PENGARUH LATIHAN RANGE OF MOTION (ROM) AKTIF ASSITIF TERHADAP RENTANG GERAK SENDI PADA LANSIA YANG MENGALAMI IMMOBILISASI FISIK

Author(s):  
Andri Setyorini ◽  
Niken Setyaningrum

Background: Elderly is the final stage of the human life cycle, that is part of the inevitable life process and will be experienced by every individual. At this stage the individual undergoes many changes both physically and mentally, especially setbacks in various functions and abilities he once had. Preliminary study in Social House Tresna Wreda Yogyakarta Budhi Luhur Units there are 16 elderly who experience physical immobilization. In the social house has done various activities for the elderly are still active, but the elderly who experienced muscle weakness is not able to follow the exercise, so it needs to do ROM (Range Of Motion) exercise.   Objective: The general purpose of this research is to know the effect of Range Of Motion (ROM) Active Assitif training to increase the range of motion of joints in elderly who experience physical immobility at Social House of Tresna Werdha Yogyakarta unit Budhi Luhur.   Methode: This study was included in the type of pre-experiment, using the One Group Pretest Posttest design in which the range of motion of the joints before (pretest) and posttest (ROM) was performed  ROM. Subjects in this study were all elderly with impaired physical mobility in Social House Tresna Wreda Yogyakarta Unit Budhi Luhur a number of 14 elderly people. Data analysis in this research use paired sample t-test statistic  Result: The result of this research shows that there is influence of ROM (Range of Motion) Active training to increase of range of motion of joints in elderly who experience physical immobility at Social House Tresna Wredha Yogyakarta Unit Budhi Luhur.  Conclusion: There is influence of ROM (Range of Motion) Active training to increase of range of motion of joints in elderly who experience physical immobility at Social House Tresna Wredha Yogyakarta Unit Budhi Luhur.

2017 ◽  
Vol 4 (3) ◽  
pp. 169
Author(s):  
Hermina Desiane Hastini Uda ◽  
Muflih Muflih ◽  
Thomas Aquino Erjinyuare Amigo

<p><em>The increasing of Life Expectancy has raised the population of the elderly. The highest population number of elderly in Indonesia can be found in Yogyakarta Special Region with 13.05%. The increasing life expectancy brings normal and pathological changes in the elderly as it relates to aging process in various systems. Normal changes are seen in the musculoskeletal system that is in the complete loss of muscle at the age of 80 (30%-50%). The changes can be found in such cases as rheumatoid arthritis, osteoarthritis, and osteoporosis. Such changes have made the elderly susceptible to hindrances of physical mobility which can be treated by giving range of motion (ROM) Exercises. The purpose of study to find out the effect of ROM Exercises against physical mobility for the elderly in </em><em>Center for Social Services, Tresna Werdha, Unit Abiyoso Yogyakarta</em><em>. This study was a qualitative research with an action research design. A purposive sampling method was used to collect the data from 5 respondents. Results: Physical mobility in elderly consists of five themes, namely range of motion, muscle strength, comfort, posture, and movement. ROM exercises provides changes in the ROM, comfort, and movement, but no change in the muscle strength and posture. Changes in the range of motion are found in the increased level of the range of motion which is seen in neck area and in reduced joint stiffness. Changes in comfort are seen in a feeling of happiness and less pain; yet, shortness of breath is not reduced. Changes in movement, which are different for every elderly, can be seen in increased gait speed, increased comfort which is the effect of fine motor skills, and decreased trembling. Conclusion: Some ROM exercises show effects on the physical mobility of the elderly. The effects can be traced from increased range of motion, comfort, and gait speed. Yet, the elderly’s posture and muscle strength do not experience any changes. </em></p>


2020 ◽  
Vol 20 (2) ◽  
pp. 100-114
Author(s):  
Leonid V. Yakushev ◽  

The paper analyses the potential for the recognition of human rights as a universal moral and legal regulator in the social and political sphere by Buddhism, Christianity (on the Orthodoxy example) and Islam. The analysis is focused on the dogmas and specific cultural norms of these religions which regulate the legal status of the individual. Among the Buddhism’s no­tions allowing the latter to join the global consensus on human rights, there are the category of compassion, the Five precepts and the doctrine of Buddha-nature. The last one seems to be the most promising. The understanding of the human freedom typical for the Orthodox tradition differs from the one implied by the conception of human rights. But supporters of human rights within the Orthodoxy appeal to the roots of ideas of universal equality and human dignity in the Christian moral ideal. The human rights’ protection, in their opinion, can be seen as a minimal manifestation of the Christian love. The Islam’s participation in the world consensus on human rights could be based on additional interpretation of the Quran and Sunnah that adapts some of their statements to the modern social life’s condi­tions. One of the crucial notions in this respect is maslakha (the general welfare principle) which fixes the basic goods of human life and secures their protection. The directions of the rapprochement of the three religious traditions with the conception human rights traced in the article can become the basis for a consensus that will make human rights genuinely uni­versal, but the real achievement of such a consensus depends on the readiness of religious leaders and ordinary believers to correct and develop their social and political ideals.


2020 ◽  
Vol 6 (8) ◽  
pp. 65-96
Author(s):  
S. Bulgakova ◽  
N. Romanchuk

Along with many physiological changes during normal aging, sleep also changes. Age-related changes in sleep include: a decrease in the duration of night sleep, an increase in the frequency of falling asleep during the day, an increase in the number of night awakenings and time spent without sleep during the night, a decrease in the phase of slow sleep, etc. Most of these changes occur between the young and the middle and remain unchanged in the elderly. In addition, the circadian system and homeostatic sleep mechanisms become less stable with aging. The level and nature of the secretion of hormones acting on sleep change during normal aging, which affects the processes of sleep and wakefulness. Sleep indicators are interrelated and/or dependent on lifestyle, polymorbidity (somatic, psychological), polypharmacy, epigenetic (social, economic, environmental, etc.) factors. Increased average human life expectancy and neuroendocrine changes in physiological and pathological aging, on the one hand, epigenetic factors and electromagnetic information load/overload, on the other hand, made a significant contribution to the circadian nature of human brain neural network interaction with artificial intelligence.


2019 ◽  
Vol 9 ◽  
pp. 165-180
Author(s):  
Agnieszka Morawiak

Innovation in creating consumer values as an important factor in socio-economic selection making  Consumption concerns many aspects of human life in both material and non-material dimensions. It shapes the attitude towards the family, spare time management, religion or culture. It sets the shape of our dreams, desires and life aspirations. On the one hand, it affects the system of our values, on the other hand, it is inspired by this system. Opponents of consumption, treating it as a secondary value and value in itself, accuse it of leading to the development of such phenomena as: mass entertainment, commercialization of culture or devel­opment of quite unnecessary, apparent needs. Instead, it removes the values generally respected in so­ciety, such as: interest in the fate of others, solidarity, care for the environment or the future of next gen­erations. Today’s consumer is not a mindless human being subject to the rules of the market, they are increasingly educated, aware and responsible. They make choices based not only on their own needs but based on values existing in a given society. They purchase wisely and respectfully, remembering that today’s choices will be the legacy for future generations, thus the consumer’s interest must be synchronized with these generations. Nowadays, it is the consumer who creates the image of the company, forcing it to take ethical and moral actions, and also heading for conscious consumption. Such an attitude creates the opportunity to include the consumer in the processes of companies’ activities and their innovations, as well as treating them personally and more like a partner. In the realities of the new economic, political, and social system, new values of individuals, as well as of entire social groups associated with the behaviour of consumers of the modern world are developing. Consumption, on the one hand, determines the shape of dreams, desires and the way of life. On the other hand, based on an innovative approach to it, it performs a symbolic function that gives a deeper and wider perspective to existing products, emphasizing them as exceeding their useful functions. Consumers becoming more aware of their choices take into account not only the system of their own values but also the values existing in a given society. This innovative approach to consumption creates new quality, a new lifestyle, it shapes new roles, it draws attention to the environment around us, and it cares about the sensible use of its resources and its means. Following values in the selection of products reveals responsibility connected to decision making, its impact on the environment and on entire social groups. They allow the individual to real­ize themselves in the group and the human community, they enable human development, achieving customer satisfaction, and avoiding the plundering economy. 


2021 ◽  
Vol 1 ◽  
pp. 755-759
Author(s):  
Viranika Setyaningsih ◽  
Herni Rejeki

AbstractElderly is one who has more than or equal to the age limit of 55 years, and at this age, physical mobility disorders often occur. It is the one's limitation in performing movements independently. One of the symptoms is getting paralysis or muscle weakness in the limbs. This study aims to observe and invesgate changes in range of motion with weakness in the extremities. The method applied on two families of elderly client after stoke was applying ROM therapy. The results shows on the first family, after applying ROM practices 6 times, there is a changes in range of motion. The client could fully practice ROM. The right leg is lighter when walking and the right arm can shake is hands family. Meanwhile, the result obtained from the later family, after practicing ROM 7 times, there is a change in range of motion. The left leg is lighter when walking and the fingers get better, not clenched. Thus, it could be concluded that this therapy can improve the changes in range of motion on the elderly clients after stroke. Furthermore, is expected to the nurses to teach this therapy on their clients. Keywords: Family Nursing Care, Elderly, Post Stroke, ROM AbstrakLanjut usia merupakan usia yang dimiliki seseorang lebih dari atau sama dengan batasan usia 55 tahun. Gangguan mobilitas fisik adalah suatu keterbatasan seseorang dalam melakukan gerakan secara mandiri. Salah satu gejalanya adalah kelumpuhan atau kelemahan otot pada anggota gerak. Tujuan studi kasus ini adalah untuk perubahan rentang gerak yang mengalami kelemahan pada ekstremitas. Metode yang digunakan pada dua keluarga klien lansia pasca stroke dengan memberikan terapi ROM. Hasil studi kasus ini 2 keluarga terjadi perubahan rentang gerak, pada keluarga I setelah dilakukan latihan ROM selama 6x terjadi perubahan rentang gerak dimana klien dapat melakukan ROM secara penuh. Kaki kanan terasa lebih ringan ketika berjalan dan berjabat tangan dengan kuat. Hasil keluarga II setelah dilakukan latihan ROM selama 7x terjadi perubahan rentang gerak. Kaki kiri terasa lebih ringan ketika berjalan dan jari tangan sudah membaik tidak mengepal. Kesimpulannya adalah terapi ROM dapat meningkatkan perubahan rentang gerak pada klien lansia pasca stroke. Saran bagi perawat diharapkan mengajarkan terapi ROM pada klien pasca stroke.Kata kunci: Asuhan Keperawatan Keluarga, Lansia, Pasca Stroke, ROM


2020 ◽  
Vol 8 (10) ◽  
pp. 1-13
Author(s):  
Ahmed Hassan Ali Murshed

Certainly, Love is one of the most unmistakable natural sentiments of the individual, so the psychologists have attempted to characterize the word 'love' in various manners, for instance,Freud, in his book, (Civilization and Contents)illuminates the sentiment of love according to mental perspective. As he would like to think, a limit between the 'object' and'ego' is degraded, so he stated that "Against to all proof of his feelings, a person, who is in love utters that 'you' and 'I' are one and begins carrying on as if it was a reality" (Freud, 13). 'Self' of the individual, who falls in love is totally degraded into 'oneself' of the other, so Love assumes an important role in bliss or despondency in human life, in which, the fruitful love makes life upbeat and on the contrary, its disappointment changes life into a hopeless wreck, so unfortunately, Unrequited Love is a one imbalance in which you may love someone with all your heart, but you don’t receive these feelings in return. In other words, it is love that isn’t reciprocated. For example, you may love someone deeply, but this person simply doesn’t love you back. This paper will discuss the characters’ suffering as a result of the one-sided love and explain how they behaved during the events of the love stories, as well as delineate the tragic ending of their unrequited love, furthermore, it will give some examples from some of Pamuk’s novels.


2018 ◽  
Vol 23 (2) ◽  
pp. 234-244
Author(s):  
Thomas Sören Hoffmann

The article compares different models of bioethics. The dominant model considers bioethics as just a new area of applied ethics focusing in its origin mainly on questions of medical ethics like those rising from reproductive medicine. Within the framework of this concept, the formal application of ethical principles on medical practices is normally understood as a strategy for the preservation of personal autonomy of the individual. Another model linked e.g. to the names of Van Rensselaer Potter or Hans Jonas can be called a "holistic" one and refers to ethical issues discussed within the greater context of "general meditation" of life in general, nature and human life-worlds. Holistic bioethics focuses on the idea of integrity, and it also allows an internal "living" pluralism of perspectives, which corresponds to the self-differentiation of life in a plurality of life-worlds. The third model is an integrative bioethics which not only tries to combine the perspectives of autonomy on the one hand, life and nature as a whole on the other, but also shows that bioethics is founded on its own sources of normativity (e.g. in the idea of life). From these sources also rises its task of “integrating” the perspectives of different scientific disciplines on issues of life in general. The concept of "integrative bioethics" is promoted in the article because of the following characteristics: integrative bioethics considers all kinds of interaction between autonomous persons, living beings and nature in general; it is transdisciplinary and therefore based on a dialogue of all sciences in which bioethical awareness of the problem may arise; it is open also to non-scientific manifestations of individual and social consciousness and therefore in discussing live in a normative sense nevertheless stays in contact with the real life-worlds of real people. At the end of the article integrative bioethics is discussed with regard to the example of the meaning of the idea of a “natural will”.


2019 ◽  
Vol 9 ◽  
pp. 107-116
Author(s):  
Monika Mucha

Fashion: A factor determining or excluding the participation of seniors on the market?  Fashion is an inseparable element of contemporary human life. In general, clothing choices are determined by age, gender and material factors. In terms of age, however, these decisions differ significantly, which is especially evident among the elderly. In consumer choices older consumers are usually guided by rationality. Seniors are currently a specific group of consumers on the market. On the one hand, they are marginalized because of their age and earnings, but on the other hand, it is a social group that begins to dominate the market, which in the near future will become a group of target recipients, including clothing products. When discussing fashion, there are also important characteristics of consumers that influence the fact of whether a given person is an active partici­pant on the market or is an individual excluded from it. The purpose of this article is to try to define fashion as a factor determining or excluding the participation of seniors in the market. The paper presents an analysis of secondary research and the results of pilot studies on the attitude of seniors in the context of fashion. 


Author(s):  
Shunqing ZHANG

LANGUAGE NOTE | Document text in Chinese; abstract also in English.正義是一個歷史範疇,任何具有實踐品格的正義理論都只能是與特定道德共同體特殊的善的規定相聯繫的正義論,從這一意義上說,儒家當然也有自己的正義論。儒家正義論是以天道性命的邏輯關係為起點,通過仁、禮、義三維一體的倫理結構而表現的正義論。這種正義論將社會正義與個人正義統一起來,總體上體現為一種“厚生”的思想意識和行動。由於“生”具有不同的實踐領域和境界層次,從而使儒家正義論具有多維的展現向度。把這種正義論應用於醫療公正領域,儒家主張醫療保健政策必須以維護國民的生命意義和完整實現為前提,主張政府應提供一種基礎性的全民性的醫療保障和保健制度。但儒家不認同單級的平等主義的分配制度,而是強調資源的差等分配,但資源差等分配的前提不在於每個人實際的貧富狀態,而取決於人的修德程度或者說後天努力與貢獻的程度。個體對自我生命的完整實現負有天定的義務,因此儒家主張在醫療保健領域應當賦予個體和家庭以更多的自主權。In the West, “justice” is a complex ethical principle, with meanings that range from the fair treatment of individuals to the equitable allocation of healthcare resources. Justice in bioethics is perhaps the most contested and controversial principle. This paper argues that the Confucian notion of justice is neither rights-based nor distributive; rather, it is based on the virtues of humanness and benevolence (ren), correct behavior and propriety (li), and uprightness and appropriateness (yi). Those virtues cherished in the Confucian tradition constitute what can be called a Confucian concept of justice, the primary principle of which is to respect human life. This means that in the healthcare system, the Confucian idea of justice is approached from the perspective of equality and fairness. On the one hand, the government should provide basic care for all persons according to the virtue of humanness/benevolence; on the other hand, the government should allow for diversity and differences in medical treatment and healthcare resource allocation according to the virtues of propriety and appropriateness, given that medical resources are limited and China supports a huge population. In other words, the government has the responsibility of providing public health care to those who cannot afford to pay for their own basic healthcare needs. At the same time, the government should allow for alternatives and should permit people to choose between ways of dealing with their medical issues.Clearly, the language of “rights” is absent from the Confucian tradition. However, this essay argues that because the Western notion of justice, particularly in the legal sense, does not take into account what is good, the Confucian virtue-based justice better fits the cultural milieu of medical practice in China. From the standpoint of Confucianism, healthcare and bio-medical ethics should be more concerned about what is good for society, family, and the individual than about absolute equality or the principle of fair equality, which engender both moral and economic hazards.DOWNLOAD HISTORY | This article has been downloaded 259 times in Digital Commons before migrating into this platform.


Author(s):  
Liubov Tarabasovа ◽  
Viacheslav Shynkarenko ◽  
Olha Perederii

The social-anthropological dimension of human life is considered in the inseparable unity of the process of activity and life strategies, which is associated with the process of its socialization, the formation of appropriate images of the future. Activity as a universal characterization of a person’s relation to the surrounding world reveals the essential features of a person as an active being aimed at the creative transformation of the external world and of himself. The activity has a subject-transformational character and is connected with the whole assignment, that is, the realization of the purpose and means of its achievement. The life activity of a person determines the process of organizing its life on the basis of social, psychological and biological activity and covers all the directions of its changes, the qualitative variety of these changes. The personality of a person is formed and developed as a result of the influence of various factors, objective and subjective, natural and social. The child acts as the subject of the formation of his own personality, that is, the formation of himself as a social being as a result of the influence of the environment on it and the system of upbringing. In the environment, the child is socialized. On the one hand, the individual assimilates social experience, values, norms, settings, peculiar to society, society and social groups to which he belongs, and on the other hand, he is actively involved in the system of social connections, whose enthusiasm acquires social experience. The article examines the problem of social and anthropological measurement of the child’s life in the context of pre-school education. On the basis of philosophical and scientific-pedagogical literature, the concept of «socialization», «activity» is highlighted. The hypothesis concerning the decisive role of social interaction in the development of thinking is considered. It is determined that from the early age children form ideas about such concepts as «friendship», «justice», «individuality», «authority». The age-old peculiarities of the children of the senior preschool age are substantiated, and it is proved that the most important need of the child is the desire to live with the people who surround it, the common life, to enter into direct contact with them, to constantly intersect with the adult world.


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