ssial, tena-a tena-a !esehatan prfesinal prfesinal serta ilmuan. ilmuan. 3e)erapa %ari mere!a men'a%i ppulasi terlantar !arena !emis!inan atau !e-a-alan sistem pen%u!un!eluar-a !eluar-a mere!a. Selain itu alasan lain men'a%i tunaisma tunaisma a%alah !ehilan-an pe!er'aan, pe!er'aan, %itin--a %itin--all leh !eluar!eluar-a, a, !e!era !e!erasan san %alam rumah tan--a, tan--a, pe/an%u pe/an%u al!hl al!hl,, atau /a/at. 6alaupun 6alaupun )e-itu apapun penye)a)ny penye)a)nya, a, Ppulasi terlantar le)ih rentan terha%ap masalah !esehatan %an a!ses !e pelayanan peraatan !esehatan )er!uran-. '( FAKTOR AKTOR PEN"E'A' PEN"E'A' MUN)UN" MUN)UN"A POPUASI POPUASI TERANTAR TERANTAR %* Kemis emis+i +in, n,n n Kemis!inan merupa!an fa!tr %minan yan- menye)a)!an )anya!nya Ppulasi terla terlant ntar, ar, -elan% -elan%anan-an, an, penpen-emi emiss %an ana! ana! 'alana 'alanan. n. Kemis!i emis!ina nan n %apat %apat mema!s mema!sa a seseranseseran- men'a%i -elan%an-an -elan%an-an !arena ti%a! memili!i tempat tin--al yan- laya!, serta men'a% men'a%i!a i!an n men-e men-emis mis se)ase)a-ai ai pe!e pe!er'a r'aan an.. Keti% Keti%a! a!mam mampua puan n sese sesera rann- untu! untu! men/u!upi !e)utuhan hi%upnya %an !eluar-a mem)uatnya %alam -aris !emis!inan. Pen-hasilan yan- ti%a! menentu )er)an%in- ter)ali! %en-an pen-eluaran mem)uat seseran- rela men'a%i tunaisma untu! tetap )ertahan hi%up.Selain itu ana! %ari !eluar-a mis!in men-ha%api risi! yan- le)ih )esar untu! men'a%i ana! 'alanan !arena !n%isi !emis!inan yan- menye)a)!an mere!a !erap !ali !uran- terlin%un-. #* Ren-,h Ren-,h Tinggin. Tinggin., , Pen-i-i+ Pen-i-i+,n ,n Ren%ahnya pen%i%i!an san-at )erpen-aruh terha%ap !ese'ahteraan seseran-. Pen%i%i!an san-at )erpen-aruh terha%ap persain-an %i%unia !er'a. Seseran- %en-an pen%i%i! pen%i%i!an an ren%ah ren%ah a!an san-at san-at sulit men%apat men%apat!an !an se)uah se)uah pe!er'a pe!er'aan an yanyan- laya!. laya!. Se%anSe%an-!an !an mere mere!a !a 'u-a 'u-a memerl memerlu! u!an an )iaya )iaya untu! untu! men/u! men/u!upi upi semua semua !e)ut !e)utuha uhan n hi%upnya. Pa%a umumnya tin-!at pen%i%i!an -elan%an-an %an pen-emis relatif ren%ah sehin--a men'a%i !en%ala )a-i mere!a untu! memperleh pe!er'aan yan- laya!. /* Kelu, elu,0 0g, Keluar-a a%alah tempat seseran- men%apat!an !asih sayan- %an perlin%un-an yan- le)ih %aripa%a lin-!un-an lain. Namun, hu)un-an !eluar-a yan- ti%a! harmnis atau ana! %en-an !eluar-a )r!en hme mem)uat mere!a merasa !uran- perhatian, !enyamanan !enyamanan %an !etenan-an !etenan-an sehin--a sehin--a mere!a /en%erun/en%erun- men/ari !e)e)asan, !e)e)asan, )elas
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memenuhi !e)utuhannya. Men'a%i tunaisma merupa!an alternatif tera!hir mere!a untu! )ertahan hi%up. ),3, ),3,44 Fisi Fisi+ + Kn%i Kn%isi si 7isi! 7isi! yanyan- ti%a! ti%a! sempur sempurna na mem)ua mem)uatt sese seseran ran- sulit sulit men%a men%apat pat!an !an pe!er'aan. pe!er'aan. Ke)anya!an Ke)anya!an seseran- yan- memili!i /a/at 7isi! memilih men'a%i tunaisma untu! untu! %apat %apat )ertah )ertahan an hi%up. hi%up. Menuru Menurutt Klle Klle *Ris! *Ris!a aati ati %an Syani, Syani, 2902+ 2902+ !n%i !n%isi si !ese'ahteraan seseran- %apat %iu!ur melalui !n%isi 7isi!nya seperti !esehatan. Ren-, Ren-,hn hn., ., Ke4e0 Ke4e0,m ,m6il 6il,n ,n Keterampilan Keterampilan san-atlah pentin- %alam !ehi%upan,%en-an !ehi%upan,%en-an !etrampilan seseran%apat memili!i asset pr%u!si. pr%u!si. Namun, !etrampilan !etrampilan perlu %i-ali salah satunya satunya melalui pen%i%i! pen%i%i!an an serta serta mem)utuh! mem)utuh!an an m%al m%al pen%u!un pen%u!un- untu! %i!em)a %i!em)an-! n-!an. an. 8al inilah inilah yan- men'a%i pen-ham)at seseran- %alam men-em)an-!an !etrampilan yan- %imil!i. Keti%a!)er%ayaan inilah yan- mem)uat seseran- memilih men'a%i tunaisma untu! )ert )ertah ahan an hi%u hi%up. p. Pa%a a%a umum umumn nya -ela -elan% n%an an-a -an n %an %an penpen-em emis is ti%a ti%a! ! memi memili li!i !i !eterampilan yan- sesuai %en-an tuntutan pasar !er'a. M,s,l, M,s,l,h h Sosi, Sosi,ll 'u-, 'u-,., ., A%a )e)erap )e)erapa a fa!tr fa!tr ssial ssial )u%aya )u%aya yanyan- mena-!i mena-!i)at! )at!an an sesera seserann- men'a%i men'a%i Ppulasi terlantar, -elan%an-an %an pen-emis. Antara lain: a. Rendah Rendahny nya a harga harga diri diri Ren%ahnya Ren%ahnya har-a %iri !epa%a se!elmp! se!elmp! ran-, men-a!i)at!an men-a!i)at!an mere!a ti%a! memili!i rasa malu unt! meminta5minta. ;alam hal ini, har-a %iri )u!anlah sesuat sesuatu u yanyan- )erhar )erhar-a -a )a-i )a-i mere! mere!a. a. 8al ini ini %i)u!t %i)u!ti!a i!an n %en-a %en-an n )any )anya!n a!nya ya tunaisma yan- )erusia pr%u!tif. b. Sikap Sikap pasra pasrah h pada pada nasib nasib Mere!a Mere!a men-an-men-an--ap ap )aha )aha !emis!in !emis!inan an a%alah a%alah !n%isi !n%isi mere!a mere!a se)a-ai se)a-ai -elan% -elan%an an-a -an n %an pen-e pen-emis mis a%alah a%alah nasi), nasi), sehinsehin--a -a ti%a! ti%a! a%a !emau !emauan an untu! untu! mela!uan peru)ahan. /. Kebebasan dan kesenangan hidup sebagai Ppulasi terlantar F,+4o0 ,+4o0 ing+ ing+ung ung,n ,n Men'a%i Ppulasi terlantar -elan%an-an -elan%an-an %an pen-emis %apat %ise)a)!an leh fa!tr fa!tr lin-!un-an lin-!un-an yan- men%u!un-nya men%u!un-nya.. (nthnya (nthnya sa'a 'i!a )ulan rama%han )anya! se!ali se!ali i)u5i)u i)u5i)u rumah rumah tan--a tan--a yanyan- )e!er'a )e!er'a se)a-ai pen-emis. pen-emis. Mmen Mmen ini %i-una!an %i-una!an mere!a men/ari uan- untu! mem)antu suaminya men/ari na7!ah. Tentu hal ini a!an mempe mempenn-aru aruhin hinya ya untu! untu! mela! mela!u!a u!an n pe!er' pe!er'aan aan yanyan- sama, sama, terle terle)i )ih h la-i la-i meliha melihat t pen-hasilan yan- %i%apat!an lumayan untu! emmenuhi !e)utuhan hi%up. e4, e4,+ + Geo Geog0 g0,9 ,9is is Kn%i Kn%isi si ilay ilayah ah yanyan- ti%a! ti%a! %apat %apat %ihar %iharap! ap!an an pte ptensi nsi alamn alamnya ya mem)ua mem)uat t masyara! masyara!at at yanyan- tin--al tin--al %i %aerah %aerah terse)ut terse)ut men-alam men-alamii !emis!in !emis!inan an %an mem)uat mem)uat masyara! masyara!at at harus harus menin-menin--al!a al!an n tempat tempat terse)ut terse)ut untu! untu! men/ari men/ari peruntun peruntun-an -an lain. lain. A!an tetapi, !eputusannya untu! pin%ah !e !ta le)ih memper)uru! !ea%aan. Ti%a! a%anya ptensi yan- alam se%ia untu! %ilah mem)uat masyara!at terse)ut sema!in
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Pena Penann-an anan an masa masala lah h -ela -elan% n%an an-a -an n %an %an penpen-em emis is yanan- %ila %ila!u !u!a !an n leh leh pemerintah hanya seten-ah hati. Selama ini penan-anan yan- telah nyata %ila!u!an a%alah a%alah ra. Ri Riayat ayat peny penya!i a!itt !mun !munita itass ;ata %iam)il %ari 29 ran- lansia *49D+ %iantaranya 09 ran- lansia *29D+ men-eluh!an mere!a ti%a! mampu meraat %an memperhati!an %iri mere!a %en-an )ai! %an )enar. Se%an-!an 09 ran- lansia *29D+ lainnya men-eluh 'i!a mere!a merasa ti%a! %i )utuh!an %an masih su!a merin%u!an ana! mere!a %an in-in )er!umpul %en-an ana! /u/u mere!a . Kami Kami mela!u!a mela!u!an n pen-!a pen-!a'ian 'ian %en-an mem)eri! mem)eri!an an !uesine !uesinerr !epa%a !epa%a 29 ranran- lansia lansia terse)ut, %en-an hasil:
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Merasa %i )uan- leh !eluar-a
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Merasa Merasa ti%a! ti%a! mampu mampu meraat meraat %an %an memperhati!an !e)ersihan %iri
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Mera Merasa sa masi masih h )isa )isa mera mera at %an %an memp memper erha hati ti!a !an n !e)er e)ersi siha han n %iri %iri 09 ranmes!ipun se)a-ian
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". Pla Pla pemen pemenuhan uhan !e)utuh !e)utuhan an nutri nutrisi si !mun !munitas itas 3er%asar!an 3er%asar!an %ata %iatas %apat %isimpul!an pla ma!an pa%a lan'ut usia %i isma a%alah $ !ali#hari %en-an prsentase @" D. Se)a-ian !lien a%a yan- ma!an 052 !ali#hari !arena fa!tr spiritual *!eper/ayaan+ seperti : puasa. ?. Pla Pla pemen pemenuha uhan n /aira /airan n %an ele!t ele!tr rlit lit 3er%asar!an %ata %iatas %apat %isimpul!an )aha pla minum pa%a lan'ut usia %i isma a%alah F> !ali#hari %en-an presentase B9 D.
B. Pla la ist istir irah ahat at ti%u ti%urr 3er%asar!an 3er%asar!an %ata %iatas %apat %isimpul!an )aha pla a!tiitas *istirahat %an ti%ur+ pa%a lan'ut usia %i isma a%alah ti%a! ter-an--u %en-an prsentase @9D.
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3er%asar!an %ata saat %ila!u!an anamnesa se)a-ian !e/il lansia mela!u!an a!ti7itas !e)er !e)ersih sihan an %en-a %en-an n )ai!, )ai!, seper seperti ti pla pla man%i man%i minima minimall 2G#har 2G#hari, i, sisan sisanya ya masih masih !ura !urannmemperhati!an !e)ersihan %irinya. 02. Status Status psi!s psi!ssia siall Antar Antar !elmp !elmp! ! lansia lansia ti%a! ti%a! pernah pernah men-alam men-alamii pertenperten-!ara !aran n atau perselisi perselisihan han !arena mere!a men-an--ap semua lansia salin- )ersau%ara. 0$. Status pertum)uhan pertum)uhan %an per!em)anper!em)an-an an Pla pemanfaatan fasilitas !esehatan Panti Ssial Tresna 6er%ha a%alah unit pela!sanaan te!nis %ari ;inas Ssial Prinsi &aa 3arat yan- mempunyai tu-as mem)eri!an pelayanan ssial )a-i para lansia, sehin--a mere!a %apat meni!mati sisa hi%upnya %en-an %iliputi !etentraman lahir %an )atin. Ke-iatan yan- a%a %i panti ini ti%a! hanya )erasal %ari ;inas Ssial tetapi a%a 'u-a !e-iatan yan- )e!er'a sama %en-an ;epartemen A-ama, )im)in-an mental a-ama yana%a %i isma5isma, %en-an ;e)%i!)u% untu! pen-a%aan !e-iatan %an lain se)a-ainya. Selai Selain n itu, itu, panti panti )e!e )e!er'a r'asam sama a %en-a %en-an n RSU; RSU; Se!a Se!ar% r%' ',, %an Pem%a em%a setemp setempat at untu! untu! menun'an- !n%isi !esehatan para lansia.
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)utuh!an %an masih su!a merin%u!an ana! mere!a %an in-in )er!umpul %en-an ana! /u/u mere!a . )( DAT DATA INGK INGKUNG UNGAN AN FISI FISIK K
Panti Ssial Tresna 6er%ha %i%iri!an %en-an !apasitas tampun- 009 ran- %an menempati area seluas 0".@"9 m2 . Panti Ssial Tresna 6er%ha 6er%ha %i%iri!an %iatas tanah seluas 0".@"9 m2, tanah terse)ut ter)a-i men'a%i %ua yaitu untu! perumahan %an untu! tempat pema!aman. Tanah untu! perumahan ter)a-i ter)a-i atas: e%une%un- isma isma se)any se)anya! a! > isma isma meliputi meliputi isma /en%ana, /en%ana, seruni, !enan!enan-a, a, maar, melati,. e%un- terse)ut %i)an-un %iatas tanah seluas 0$29 m2. 6isma5isma ini memili!i memili!i fasilita fasilitass %iantar %iantarany anya a ruanruan- tamu, tamu, !amar !amar ti%ur ti%ur, ruanruan- re!reas re!reasi, i, %apur %apur, %an !amar !amar man%i. e%un- !antr seluas 209 m2. e%un- l!al !er'a ?9 m2. Mushlla seluas 0"9 m2. ;apur umum seluas 0"9 m2. Aula seluas 0"9 m2. Ps satpam seluas " m2. Rumah %inas tipe >9. Rumah %inas tipe $". Sum)er air )ersih )erasal %ari sumur )r yan- terleta! %i)ela!an- isma %an )antuan air %ari perusahaan air minum Cii. Setiap isma minimal memili!i 0 !amar man%i, %an setiap isma mempunyai septi/ tan! sen%iri %imana septi/ tan! ini ti%a! terhu)un- antar yan- satu %en-an yan- lainnya. Setiap isma ter%apat sarana pem)uan-an air lim)ah yan- %ialir!an sampai sampai !e tempat tempat pem)uanpem)uan-an an lim)ah lim)ah a!hir a!hir. Panti Panti Ssial Ssial Tresna Tresna 6er%ha er%ha memili!i memili!i satu mushlla yan- terleta! %ise)elah )arat panti. ;i)ela!an- panti ter%apat !e)un %an !lam i!an.
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misalnya misalnya !ea%aan %imana lansia harus se-era men%apat penan-anan penan-anan %i rumah sa!it. Selain itu, masin-5masin- isma 'u-a %i'a-a leh tena-a !eamanan yan- %iper!er'a!an %i panti terse)ut G( POI POITI TIK K DAN DAN KEA KEAMA MANA NAN N
Panti Ssial Tresna 6er%ha Pan%aan merupa!an Unit Pela!sana Te!nis %ari ;inas Ssial Prinsi &aa 3arat yan- memili!i stru!tur r-anisasi sesuai %en-an Per%a Prinsi &aa 3arat N. 04 Tahun 2992 yan- ter%iri %ari: Kepala Panti, Kelmp! &a)atan Jun-sinal, Ka. Su). 3a-ian Tata Usaha, Ka. Sie Unit Pelayanan Ssial Pan%aan %an 3an-!alan. Panti Ssial Tresna 6er%ha er%ha 'u-a 'u-a memili!i memili!i prse%ur prse%ur pelayan pelayanan an yanyan- sistemast sistemastis is untu! untu! men/apai men/apai lansia lansia yanyanse'ahtera. Panti Ssial Tresna 6er%ha Pan%aan memili!i $$ pe-aai yan- memili!i peran %an fun-sinya masin-5masin-. H( SIST SISTEM EM KOM KOMUN UNIK IKAS ASII
Panti anti Ssi Ssial al Tresn resna a 6er%h er%ha a memi memili li!i !i fasi fasili lita tass ruan ruan- tamu tamu %an %an aula aula yanyan- )ias )iasa a %imanfaat!an leh para lansia untu! )er!umpul %an mela!u!an a!tiitas sehari5hari. I(
PENDIDIKAN
;alam Panti Ssial Tresna 6er%ha, para lansia )anya! se!ali %ifasilitasi %en-an )er)a-ai !e-iatan !e-iatan yan- meliputi !e-iatan !ea-amaan, !etrampilan !etrampilan %an !esenian, !esenian, )im)in-an )im)in-an ssial serta senam yan- )ertu'uan untu! men'a-a !e)u-aran para lansia.
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masih masih su!a su!a merin% merin%u! u!a a ana! ana! mere! mere!a a %an in-in )er!umpul %en-an ana! /u/u mere!a .
stresr !-nitif
;O: Saat Saat %ila %ila!u !u!a !an n penpen-!a !a'i 'ian an terl terlih ihat at se)a-i se)a-ian an )esar )esar lansia lansia terli terlihat hat se%ih, se%ih, menun%u! menun%u! %an )er!ata )er!ata mere!a mere!a ti%a! punya penyeman-at hi%up. 2
;S: 09 ran- lansia *29D+ men-eluh!an mere mere!a !a ti%a ti%a! ! mamp mampu u mera mera at %an %an memper memperhat hati!a i!an n %iri %iri mere mere!a !a %en-a %en-an n )ai! %an )enar. ;O:
Keti%a! ;e7isit mampuan peraatan %iri !munitas untu! meraat %iri
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DIAGNOSA PERAWAT PERAWATAN AN ' 'ERDASARKAN ERDASARKAN SKORING SKORIN G ;PRIORIT ;PR IORITAS AS :
0. 8ar-a 8ar-a %iri %iri ren%a ren%ah h )erhu) )erhu)unun-an an %en-a %en-an n Keti%a! eti%a! mampua mampuan n !mun !munita itass untu! untu! meninmenin-!at !at!an !an stressr !-nitif
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