Eka Surya Nugraha

Kemampuan

Kerusakan
Organik
(Impairment) 
Keterbatasan
(Disability)

Kecacatan
(Handicap)  Umur
Dewasa † † † †
B C A D
Sumber : Williamson J. 1987, WHO 1980, Triwibowo 2000
Keterangan :
A. Proses Alami, tanpa penyakit
B. Pengaruh penyakit kronis
C. Pengaruh penyakit akut
D. Pengaruh latihan (exercise)
REDUCED QUALITY OF LIFE
2010
Balita = Lansia 8%
Booming Lansia
2015 - 2020 Balita 6,9 %
Balita 7,6 % Lansia 11,3%
Lansia 9,9%

TOLOONG . . . ? 1. Bathing- mandi

2. Dressing- baju
3. Toiletting- toilet
4. Transfering- gerak
5. Continence- BAK / BAB
6. Feeding- makan
7. Grooming - rapih
 PERKIRAAN JUMLAH BALITA DAN LANSIA,
BIRO PUSAT STATISTIK

30
25
20
Population
15
(millions)
10
5
0
1990 1995 2000 2005 2010 2015 2020

Years
Usia
AGE 0-4 Usia
AGE 60+
Karakteristik
pasien geriatri

– MUTIPATOLOGI & KOMORBID

– DAYA CADANGAN FAALI menurun
– STATUS FUNGSIONAL berubah
– TAMPILAN KLINIK menyimpang
– STATUS NUTRISI terganggu
– KERAPUHAN & GAGAL PULIH ( frailty & failure to thrive )
– PENYAKIT ORGAN TERMINAL ( end stage organic diasese )
FRAILTY & FAILURE TO THRIVE
PENYAKIT ORGAN TERMINAL
( end stage organic diasese )
 Palliative Care
• WHO definition….
….the active total care of patients whose disease is not
responsive to curative treatment.

• Goals…
…to prevent and relieve suffering and to support the best
possible quality of life for patients and their families,
regardless of the stage of the disease or the need for other
therapies.
 Traditional Conceptual Model
of Care at the End of Life

Diagnosis DNR Decision Death

Curative Palliative
Care Care
1. RUMAH SAKIT
 Poliklinik Lansia
 Daycare ( Klinik Asuhan Siang )
 Bangsal Akut
 Bangsal Kronik
 Respite unit . . Non Pemerintah
 Hospice care / Palliative care

2. MASYARAKAT
* Panti Wredha ( Nursing home ) . . Pemerintah
* Kunjungan Rumah ( Home visite )
Terima Kasih