scholarly journals Program Kemitraan Masyarakat (PKM) Pengasuh Lansia Panti Jompo Sabai-Nan-Aluih Sumatera Barat

2020 ◽  
Vol 5 (1) ◽  
pp. 38
Author(s):  
Erdanela Setiawati ◽  
Betty Fitriyasti ◽  
Yulia Rahmad
Keyword(s):  
Blood Pressure ◽  
Nursing Home ◽  
Nursing Homes ◽  
The Elderly ◽  
Assistance Program ◽  
Measure Blood Pressure ◽  
Before And After ◽  
Service Training ◽  
And Training

<p><em>The Community Partnership Program (PKM) is a Kemenristekdikti assistance program in the implementation of community service in universities. Elderly caregivers of nursing home are people who their profession not nurses, but do nursing tasks and assist the elderly in meeting their daily needs. The Sabai-Nan-Aluih nursing home with a capacity of 110 elderly has 14 caregivers, while the Jasa-Ibu nursing home with a capacity of 25 elderly has 4 caregivers. The role of caregivers in nursing homes is very complex. This role can be performed optimally if the caregiver's knowledge and skills are adequate. Problem: many caregivers in both institutions have never received senior service training. Findings facts: 1) There are 10 elderly suffering strokes in Sabai-Nan-Aluih nursing home and 4 elderly in the Jasa-Ibu nursing home, caregivers rarely provide motivation and counseling, 2) One way to prevent stroke with blood pressure measurements, while caregivers have never got the training. PKM Goals: Optimizing the role of caregivers in nursing homes. Solution: to caregivers 1) Provide counseling about early detection of stroke and prevention (aspect-education). 2) Give lectures of caregiver duties and ways to provide counseling and motivation (aspect-management). 3) Provide training / workshops on how to measure blood pressure with digital tensimeter. (technology-health aspect). Method of implementation: with lectures, discussions and training / workshops. Evaluation: measuring knowledge before and after counseling and training. Results: all expected PKM outcomes have been met.</em></p><p><em> </em></p><p><em>Program Kemitraan Masyarakat (PKM) adalah program bantuan Kemenristekdikti dalam pelaksanaan pengabdian kepada masyarakat di perguruan tinggi. Pengasuh lansia panti jompo adalah orang yang profesinya bukan perawat, tapi melakukan tugas-tugas  keperawatan dan mendampingi lansia dalam pemenuhan kebutuhannya sehari-hari. Panti jompo Sabai-Nan-Aluih yang berdaya tampung 110 lansia mempunyai 14 pengasuh sedangkan panti Jasa-Ibu yang berdaya tampung 25 lansia memiliki 4 pengasuh. Peran pengasuh di panti jompo sangat kompleks. Peran ini dapat dilakukan dengan optimal bila pengetahuan dan keterampilan pengasuh, memadai. Masalah: banyak pengasuh dikedua panti belum pernah mendapatkan pelatihan pelayanan lansia. Fakta temuan: 1) Ada 10 lansia menderita stroke di panti Sabai-Nan-Aluih dan 4 lansia di panti Jasa-Ibu, pengasuh jarang memberikan motivasi dan penyuluhan, 2)Salah satu cara pencegahan penyakit stroke dengan pengukuran tekanan darah, sedangkan pengasuh belum pernah mendapat pelatihannya. Tujuan PKM: Mengoptimalkan peran pengasuh di panti jompo. Solusi: kepada pengasuh 1)Berikan penyuluhan tentang deteksi dini penyakit stroke dan pencegahannya (aspek-pendidikan). 2)Berikan kuliah/ceramah tentang tugas-tugas pengasuh dan cara memberi penyuluhan dan motivasi (aspek-manajemen). 3)Berikan pelatihan/workshop tentang cara mengukur tekanan darah dengan tensimeter digital. (aspek-teknologi-kesehatan). Metode pelaksanaan: dengan ceramah, diskusi dan pelatihan/workshop. Evaluasi: mengukur pengetahuan sebelum dan sesudah penyuluhan dan pelatihan. Hasil: semua luaran PKM yang diharapkan sudah terpenuhi.</em></p><p> </p>

scholarly journals Notification and Communication Technology: An Observational Study of Call Light Systems in Nursing Homes

2019 ◽  
Author(s):  
Haneen Ali ◽  
Huiyang Li
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Observational Study ◽  
Standard Procedure ◽  
The Elderly ◽  
Nursing Home Staff ◽  
Before And After ◽  
Long Time ◽  
To Come

Abstract Background and Objectives: The call light system is one of the major communication technologies that links the nursing home staff to the needs of the residents. By providing residents with the ability to request assistance, the system becomes an indispensable resource for patient-focused healthcare. However, there is little known about how the call light systems are being used in nursing homes and how the system contributes to the safety and the quality of care for seniors. Therefore, the aims of this study are to understand the nursing home staff experience while using the call light systems and to uncover the usability issues associated with the implemented systems. Method: A mix of 150 hours of hypothetic-deductive (unstructured) and 90 hours of standard-procedure (structured) observational study were conducted in four different nursing homes. The data collected includes insights into the nursing homes work system and the process of locating and responding to call lights. Results: The data shows that the highest alarm rate is before and after meal times. The nursing staff exceeded the allotted time set by administration 50% of the time. Additionally, the staff canceled 10% of the call lights and did not immediately assist residents due to high workloads. Further, the staff forgot to come back to assist residents over 3% of the time. Usability issues such as broken parts, lack of feedback, lack of prioritization, and low/no discriminability are contributing to the long response time. More than 8% of the time, residents notified the staff about call lights after they waited for a long time, as these residents were left unattended. Conclusion: Nursing homes that are still using old call light systems risk the continuation of usability issues that can affect performance of the staff and contribute to a decline in staff and resident outcomes. While the healthcare industry has been at the forefront of technological advancements and implementation, it is important to recognize the influence of technology in the quality of service delivery for the elderly population in nursing homes and to the nursing homes staff working conditions.

scholarly journals Knowledge, Attitudes, and Practices Regarding Food Hygiene of Nursing Homes in South Korea

2021 ◽  
Vol 9 (3) ◽  
pp. 823-832
Author(s):  
Joo-Eun Lee
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
The Elderly ◽  
Food Hygiene ◽  
Attitudes And Practices ◽  
Management Measures ◽  
Significant Difference ◽  
Hygiene Education ◽  
And Training ◽  
Knowledge Attitude And Practice

The purpose of this study is to investigate the importance of hygiene education for the safe and healthy diet of the elderly by analyzing hygiene knowledge, attitude, and practice of food hygiene in nursing homes that do not legally be required to hire a dietitian. A total of 40 nursing homes participated in a survey that combines telephone and mail. As a result, most of the foodservice management of the nursing home surveyed was conducted by the director (80.5%) or secretary (13.8%), not by dietitians, and their answer rate of hygiene knowledge related to elderly foodservice was 54.7%. In 6 of the 7 hygiene knowledge questions, there was a significant difference in the distribution of correct answer rates between the groups with and without hygiene education (p<0.05, p<0.01, p<0.001). In 5 out of 8 food hygiene attitude questions, all respondents (100%) showed a desirable hygiene attitude, and 99.0% of the respondents responded with a desirable attitude. The overall average practice rate for 8 hygienic practices items was 69.7%, and 6 of the 8 items showed significant differences in the distribution between those with and without hygiene education (p<0.05, p<0.01, p<0.001). Therefore, in order for the foodservice for the nursing home resident elderly to be managed hygienically and safely, hygiene education and training programs for foodservice managers such as directors and secretaries must be provided, and in order to manage the nursing home foodservice field, it is necessary to investigate the hygiene knowledge and practice degree of cooks and to prepare education and field management measures.

An Outcome Evaluation of an In-Service Training Program for Nursing Home Aides

1988 ◽  
Vol 7 (1) ◽  
pp. 48-57
Author(s):  
Rodney R. Skinkle ◽  
Peter R. Grant
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Training Program ◽  
Urban Areas ◽  
The Elderly ◽  
Primary Care Providers ◽  
Outcome Evaluation ◽  
Care Providers ◽  
Term Care ◽  
Service Training

ABSTRACTNursing home aides are the primary care providers for the institutionalized elderly but, until recently, aides have received very little formal training. Recognizing this, some community colleges have implemented in-service training programs. This paper presents the results of an impact assessment of the Saskatchewan program offered by Kelsey Institute of Applied Arts and Science. The sample included 86 aides from 16 nursing homes selected at random from both rural and urban areas. Results from this study show that program graduates knew significantly more about simple nursing skills, the aging process, and the philosophy of long term care in comparison to aides from nursing homes that did not offer this in-service training (non-participants). Program graduates were also significantly more likely to describe their health care team as functioning effectively. However, attitudes of program graduates toward the elderly were not significantly different from non-participants. The vast majority of the aides, whether trained or untrained, held positive attitudes toward the elderly. Implications and limitations of these results are discussed in conjunction with information from interviews with three Directors of Care who have experience implementing and supervising this in-service training program.

PENGARUH TERAPI TERTAWA TERHADAP PENURUNAN TEKANAN DARAH LANSIA DI UPT PANTI WREDHA BUDHI DHARMA YOGYAKARTA

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Niken Setyaningrum ◽  
Andri Setyorini ◽  
Fachruddin Tri Fitrianta
Keyword(s):  
Blood Pressure ◽  
Data Analysis ◽  
The Elderly ◽  
Control Group ◽  
Group Comparison ◽  
Control Blood Pressure ◽  
Men And Women ◽  
Treatment Of Hypertension ◽  
Before And After ◽  
The Difference

ABSTRACTBackground: Hypertension is one of the most common diseases, because this disease is suffered byboth men and women, as well as adults and young people. Treatment of hypertension does not onlyrely on medications from the doctor or regulate diet alone, but it is also important to make our bodyalways relaxed. Laughter can help to control blood pressure by reducing endocrine stress andcreating a relaxed condition to deal with relaxation.Objective: The general objective of the study was to determine the effect of laughter therapy ondecreasing elderly blood pressure in UPT Panti Wredha Budhi Dharma Yogyakarta.Methods: The design used in this study is a pre-experimental design study with one group pre-posttestresearch design where there is no control group (comparison). The population in this study wereelderly aged over> 60 years at 55 UPT Panti Wredha Budhi Dharma Yogyakarta. The method oftaking in this study uses total sampling. The sample in this study were 55 elderly. Data analysis wasused to determine the difference in blood pressure before and after laughing therapy with a ratio datascale that was using Pairs T-TestResult: There is an effect of laughing therapy on blood pressure in the elderly at UPT Panti WredhaBudhi Dharma Yogyakarta marked with a significant value of 0.000 (P <0.05)

Predictors of Mortality in Board and Care Homes

1997 ◽  
Vol 36 (1) ◽  
pp. 77-87 ◽  
Author(s):  
Nicholas G. Castle
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Social Services ◽  
Long Term Care ◽  
Significant Proportion ◽  
The Elderly ◽  
Term Care ◽  
Care Facilities ◽  
Board And Care

Long-term care institutions have emerged as dominant sites of death for the elderly. However, studies of this trend have primarily examined nursing homes. The purpose of this research is to determine demographic, functional, disease, and facility predictors and/or correlates of death for the elderly residing in board and care facilities. Twelve factors are found to be significant: proportion of residents older than sixty-five years of age, proportion of residents who are chair- or bed-fast, proportion of residents with HIV, bed size, ownership, chain membership, affiliation with a nursing home, number of health services provided other than by the facility, the number of social services provided other than by the facility, the number of social services provided by the facility, and visits by Ombudsmen. These are discussed and comparisons with similar studies in nursing homes are made.

Systemic and regional hemodynamics after nitric oxide synthase inhibition: role of a neurogenic mechanism

1994 ◽  
Vol 267 (1) ◽  
pp. R84-R88 ◽  
Author(s):  
M. Huang ◽  
M. L. Leblanc ◽  
R. L. Hester
Keyword(s):  
Nitric Oxide ◽  
Blood Pressure ◽  
Cardiac Output ◽  
No Synthase ◽  
Before And After ◽  
Regional Hemodynamics ◽  
Autonomic Blockade ◽  
Infusion Of Norepinephrine ◽  
Oxide Synthase

The study tested the hypothesis that the increase in blood pressure and decrease in cardiac output after nitric oxide (NO) synthase inhibition with N omega-nitro-L-arginine methyl ester (L-NAME) was partially mediated by a neurogenic mechanism. Rats were anesthetized with Inactin (thiobutabarbital), and a control blood pressure was measured for 30 min. Cardiac output and tissue flows were measured with radioactive microspheres. All measurements of pressure and flows were made before and after NO synthase inhibition (20 mg/kg L-NAME) in a group of control animals and in a second group of animals in which the autonomic nervous system was blocked by 20 mg/kg hexamethonium. In this group of animals, an intravenous infusion of norepinephrine (20-140 ng/min) was used to maintain normal blood pressure. L-NAME treatment resulted in a significant increase in mean arterial pressure in both groups. L-NAME treatment decreased cardiac output approximately 50% in both the intact and autonomic blocked animals (P < 0.05). Autonomic blockade alone had no effect on tissue flows. L-NAME treatment caused a significant decrease in renal, hepatic artery, stomach, intestinal, and testicular blood flow in both groups. These results demonstrate that the increase in blood pressure and decreases in cardiac output and tissue flows after L-NAME treatment are not dependent on a neurogenic mechanism.

Advocacy for The Mentally Impaired Elderly: A Case Study Analysis

1989 ◽  
Vol 14 (4) ◽  
pp. 353-376 ◽  
Author(s):  
Jeanie Kayser-Jones ◽  
Marshall B. Kapp
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Self Advocacy ◽  
State Laws ◽  
Case Study Analysis ◽  
Appropriate Treatment ◽  
Mentally Impaired ◽  
And Training

The authors present a case study to illustrate how a mentally impaired but socially intact nursing home resident, who had no one to act as an advocate for her, was denied appropriate treatment for an acute illness which ultimately resulted in her death. The case raises important questions about advocacy for the mentally-impaired, acutely-ill institutionalized patient. This Article explores the role of the advocate, how advocates are selected, what qualities and talents they should possess, and what responsibilities should be assigned to them. The authors suggest that nursing home residents should be encouraged to engage in self-advocacy to the greatest extent possible. The competent elderly should be urged to name their preferred advocates. Individuals who serve in advocacy roles should be advised to seek information regarding the patient's wishes from those who know the patient well. Furthermore, there is a need for quality education and training of those who serve in advocacy roles on behalf of nursing home residents, and state laws need to specify the responsibilities of persons who serve as advocates.

The Role of Nursing Homes Architectural Design in Mitigating the Risk of COVID-19 Pandemics: The Case of Slovenia

2022 ◽  
Vol 8 (1) ◽  
pp. 51-66
Author(s):  
Vesna Žegarac Leskovar ◽  
Vanja Skalicky Klemenčič
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Older People ◽  
Architectural Design ◽  
Nursing Home Residents ◽  
The Elderly ◽  
Evaluation Tool ◽  
Negative Effect ◽  
Disproportionate Number ◽  
Role Of Nursing

Currently, many older people live in institutions for various social and health reasons. In Slovenia, this proportion is almost 5% of the population aged 65 and over. In the COVID-19 pandemic, the elderly proved to be the most vulnerable social group, as they are exposed to a number of comorbidities that increase the risk of mortality. At that time, nursing homes represented one of the most critical types of housing, as seen from a disproportionate number of infections and deaths among nursing home residents worldwide, including Slovenia. During the emergency, a number of safety protocols had to be followed to prevent the spread of infection. Unfortunately, it turned out that while the safety measures protected the nursing home residents, they also had a negative effect on their mental health, mainly due to isolation and social distancing. It follows that especially in times of epidemics of infectious respiratory diseases, the quality of life in nursing homes requires special attention. In this context, it is also necessary to consider whether and how an appropriate architectural design can help mitigating the spread of infections, while at the same time enable older people to live in dignity and with a minimum of social exclusion. To this end, the present study examined 97 nursing homes in Slovenia, analysing the number of infections in nursing homes and their correlation with the degree of infection in the corresponding region in Slovenia. Additionally, 2 nursing homes were studied in more detail with the use of newly developed “Safe and Connected” evaluation tool, analysing the architectural features of each building. The advantages identified so far include living in smaller units, single rooms with balconies, the possibility of using green open spaces and the use of an adequate ventilation. Conclusions of this study are useful for further consideration of design of new nursing homes and the refurbishment of existing ones.

An Exploratory Study of Patterns of Social Interaction, Organization, and Facility Design in Three Nursing Homes

1973 ◽  
Vol 4 (4) ◽  
pp. 319-333 ◽  
Author(s):  
Lorraine Hiatt Snyder
Keyword(s):  
Nursing Home ◽  
Social Interaction ◽  
Nursing Homes ◽  
Social Environment ◽  
Environmental Analysis ◽  
Exploratory Study ◽  
The Elderly ◽  
Building Codes ◽  
Social Setting ◽  
Extended Care

Three Medicare-certified nursing homes are studied to determine factors of the organization, physical and social environment, and of the individuals that promote or deter social interaction. Social interaction is examined according to three phases: the tendency to congregate, the ability to impersonally interact with others, and the capacity to converse. Since conversation has been linked by others to rehabilitation, its promotion is stressed. Suggestions are made for creating a more functional social setting for the elderly, researching the behavioral basis for nursing home design, and for developing more meaningful building codes. This exploratory study serves as an example of how systematic environmental analysis may provide the direction necessary for implementing an extended care facility's goals.

scholarly journals Pengaruh Hidroterapi dan Relaksasi Benson (Hidroson) terhadap Penurunan Tekanan Darah dan Nadi

2019 ◽  
pp. 86-93
Author(s):  
Riska Putri Meiyana ◽  
Cornelia Dede Yoshima Nekada ◽  
Adi Sucipto
Keyword(s):  
Blood Pressure ◽  
Pressure Pulse ◽  
Sampling Technique ◽  
Complementary Therapy ◽  
T Test ◽  
Wilcoxon Test ◽  
P Value ◽  
Measure Blood Pressure ◽  
Before And After ◽  
Paired T Test

Abstrak Terapi komplementer merupakan salah satu alternatif untuk mengatasi masalah kesehatan. Hidroterapi dan relaksasi Benson merupakan terapi komplementer yang efektif terhadap tekanan darah dan nadi, namun masih jarang masyarakat yang memanfaatkannya. Diketahui ada pengaruh kombinasi hidroterapi dan relaksasi Benson (disebut hidroson) terhadap tekanan darah dan nadi. Metode penelitian pra-eksperimen, pre- and post- design dengan teknik purposive sampel pada 32 responden usia 26-65 tahun. Penelitian dilakukan dari tanggal 1-18 Maret 2019 di RT 19 dan 20, Sungapan V Desa Wahyuharjo, Kecamatan Lendah, Kabupaten Kulon Progo dengan tiap responden diberikan intervensi selama 3 hari berturut-turut. Instrumen yang digunakan adalah sphygmomanometer digital untuk mengukur tekanan darah dan nadi 5 menit sebelum dan sesudah pemberian terapi. Tekanan darah dianalisis dengan wilcoxon test dan paired t-test untuk nadi. Hasil analisis menunjukkan tekanan darah sistolik sebelum terapi sebesar 118,25 mmHg dan setelah terapi sebesar 111,00 mmHg, sehingga disimpulkan terjadi penurunan sebesar 7,25 mmHg dengan ρ Value 0,0001. Tekanan darah diastolik sebelum terapi sebesar 81,25 mmHg dan setelah terapi sebesar 78,75 mmHg, sehingga disimpulkan terjadi penurunan sebesar 2,50 mmHg dengan ρ value 0,002. Nadi sebelum terapi sebesar 82,30 x/menit dan setelah terapi sebesar 80,64 x/menit, sehingga disimpulkan terjadi penurunan sebesar 1,66 x/menit dengan ρ value 0,003. Ada pengaruh yang signifikan terhadap pemberian kombinasi hidroterapi dan relaksasi Benson (hidroson) terhadap penurunan tekanan darah dan nadi di RT 19 dan 20, Sungapan V. Kata kunci: hidroterapi, Relaksasi Benson, tekanan darah, nadi Abstract Complementary therapy is one alternative to solving health problems. Hydrotherapy and Benson's relaxation are effective complementary therapies for blood pressure and pulse, but still few patients utilize it. There is a known effect of hydrotherapy and Benson relaxation combination (called hydrosol) on blood pressure and pulse. The study method was pre-experimental with pre and post design with a purposive sampling technique on 32 respondents aged 26-65 years. The study was conducted from 1-18 March 2019 in neighborhood 19 and 20, Sungapan V, Wahyuharjo Village, Lendah District, Kulon Progo. Regency Each respondent was given intervention with hydrosol therapy for 3 consecutive days. The instrument used was a digital sphygmomanometer to measure blood pressure and pulse 5 minutes before and after the administration of therapy. Blood pressure was analyzed by the Wilcoxon test while pulsing by paired t-test. The analysis showed that systolic blood pressure before therapy was 118.25 mmHg and after therapy became 111,00 mmHg, so there was a decrease of 7,25 mmHg with a p-value of 0,0001. The diastolic blood pressure before treatment was 81,25 mmHg and after therapy became 78,75 mmHg, so there was a decrease of 2,50 mmHg with a p-value of 0,002 mm. The pulse before therapy was 82,30 x / min and after therapy became 80,64 x / min, so there was a decrease of 1,66 x / min with ρ-value 0,003. There is a significant effect of giving a combination of hydrotherapy and Benson relaxation (hydrosol) on reducing blood pressure and pulse among 32 subjects in neighborhood 19 and 20, Sungapan V. Keywords: hydrotherapy, Benson Relaxation, blood pressure, pulse

Sign in / Sign up

Export Citation Format

Share Document