Workshop Asesmen Geriatri Komprehensif - DR IKA SYAMSUL HUDA MZ(1)

SIMPOSIUM GERIATRI 2011 SEMARANG

HOTEL SEMESTA SEMESTA,, 02 0 2 APRIL 2011

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TATALAKSANA PASIEN GERIATRI

ASESMEN GERIATRI KOMPREHENSIF

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Pada setiap textbook geriatri terdapat bab tentang

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RESEARCH ARTICLE

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COMPREHENSIVE COMPREHE NSIVE GERIA GERIATRIC TRIC CARE ELDERLY PATIENT

Comprehensive Geriatric Assessment

PHYSICAL Physical

Pathologic

PSYCHOLOGICAL

SOCIAL – ECONOMIC  – SPIRITUAL ENVIRONMENT

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suatu proses diagnostik yang bersifat multidimensional dan pada umumnya interdisipliner untuk mengkaji

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Kualitas hidup pasien lansia dipengaruhi oleh • status kesehatan  • faktor sosial ekonomik dan lingkungan ~ saling berpengaruh

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Status fungsional adalah kemampuan individu untuk berpartisipasi secara penuh didalam aktifitas hidup harian baik  secara fisik, mental maupun sosial.

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SINDROMA GERIATRI Immobility

• Immobility • Instability • Incontinence • Intellectual impairment • Infection

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DELIRIUM

Lansia khususnya sering mengalami delirium selama tinggal di rumah sakit. sakit . Padanya perlu dicari kemungkinan penyebabnya seperti apakah akibat efek samping obat, alcohol atau akibat adanya gangguan metabolik. metabolik .

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ASESMEN DUKUNGAN SOSIAL

Dukungan terhadap Caregiver (Perumat)  saling keterkaitan antara kesehatan dan kesejahteraan lansia dan perumatnya

Abuse dan neglect sering timbul pada kondisi adanya beban berat pada caregiver Program “Respite Care” 

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ASESMEN KARAKETRISTIK LINGKUNGAN

• KEAMANAN LINKUNGAN RUMAH • KEMUDAHAN AKSES

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ASESMEN EKONOMI Masa sejumlah penurunan sumber daya: SUMBER PENGHASILAN  KETAHANAN AHANAN EMOSIONAL  KET 

ISOLASI SOSIAL KONDISI MISKIN

STRATEGI Tanyakan RIWAYAT Tanyakan  RIWAYAT KONTAK SOSIAL?  SOSIAL? 

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ASESMEN SPIRITUALITAS

SPIRITUALITAS  KOMPONEN PENTING KESEHATAN  Menurunkan mortalitas STRATEGI • Tanyakan apakah agama / spiritual itu penting?  • Dilibatkan rohaniwan 

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EFISIENSI ASESMEN GERIA GERIATRI TRI

ASESMEN GERIATRI  MENYITA WAKTU 

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ASESMEN GERIATRI TERPENTING PELAYANAN ANAN GERIATRI YANG BAIK   ASPEK TERPENTING PELAY MEMBUTUHKAN:

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FOLLOW UP Didalam setiap proses asesmen geriatri harus terdapat juga kesinambungan

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TAKE HOME MESSAGES MESSAGES Dengan tatacara asesmen geriatri yang terarah dan terpola, maka kemungkinan terjadinya “mis/under diagnosis” yang sering didapatkan pada praktek geriatri

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Asesmen kapasitas fungsional di pelayanan dasar di pelayanan dasar (Rekomendasi AGS - AAIM )

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