TREND ISSUE AGEING

TRI
DEMOGRAPHICS

1990's, ageing population/ 60 years old

are about 10 million people/ 5.5% from
all population

2020's increase 3x --> 29 million people/

11.4% from all population
(Demograpi FE-UI-1993)

US Census estimates Indonesia will have

added The elderly people worldwide in
1990-2025, amounting to 414%
(Kinsella and Taeuber, 1993)
.
According to the US Department of

Population (1999), the number of the

elderly population aged 60 years or

>
over is expected nearly 600 million >
people and is projected to be 2 billion in >
2050 , while the elderly will outnumber

the population of children (0-14 years).

Population projections by the Central

Bureau of Statistics shows that between

=
the years 2010-2050 the number of
=
elderly will be equal to the number of
=
children under five are about 19 million

people or 8.5% of the total population.

Measurement and Health Information
 Background
• Changing demography of the ageing
population especially in the developing
world
• Burden of chronic illness associated
with long- term illness
• Issues of compression of morbidity
• Psychological problems

Measurement and Health Information

 PROBLEMS ASSOCIATED WITH
LONG-TERM ILLNESS
• Degenerative diseases
• Cancer
• Accidents
• Diabetes
• Diseases of loco-motor system
• Respiratory illness
• Genitourinary system

Measurement and Health Information

 PSYCHOLOGICAL PROBLEMS
• MENTAL CHANGES
Impaired memory, rigidity of outlook, dislike of
change are some of them
• SEXUAL ADJUSTMENT
• EMOTIONAL DISORDERS
Social malajustment leads to bitterness, inner
withdrawal, depression, weariness of life, and even
suicide

Measurement and Health Information

 Trends in Global Ageing
30%
Percent of Population 26%
25%
Aged 65 & Over:
25% 23%
History and UN Projection
19%
20%
16%
14% 15%
15% 13% 13%
12%
10% 10%
10% 8% 9%
8%
5% 6%
4% 4% 4% 4% 4%
5%

0%
1950 1970 1990 2010 2030 2050
Developed World Developing World
Source: UN (2005)

Measurement and Health Information

 Ageing in the development agenda

“Ageing is a
development issue.
Healthy older persons
are a resource
for their families,
their communities
and the economy.”
WHO Brasilia Declaration on Ageing,
July, 1996

Measurement and Health Information

 Feminization of ageing

• NUMBERS
• MORBIDITY
• POVERTY

Measurement and Health Information

Young vs. Old – trends in global ageing

Source: United Nations Department of Economic and Social Affairs, Population Division. World Population
Measurement and Health Information
Prospects. The 2004 Revision. New York: United Nations, 2005.
 Projected Increases in Global Population by Age

Source: United Nations Department of Economic and Social Affairs, Population Division. World Population
Prospects. The 2004 Revision. New York: United Nations, 2005.
Measurement and Health Information
 The World’s 15 ‘Oldest’ Countries
Percent Age 65 or Older

Japan 19.5
Italy 19.5
Germany 18.6
Greece 17.8
Sweden 17.3
Bulgaria 17.2
Belgium 17.1
Portugal 17.0
Spain 16.9
Estonia 16.7
Latvia 16.5
Croatia 16.4
France 16.4
United Kingdom 16.0
Finland 16.0
United States 12.4

•Source: United Nations, World Population Prospects, The

2004 Revision.
Measurement and Health Information
 0
2002
Broad
2006
trends
2010 2014
in Mortality
2018 2022 2026
for
2030
Causes
Year

Group II deaths
60
Deaths (millions)

40
Other
Digestive
Respiratory
Cancer
20
CVD

0
2002 2006 2010 2014 2018 2022 2026 2030
Year

Measurement and Health Information Group III deaths

 Global Mortality projections for selected causes
12
Cancers

10 IHD
Projected global deaths (millions)

8 Stroke

HIV/AIDS
6

4 TB Other
Malaria infectious

2 Road traffic
accidents

0
2000 2010 2020 2030
Year

Measurement and Health Information

 Global projected tobacco-attributable deaths
10
9
Tobacco-caused deaths (millions)

8 Medium and low

7 income countries
6
5
4
3 High income
2 countries

1
0
2000 2005 2010 2015 2020 2025 2030 2035
Year

Measurement and Health Information

 FACT

there is a presumption that this old group be a 'burden,' on

the other hand, has invited the attention of many experts in
the various disciplines

Many experts regard this phenomenon of the elderly paced

'grim.'

In fact, many governments developing countries do not yet

feel ready, and tend ignore the presence of this old group
(Hugo,forthcoming; Jones, 1988).
 Trend and Issues Regarding Panti Werdha
Demands of the profession or occupation
confiscated almost all the time the family so
they no longer have the opportunity to provide
the attention and care of their parents

Parents who entered the elderly

neglected socially, culturally and
physcology. They become alienated,
increasingly lonely and abandoned
at house.
 TREND AND ISSUES REGARDING PANTI
WERDHA

The number of elderly  Changing Time  change

population has increased, big family to small family
this is caused problems such
as :
 Changing structure in family
- Poverty become more view elderly
- Violation of the law to be a burden for family
- Displaced
So that the elderly are more
dependent on their needs
 NURSING HOME/ ELDERLY HOME
BE ONE SOLUTION

Elderly nursing in the

future be increasingly

Elderly home in the future

will be a choice and a
solution to the social
changes that occur in
society, therefore
Elderly nursing should not
be underestimated.
 VIEWED FROM SIDE CULTURE
In Indonesian society is still adhering to the
culture siri 'or the culture of shame :
includes embarrassed if their parents enter into homes
Werdha because they do not serve. The values in our
country that child should take care of the parents and
live under one roof

The development of social perceptions that panti is the

place to separation the elderly to the family's
 RELIGION
In the context of religion, the honor and
respect to parents / elderly is one part of
the worship horizontal (fellow human
beings).

One form of religious conception that child

have to maintain, caring and dutiful to his
parents

Forms in less humane treatment of a child to

a parent / elderly are a rebellious child
categories.
 TIMBUL PERTANYAAN
1. bahwa apakah jika seorang anak menitipkan orang tuanya
di panti werdha disebabkan oleh kondisi sosio-ekonominya
kurang mendukung dalam perspektif agama dan budaya
dianggap sebagai bentuk “kedurhakaan”?.

2. Apakah orang tua/lansia yang menjalani kehidupan di panti

werdha merupakan orang-orang yang akan lebih menderita
secara psikologis dibandingkan mereka yang tinggal di
lingkungan keluarga meskipun anak dan keluarganya lebih
sibuk dan tidak memiliki waktu untuk memberikan
perhatian dan perawatan secara langsung.
 IMPLIKASI KEPERAWATAN

Perawat mulai saat ini perlu memberikan

pemahaman kepada masyarakat bahwa nursing
home for elderly/day care dapat menjadi pilihan
keluarga untuk menitipkan orang tua/lansia dengan
memberikan pengertian dan pemahaman bahwa
dengan menitipkan lansia di nursing home bukan
berarti mereka dibuang oleh keluarga, sehingga
dapat menerima keberadaannya tinggal di panti
sebagai solusi terbaik untuk perawatannya.

NAMUN DUKUNGAN KELUARGA ADALAH YANG

TERPENTING !!!