Professional Documents
Culture Documents
Young old: 65 74
Middle old: 75 84
Old old: 85 and up
Only a guide as there is a vast
difference in biological and
chronological aging
Provider of care
Teacher
Manager
Advocate
Research Consumer
Why certify?
Professional
accomplishment/Leadership
Commitment to profession
Provide higher quality of care
EBP and resource to others
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Background
No. of No. of
service service
users hours Net Expenditure
millions
2001/02 67,211 452,758 208
2006/07 75,935 645,043 305
% Growth 11% 30% 32%
Source: Home Care Statistical Return H1 Source: LFR
Hous.
0-64 65-74 75-84 85+ Total Supp.
Increased complexity in
looking after patients with
advanced disease at the end
of their lives
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Why are we leaving it to luck?
Joanne Lynn
Function
Function
High
High
Death
Death
Low
Time Low
Time
Organ failure
Function
GP has 20 High
deaths per 6 5
year
Death
2 7 Low
Other Time
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Key Factors with end of life
care of elderly
Multiple co-morbidities
Increasing memory loss/dementia
Difficulty predicting prognosis
Difficulty predicting dying phase
Complex social/ health factors
Need protection from over intervening - eg
DNAR, trolley deaths
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Place of death
Higginson I (2003) Priorities for End of Life Care in England Wales
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A good death for all
But how?
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Gold Standards Framework in
Community Palliative Care
The Aim for Primary Care and Care
Home teams:
to develop a practice-based/care
home based system to improve
the organisation and quality of
care of patients/residents in the
last year/s of life in the
community/care home
HEART
-compassion/care
-human dimension-why
- experience of care
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Karakteristi Penduduk Dunia
Jumlah dan proporsi penduduk
Morbiditas dan mortalitas
Karakteristik sosial
Karakteristik kesehatan
Kondisi lansia yang menurun
Proses penuaan
Gerontophobia
Kompleksitas pelayanan kesehatan lansia
Older adults:
Orang yang kemampuan fungsinya
dipengaruhi oleh akuisisi perubahan terkait
usia dan faktor risiko
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Concept The Functional
Consequences Theory
Risk factor
Kondisi peningkatan kerentanan lansia
menuju terjadinya NFC
Goals of gerontology nursing
Meminimalkan negatif efek thdp ARC and RF
& meningkatka PFC
Health:
Kemampuan lansia untuk berfungsi pada
capasity tertinggi, meskipun terjadi
perubahan terkait usia dan faktor risiko yg
ada.
Enviroment
Kondisi eksternal termasuk pelayanan
kesehatan yg mempengaruhi fungsi lansia
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Paradigm FCT
Person
Lansia sebagai manusia unik yg berinteraksi
dg lingkungan dan manusia di sekelilingnya.
Nursing
Aktivitas keperawatan yg berupa pengaturan,
promosi, modifikasi, dan monitoring
hubungan pasien dg lingkungannya
Health
Pengalaman hidup dinamis manusia, yg selalu
beradaptasi thdp stressor dlm lingk internal &
eksternal melalui penggunaan sumber daya yg
optimal seseorang untuk mencapai potensi
maksimal untuk hidup sehari-hari
Enviroment
Batas yg terorganisir dr sistem peran sosial,
perilaku, dan perkembangan praktik.
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Theory FC
The functional consequences theory of
gerontological nursing is consistently used
in this text to explain nursing care of older
adults.
Fokus pada lansia
What is unique about the care needs of
older adults.
How can gerontological nurses effectively
care for older adults.
The rational for this exclusion is that
deseases proceses are not different in older
adults, but the impact of ARC and RF.
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Framework
Assessment
Bathing
Dressing
Mouth care
Hair care
Dietary intake
Mobility
Transfer
Ambulation
Bed
Mental Sta
Mental
5 Totally
4 Assist simple
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3 Assist complex
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THANK YOU!
We hope you enjoyed our presentation
By Joni Haryanto