ASKEP LANSIA DI KOMUNITAS

ELIS HARTATI
 PENGKAJIAN

ASPEK RIWAYAT PENTING PADA

LANSIA
1. RIWAYAT SOSIAL
2. RIWAYAT MEDIS YANG LALU
3. TINJAUAN ULANG SISTEM
RIWAYAT SOSIAL

 Pengaturan Hidup
 Hubungan dengan keluarga dan teman-
teman
 Status ekonomi
 Kemampuan untuk melakukan aktifitas
sehari-hari
 Aktiftas sosial dan hobi
 Model trasnportasi
RIWAYAT MEDIS YANG LALU

 Prosedur bedah terdahulu

 Penyakit utama dan hospitalisasi
 Status imunisasi :influensa, pneumokokus,
tetanus
 Riwayat tuberkulosis dan pemeriksaa
 Obat-obatan (alergi, pengetahuan,kepatuhan)
 Efek obat yang merugikan dan menguntungkan
TINJAUAN ULANG SISTEM

 TANYAKAN INDIKASI PENYAKIT DASAR :

keletihan, anoreksia, BB menurun, insomnia
 UPAYAKAN MENGKAJI GEJALA KUNCI DARI
SEMUA SISTEM
PENGKAJIAN GEJALA KUNCI PADA
SISTEM TUBUH LANSIA
SISTEM GEJALA PENTING
PERNAFASAN • PENINGKATAN DISPNEA
•BATUK PERSISTEN

KARDIOVASKULER • ORTOPNEA
•EDEMA
•ANGINA
•KLAUDIKASI
•PALPITASI
•PUSING
•SINKOP
PENCERNAAN • KESULITAN MENGUNYAH
•DISFAGIA
•NYERI ABDOMEN
•PERUBAHAN KEBIASAAN BAB
PENGKAJIAN GEJALA KUNCI PADA SISTEM TUBUH
LANSIA
SISTEM GEJALA PENTING
GENITOURINARIUS • FREKUENSI
•URGENSI
•NOKTURIA
•KERAGUAN MENGELUARKAN URIN
•INKONTINENSIA
•HEMATURIA
•PERDARAHAN PERVAGINAM
MUSKULOSKELETA • NYERI DIFUS ATAU FOKAL
L •KELEMAHAN DIFUS ATAU FOKAL
NEUROLOGIS • GANGGUAN PENGLIHATAN
(SEMENTARA/PROGRESIF)
• KEHILANGAN PENDENGARAN YANG PROGRESIF
•BERDIRI TIDAK STABIL/JATUH
•GEJALA FOKAL TRANSIEN
PSIKOLOGIS • DEPRESI
•ANSIETAS/AGITASI
•PARANOID
•SERING LUPA/KONFUSI
PENGKAJIAN

A. DATA UMUM
1. NAMA LANSIA
2. USIA
3. AGAMA
4. SUKU
5. JENIS KELAMIN
6. NAMA WISMA (jika lansia di Panti)
7. PENDIDIKAN
8. RIWAYAT PEKERJAAN
9. STATUS PERKAWINAN
10. PENGASUH WISMA
PENGKAJIAN

B. ALASAN BERADA DI PANTI (jika di Panti)

C. DIMENSI BIOFISIK
RIWAYAT PENYAKIT (6 bulan terakhir)
RIWAYAT PENYAKIT KELUARGA
RIWAYAT PENCEGAHAN PENYAKIT
1. RIWAYAT MONITORING TEKANAN DARAH
2. RIWAYAT VAKSINASI
3. SKRINING KESEHATAN YANG DILAKUKAN
PENGKAJIAN

 STATUS GIZI (IMT)

 MASALAH KESEHATAN TERKAIT STATUS GIZI
 MASALAH PADA MULUT
 PERUBAHAN BB
 MASALAH NUTRISI
 MASALAH KESEHATAN YANG DIALAMI SAAT INI
 OBAT-OBATAN YANG DIKONSUMSI SAAT INI
 TINDAKAN SPESIFIK YANG DILAKUKAN SAAT INI
 STATUS FUNGSIONAL (KATZ INDEKS)
 PEMENUHAN KEBUTUHAN SEHARI-HARI
PENGKAJIAN

 PEMENUHAN KEBUTUHAN SEHARI-HARI

 MOBILISASI
 BERPAKAIAN
 MAKAN DAN MINUM
 TOILETING
 PERSONAL HYGINEN
 MANDI
DATA KHUSUS

 FISIK
 KOGNITIF
 PSIKOLOGIS
 SOSIAL
 SPIRITUAL
 A. PENGKAJIAN FISIK
 Pengkajian menggambarkan keperawatan gerontik
dan tujuan dicapai secara sistematis dan mengkaji
secara terintegrasi
(Olenek, Skowronski, & Schmaltz, 2003).
 Pengkajian dari kombinasi perubahan berdasarkan
usia, penyakit lansia, herediter dan kebiasaan hidup
 Pengkajian pada lansia mencakup tim perawatan
kesehatan (physicians, therapists,social workers,
spiritual care workers,pharmacists, nutritionists, and
others)
Functional Assessment

 Ada 2 pendekatan :
1. Menanyakan Kemampuan
2. Observasi kemampuan s.d evaluasi
(form evaluasi)
 Pemahaman perawat secara mendasar :
ability, disability, physical function, activities
of daily living, and any contextual factors
Functional Assessment
WHO (1980) ICIDH Classification
(International Classification of Functioning, Disability and
Health )
 Impairment:
Any loss or abnormality of psychological, physiological,
or anatomical structure or function.
 Disability:
Any restriction or lack (resulting from impairment) of
ability to perform an activity in the manner or within the
range considered normal for a human being.
 Handicap:
A disadvantage for a given individual, resulting from
impairment or disability that limits or prevents the
fulfillment of a role that is normal (depending on age,
sex, and social and cultural factors) for that individual.
Functional Assessment : Tools (Adnan,
Chang, Arseven, & Emanuel, 2005).

 Self-care (basic activities of daily living or ADLs),

 Higher level activities necessary to live
independently in the community (instrumental
activities of daily living or IADLs), or highest level
activities (advanced activities of daily living or
AADLs)
 Advanced activities of daily living include
societal, family, and community roles, as well as
participation in occupational and recreational
activities
Activities of Daily Living
(ADLs)
 Assistance in bathing, eating, dressing,
transfer, toileting, and continence (Katz
Index)
 Barthel Index (Mahoney & Barthel, 1965) :
designed to measure functional levels of self
care and mobility, and it rates the ability to
feed and groom oneself, bathe, go to the
toilet, walk (or propel a wheelchair), climb
stairs, and control bowel and bladder.
Scale in rehabilitation of
older adult
 Uniform Data System for Medical
Rehabilitation (UDSMR)
Functional Independence Measure (FIM).
 FIM (1-7) : mulai membutuhkan bantuan s.d
ketergantungan total (valid tools)
 Include self-care, bowel and bladder, transfer,
locomotion, communication, and social
cognition (UDSMR, 1996).
Instrumental Activities of
Daily Living (IADLs)
 IADL assessment tools are geared more for
older adults living in the community;
 IADLs include the ability to use the
telephone, cook, shop, do laundry and
housekeeping, manage finances, take
medications, and prepare meals
Advanced Activities of Daily
Living (AADLs)
 Advanced activities of daily living include
societal, family, and community roles, as well
as participation in occupational and
recreational activities.
 One tool that seems to combine elements of
ADLs, IADLs, and AADLs is the Canadian
Occupational Performance Measure (COPM)
(Chan & Lee, 1997)
the Canadian Occupational
Performance Measure (COPM)
 COPM : The tool asks about self-care
activities (personal care, functional mobility,
and community management), productivity
(paid/unpaid work, household management,
and play/school), and leisure (quiet
recreation, active recreation,and socialization
Physical Performance Measures

 The Physical Performance Test (PPT) is one

example of a physical performance
assessment tool (Reuben & Sui, 1990).
 7 item version asks the individual to write a
sentence, transfer five kidney beans from an
emesis basin to a can (one at a time), put on
and remove a jacket, pick up a penny from
the floor, turn 360 degrees, and walk 50 feet
(Reuben, Valle, Hays, & Sui, 1995).
 Circulatory Function
 Age-related changes in the heart muscle and blood
vessels result in overall decreased cardiac function.
 The circulatory health assessment should address
family history; current problems with chest pain or
discomfort, medication, herbal medicines; sources
of stress; and adherence to current medical
regimens.
 The assessment should also include a physical
examination, assessing blood pressure, listening to
chest sounds, and taking a pulse rate.
Other assessment :exercise stress test, blood and
serum tests, electrocardiograms, and other tests for
imaging and assessing the condition of the heart and
blood vessels.
Respiratory Function
 Ask about current medications
 Smoking behavior
 Difficulties and anxieties associated with breathing,
 Decreased energy to complete everyday tasks,
 Frequent coughing, and production of excessive sputum.

Physical examination :
 Observation of posture and breathlessness, and
 Listening to chest sounds.
Other assessment :
 Blood and pulmonary function tests,
 Chest x-ray, and
 Sputum analysis
Gastrointestinal Function

 Usual diet
 Nausea,
 Vomiting,
 Stomach discomforts;
 Problems with bowel function.
Diagnostic testing :barium enemas and x-rays,
stool analysis, and examination of the colon.
Oral health assessment

 Oral health practices : brushing, flossing, and

regular contact with a dentist.
 Mouth health :observing the condition of the
tongue, teeth, and gums for dehydration,
Infection, and poor oral hygiene. Check
dentures to be sure they are well-fitting,
particularly if a weight change has occurred
Genitourinary Function

 Experience incontinence
 A serious medical problem : chronic renal
failure, diabetes and hypertension
 Fluid intake (caffeine and alcohol) , observe
the skin for dehydration.
 Diagnostic tests : urine analysis tests for
blood, bacteria, and other components such
as ketones.
Sexual Function

 Changes for men :decrease in the speed and

duration of erection; in women there is a
decrease in vaginal lubrication.
 Health and social factors may have a great
impact on sexual activity.
 Chronic illness (osteoarthritis)
Neurological Function

 Alzheimer’s disease
 Parkinson’s disease
 Stroke
 It can lead to cognitive changes : memory
loss, spatial orientation, agnosia,
apraxia,dysphagia, aphasia, and delirium.
Neurological Function

 Medications
 History or family history of stroke.
 Observe speech, expression, swallowing,
memory, orientation, energy level, balance,
sensation, and motor function.
 Other areas of assessment :sleep
disturbance, tremors, and seizures.
 Musculoskeletal Function
 Which joints are affected?
 How long has there been pain?
 What kind of pain is it?
 Does it interfere with everyday activities?
 Is the pain managed?
 Is there a history of bone and muscle injuries?
 Has there been surgery?
 Are you trying alternative and complementary therapies ?
 What are the pertinent lifestyle factors for this older adult ?
 Observation of posture, stance, and walking
Musculoskeletal Function

 Mengatur waktu dalam jangka 10 menit

untuk aktivitas : from the person’s chair and
ask him or her to rise, walk to the line, turn,
walk back, and sit down
 Osteoporosis : proses penuaan, herediter,
kurang konsumsi kalsium, perubahan
hormon, gaya hidup
 Lansia dg osteoporosis : nyeri punggung
kronik, nyeri, loss of height, and decrease in
mobility
Sensory Function

 Five senses—hearing, vision, smell, taste, and

touch
 Presbyopia
 Presbycusis : progressive hearing loss
 Screening tools for vision and hearing are of
two types: self-report and performance-
based.
 vision
Pertanyaan spesifik :
 Is vision a problem?
 Does it interfere with everyday activities or
with hobbies and social life?
 Are magnification aids or enlarged printed
material useful strategies?
 Is home lighting contributing to the
problem?
 Is it more difficult to see in the evening
compared with other times of the day?
Hearing

 Are you experiencing a hearing problem or

any ear pain, ringing in the ears, or ear
discharge?
 that asking, “Do you have a hearing problem
now?” was effective in screening for hearing
loss among older adults (Gates, Murphy,
Rees, & Fraher, 2003). An initial assessment
question might be,
 Tell me when your hearing loss is the biggest
problem for you?
Smell,taste

 Taste and smell are interrelated, and the

sense of smell influences the sense of taste in
food.
 Medical conditions, especially those affecting
the nose; medication side effects; nutritional
deficiencies; poor oral hygiene; and smoking
can all detrimentally affect the senses of
smell and taste.
Integumentary Function

 Loss of elasticity
 Slower regeneration of cells
 Diminished gland secretion
 Reduced blood supply, and structural changes
including loss of fat
 Older adults with decreased mobility and extended
bed rest are at high risk for skin damage and
breakdown
 The nurse should ask about rashes, itching, dryness,
frequent bruising, and any open sores.
 Skin conditions can be linked with nutritional status
and body weight
Endocrine and Metabolic
Function
 Hipothyroid
 hyperthyroid
 the health history, the following areas should be addressed:
 Family history of diabetes
 Changes in weight and appetite
 Fatigue
 Vision problems
 Slow wound healing
 Headache
 Gastrointestinal problems
Integumentary Function

 Nnervousness, heat intolerance, weight loss,

tremor, and palpitations.
 Hypothyroidism : uncomfortable and distressing.
 Assessing for skin changes (dry, flaky), fluid
retention (edema and weight gain), fatigue,
forgetfulness, constipation, and unusual
sensitivity to the cold.
 Diagnostic tests (TSH test, TRH test, and
adioimmunoassay) provide definitive diagnosis.
Hematologic and Immune
Function
 Observation of the color and quality of the
skin and nail beds, and address food choices
and food habits.
 Iron deficiency can occur because of blood
loss, and the nurse should ask questions
about occurrence of blood in stools.
 Diagnostic tests include hemoglobin,
hematocrit, complete blood count (CBC) and
red blood cell (RBC) count.
Sexual Function

 Sexual activity, prophylaxis, and sexually

transmitted disease (STD),
 Open-ended questions are preferable, and it
will be more productive to say, “Tell me about
your sex life” rather than simply asking, “Do
you have sex?” (Anderson, 2003).
PENGKAJIAN

D. DIMENSI PSIKOLOGI
 STATUS KOGNITIF (SPMSQ)
 PERUBAHAN YANG TIMBUL TERKAIT STATUS
KOGNITIF
 DAMPAK YANG TIMBUL TERKAIT KOGNITIF
 STATUS DEPRESI (Skala depresi)
 PERUBAHAN YANG TIMBUL AKIBAT DEPRESI
 KEADAAN EMOSI : : CEMAS, PERUBAHAN
PERILAKU. MOOD
PENGKAJIAN

E. DIMENSI FISIK
 LUAS WISMA
 KEADAAN LINGKUNGAN DI WISMA
1. PENERANGAN
2. KEBERIHAN DAN KERAPIHAN
3. PEMISAHAN RUANGAN ANTARA PRIA DAN
WANITA
4. SIRKULASI UDARA
5. KEAMANAN
6. SUMBER AIR MINUM
7. RUANG BERKUMPUL BERSAMA
PENGKAJIAN

 KEADAAN LINGKUNGAN DI LUAR WISMA

1. PEMANFAATAN HALAMAN
2. PEMBUANGAN AIR LIMBAH
3. PEMBUANGAN SAMPAH
4. SANITASI
5. SUMBER PENCEMARAN
PENGKAJIAN

F. DIMENSI SOSIAL
1. HUBUNGAN LANSIA DENGAN LANSIA DI
DALAM WISMA
2. HUBUNGAN ANTAR LANSIA DI LUAR WISMA
3. HUBUNGAN LANSIA DENGAN ANGGOTA
KELUARGA
4. HUBUNGAN LANSIA DENGAN PENGASUH
WISMA
5. KEGIATAN ORGANISASI SOSIAL
PENGKAJIAN

G. DIMENSI TINGKAH LAKU

1. POLA MAKAN
2. POLA TIDUR
3. POLA ELIMINASI
4. KEBIASAAN BURUK
5. PELAKSANAAN PENGOBATAN
6. KEGIATAN OLAH RAGA
7. REKREASI
8. PENGAMBILAN KEPUTUSAN
PENGKAJIAN

G. DIMENSI SISTEM KESEHATAN

1. PERILAKU MENCARI PELAYANAN
KESEHATAN
2. SISTEM PELAYANAN KESEHATAN
 Fasilitas kesehatan yang tersedia
 Jumlah tenaga kesehatan’Tindakan pencegahan
terhadap penyakit
 Jenis pelayanan kesehatan yang tersedia
 Frekuensi kegiatan yankes
DIAGNOSA KEPERAWATAN (NANDA 2015-2017)
DOMAIN 1 : promosi kesehatan
 Defisiensi aktifitas pengalih (00097)
 Gaya hidup kurang gerak (00168)
 Sindrom lansia lemah (00257)
 Risiko sindrom lansia lemah (00231)
 Defisiensi Kesehatan Komunitas (00215)
DIAGNOSA KEPERAWATAN (NANDA 2015-2017)

DOMAIN 1 : promosi kesehatan

 Perilaku kesehatan cenderung beresiko (00188)

 Ketidakefektifan pemeliharaan kesehatan (00099)
 Ketidakefektifan manajemen kesehatan (00078
 Kesiapan meningkatkan manajemen kesehatan
(00162)
 Ketidakpatuhan (00079)
 Ketidakefektifan perlindungan (00043)
DIAGNOSA KEPERAWATAN (NANDA 2015-2017)
Domain 2 : Nutrisi
 Risiko ketidakstabilan kadar glukosa darah
(00179)
 Risiko kekurangan volume cairan (00028
 Kelebihan volume cairan (00026)

Domain 3 : eliminasi dan pertukaran

 Kelas 1 : Fungsi urinarius
 Gangguan eliminasi urine (00016)
 Inkontinensia urinarius fungsional (00020)
 Inkontinensia urine aliran berlebih (00176)
DIAGNOSA KEPERAWATAN (NANDA 2015-2017)

 Inkontinensia urin refleks (00018)

 Inkontinensia urine stres (00017)
 Risiko inkontinensia urine dorongan (00022)
 Retensi urin (00023)

Kelas 2 : fungsi gastrointestinal

 Konstipasi (00011)
 Diare (00013)
 Inkontinensia defekasi (00014)
DIAGNOSA KEPERAWATAN (NANDA 2015-2017)

DOMAIN 4 : AKTIVITAS/ISTIRAHAT
Kelas 1 Tidur/istirahat
 Insomnia (00096)
 Gangguan pola tidur (000198)

Kelas 2 aktifitas/olahraga
 Hambatan mobilitas fisik (00040)
 Hambatan duduk (000237)
 Hambatan kemampuan berpindah(00090)
 Hambatan berjalan (00088)
DIAGNOSA KEPERAWATAN (NANDA 2015-2017)
Kelas 4 :respon CVS/pulmonal
 Penurunan curah jantung (00029)
 Risiko ketidakefektifan perfusi ginjal (00203)

Kelas 5 : perawatan diri

 Hambatan pemeliharaan rumah (00098)
 Defisit perawatan diri : mandi (00108)
 Defisit perawatan diri : berpakaian (00109)
 Defisit perawatan diri : Makan (000102)
 Defisit perawatan diri : Eliminasi (000110)
 Pengabaian diri (000193)
DIAGNOSA KEPERAWATAN (NANDA 2015-2017)

Domain 5 : persepsi/kognisi
Kelas 4 : kognisi
 Kerusakan memori (00131)
 Kelas 5 : komunikasi
 Hambatan komunikasi verbal (00051)
 TUGAS :
MOHON MENCARI DXP LAIN
UNTUK LANSIA BERDASARKAN
NANDA (2015-2017)
 PERENCANAAN DAN
IMPLEMENTASI
 FOKUS KOMUNITAS LANSIA
 PROGRAM PEMERINTAH : SDGs
 KEBIJAKAN LANSIA
 NIC (nursing interventions classifications)
 NOC (nursing outcomes classifications).
 UPAYA PREVENSI UNTUK KESEHATAN DI
KOMUNITAS (LEAVELL & CLARK, 1965)
PREVENSI FOKUS

PRIMER 1. PROMOSI KESEHATAN

2. PROTEKSI SPESIFIK PADA MASALAH KESEHATAN

SEKUNDER 1. IDENTIFIKASI DINI TERHADAP MASALAH KESEHATAN

2. INTERVENSI SEGERA PADA MASALAH KESEHATAN YANG
MUNCUL

TERTIER PERBAIKAN DAN REHABILITASI UNTUK BERFUNGSI SECARA

OPTIMAL
PEMENUHAN HAK LANSIA di KOMUNITAS:

a. Pelayanan keagamaan dan mental spiritual

b. Pelayanan kesehatan
c. Pelayanan kesempatan kerja
d. Pelayanan pendidikan dan pelatihan
e. Kemudahan dalam penggunaan fasilitas, sarana
dan prasarana umum
f. Kemudahan dalam layanan dan bantuan hukum
g. Perlindungan sosial
h. Bantuan sosial
(pasal 5 Undang-Undang 13 tahun 2008)
RAN-LU TAHUN 2009-2014
1. Membentuk dan memperkuat Kelembagaan
Lanjut Usia
2. memperkuat Koordinasi Antar Instansi dan
Instansi Terkait
3. Memperkuat penanganan terhadap Lanjut Usia
Miskin, Terlantar, Cacat dan mengalami tindak
kekerasan
4. Memelihara dan memperkuat dukungan keluarga
dan masyarakat terhadap Kehidupan Lanjut Usia
5. Memantapkan Upaya pelayanan Kesehatan Bagi
Lanjut Usia
RAN-LU TAHUN 2009-2014

6. Meningkatkan Kualitas Hidup lanjut Usia,

baik dari aspek ekonomi, mental
keagamaan, aktualisasi dan kualitas diri
Lanjut Usia
7. Meningkatkan Upaya Penyediaan Sarana
dan Fasilitas Khusus bagi Lanjut Usia
8. Meningkatkan Upaya Mutu Pendidikan
Kemandirian bagi Lanjut Usia
9. Meningkatkan Jaringan Kerjasama
Internasional.
 Lanjut Usia Potensial :
lanjut usia yang masih mampu melakukan
pekerjaan dan/atau kegiatan yang dapat
menghasilkan barang dan/atau jasa.
 Lanjut Usia Tidak Potensial
lanjut usia yang tidak berdaya mencari
nafkah sehingga hidupnya bergantung pada
bantuan orang lain.
 Upaya Peningkatan Kesejahteraan Sosial
bagi Lanjut Usia Potensial (pasal 3):
1. Pelayanan keagamaan dan mental spiritual
2. Pelayanan kesehatan
3. Pelayanan kesempatan kerja
4. Pelayanan pendidikan dan pelatihan
5. Pelayanan untuk mendapatkan kemudahan
dalam penggunaan fasilitas, sarana,dan
prasarana umum
6. Pemberian kemudahan dalam layanan dan
bantuan hukum
7. Bantuan sosial.
Upaya Peningkatan Kesejahteraan Sosial
bagi Lanjut Usia Tidak Potensial

1. Pelayanan keagamaan dan mental spiritual

2. Pelayanan kesehatan
3. Pelayanan untuk mendapatkan kemudahan
dalam penggunaan fasilitas, sarana dan
prasarana umum
4. Pemberian kemudahan dalam layanan dan
bantuan hukum
5. Perlindungan sosial.
PELAYANAN KESEHATAN LANSIA
1. Pelayanan kesehatan dimaksudkan untuk memelihara
dan meningkatkan derajat kesehatan dan kemampuan
lanjut usia agar kondisi fisik, mental, dan sosialnya
dapat berfungsi secara waJar.
2. Pelayanan kesehatan bagi lanjut usia sebagaimana
dimaksud dalam ayat (1) dilaksanakan melalui
peningkatan:
a. Penyuluhan dan penyebarluasan informasi kesehatan
lanjut usia
b. Upaya penyembuhan (kuratif), yang diperluas pada
bidang pelayanan geriatrik/gerontologik
c. Pengembangan lembaga perawatan lanjut usia yang
menderita penyakit kronis dan/atau penyakit
terminal.
PELAYANAN KESEHATAN LANSIA

3. Untuk mendapatkan pelayanan kesehatan

bagi lanjut usia yang tidak mampu, diberikan
keringanan biaya sesuai dengan ketentuan
peraturan perundang-undangan yang
berlaku.
REHABILITASI LANSIA

 Suatu tindakan membantu individu yang

mengalami keterbatasan kemampuan
untuk melakukan fungsi secara optimal
dalam berinteraksi dengan lingkungan
 Semua tindakan yang bertujuan untuk
mengurangi dampak disability agar
individu lansia dapat berintegrasi dalam
masyarakat
 Program rehabIlitasi lansia harus
disesuaikan masalah dan usia lansia
 Tujuan : Kemandirian maksimal
Memfasilitasi kemandirian secara
maksimal
 Meyakinkan lansia hal-hal yang
diperlukan lansia
 Menggunakan waktu yang efisien
dengan seseorang mencegah
ketergantungan lansia
 Meyakinkan lingkungan aman saat lansia
terjadi penurunan penglihatan dan fungsi
lain
PROSES REHABILITASI

1. Identifikasi masalah dan kebutuhan

2. Hubungan masalah untuk modifikasi dan
membatasi faktor penyebab
3. Fokus Target masalah dan target mediator,
memprioritaskan masalah
4. Merencanakan, implementasi dan koordinasi
dalam intervensi
5. Mengkaji dampak
 EVALUASI

 MENGACU KE TUJUAN UMUM , KHUSUS

 OUTCOME :
 RESPON LANSIA
 PERUBAHAN PERILAKU