Pemenuhan Kebutuhan Aktivitas Pada Lansia Dengan Rheumatoid Arthritis (RA) Di UPT Pelayanan Lanjut Usia Binjai

2021 ◽  
Vol 1 (3) ◽  
pp. 270-283
Author(s):  
Natasya Sianipar ◽  
Resmi Pangaribuan ◽  
Jemaulana Tarigan
Keyword(s):  
Rheumatoid Arthritis ◽  
Range Of Motion ◽  
Social Services ◽  
Joint Stiffness ◽  
The Elderly ◽  
Nursing Intervention ◽  
Descriptive Case Study ◽  
Physical Mobility ◽  
Keywords Rheumatoid Arthritis

ABSTRACT: FULFILLMENT OF AN ELDERLY ACTIVITY NEED WITH RHEUMATOID ARTHRITIS (RA) AT UPT PELAYANAN SOCIAL LANJUT USIA BINJAI Introduction: Musculoskeletal system disorders are often experienced by the elderly that consist of rheumatoid arthritis, osteoarthritis, and gout. Rheumatoid arthritis is an autoimmune disease with the main target is the joints, usually occurs in the joints of the hand, elbows, feet, and knees. Pain, swelling, and stiffness in the joints can take place continuously, it could cause the elderly to experience the impaired physical mobility. Purpose: The study aimed to fulfill the physical mobility needs in rheumatoid arthritis at UPT Social Services for Elderly Binjai.Methods: The study used a descriptive case study design on two elderly with the same disease which includes five stages of the nursing process; assessment, diagnosis, intervention, implementation, and evaluation. The study was conducted at UPT Social Services for Elderly Binjai with inclusion criteria, specifically the patients who suffer from rheumatoid arthritis, having impaired physical mobility, and the elderly aged 60-74 years.Result: The result after being given nursing care for four days of visits with nursing intervention by performing Range Of Motion (ROM), showed that patients 1 and 2 had a significant increase in extremity movement, and a decrease of pain, joint stiffness, and physical weakness. Conclusion: It is suggested to the patients and families to continue providing ROM to reduce the pain, recover the patient's ability to move the muscles, improve blood circulation, and increase physical mobility. Keywords: Rheumatoid Arthritis, Physical Mobility, Elderly.  INTISARI: PEMENUHAN KEBUTUHAN AKTIVITAS PADA LANSIA DENGAN RHEUMATOID ARTHRITIS (RA) DI UPT PELAYANAN LANJUT USIA BINJAI Latar Belakang: Gangguan system muskuloskletal yang sering dialami oleh lansia diantaranya adalah Rheumatoid Arthritis, osteoarthritis, dan gout, Rheumatoid Arthritis adalah suatu penyakit autoimun. Dengan target utama adalah sendi, biasanya  terjadi di sendi tangan, siku, kaki, dan lutut. Nyeri, Bengkak, dan kaku pada persendian dapat berlangsung secara terus menerus  hal tersebut dapat menyebabkan lansia mengalami gangguan mobilitas fisik.Tujuan: Penelitian ini bertujuan untuk memenuhi kebutuhan mobilitas fisik pada Rheumatoid Arthritis Di UPT Pelayanan Lanjut Usia Binjai.Metode: Jenis penelitian ini Adalah deskriptif dengan rancangan studi kasus pada dua orang lansia dengan penyakit yang sama yang meliputi lima tahapan proses keperawatan yaitu pengkajian, diangnosa keperawatan, intervensi keperawatan, implementasi keperawatan, dan evaluasi. Penelitian ini dilakukan di UPT Pelayanan Sosial Lanjut Usia Binjai dengan Kriteria inklusi yaitu pasien yang menderita Rheumatoid Arthritis, klien yang mengalami gangguan mobilitas fisik, lansia yang berumur 60-74 Tahun.Hasil: Hasil studi kasus  setelah diberikan asuhan keperawatan selama empat hari kunjungan dengan intervensi keperawatan berupa diberikan Asuhan keperawatan gerakan Range Of Motion (ROM) di dapatkan hasil  pada klien 1 dan 2 menunjukkan pergerakan ekstermitas Meningkat, Nyeri menurun, Kaku sendi menurun, Kelemahan fisik menurun.Kesimpulan: untuk klien dan keluarga agar klien mampu melanjutkan pemberian  tindakan gerakan Range Of Motion (ROM) Untuk mengurangi rasa nyeri, mengembalikan kemampuan klien menggerakan otot, melancarkan peredaran darah, dan meningkatkan mobilitas fisik. Kata Kunci: Rheumatoid Arthritis, Mobilitas Fisik, lansia. 

scholarly journals Latihan Range of Motion Berpengaruh Terhadap Mobilitas Fisik pada Lansia di Balai Pelayanan Sosial Tresna Werdha Unit Abiyoso Yogyakarta

2017 ◽  
Vol 4 (3) ◽  
pp. 169
Author(s):  
Hermina Desiane Hastini Uda ◽  
Muflih Muflih ◽  
Thomas Aquino Erjinyuare Amigo
Keyword(s):  
Muscle Strength ◽  
Life Expectancy ◽  
Range Of Motion ◽  
Social Services ◽  
Gait Speed ◽  
Joint Stiffness ◽  
The Elderly ◽  
Fine Motor ◽  
Population Number ◽  
Physical Mobility

<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>

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

2019 ◽  
Vol 13 (2) ◽  
Author(s):  
Andri Setyorini ◽  
Niken Setyaningrum
Keyword(s):  
Range Of Motion ◽  
Human Life ◽  
The Elderly ◽  
General Purpose ◽  
Test Statistic ◽  
Physical Mobility ◽  
Motion Exercise ◽  
The One ◽  
The Individual ◽  
Active Training

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.

Penerapan Latihan Range Of Motion (ROM) aktif pada pasien pasca stroke di Desa Sampangan Pekalongan

2021 ◽  
Vol 1 ◽  
pp. 1350-1354
Author(s):  
Cahya Milla Rismawanti ◽  
Wiwiek Natalya ◽  
I Isytiaroh
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Nerve Paralysis ◽  
Rehabilitation Process ◽  
Keywords Stroke ◽  
Post Stroke ◽  
Physical Mobility ◽  
The Family ◽  
The Brain

AbstractStroke is a brain functional disorder characterized by nerve paralysis due to obstruction of blood flow to the brain. The frequent impact if a post-stroke client is not carried out with rehabilitation immediately will result in mobility disorder that can impede daily physical activity. One pratice in the rehabilitation process is to prevent disability in a client with post-stroke physical mobility disorder that is, by performing a Range Of Motion rope. The case study is intended to illustrate application of roma exercises to boost muscle strength. The method of writing the case study USES a descriptive design and case studies reported in narration. The instrumrnts used are observation sheets and structured observation sheets covering the assessment of muscle strength. The resulth of the case study have been after the six-meeting application of roma that the roma can increase muscle strength in subject. I the average muscle strength 3.31 to 3.50 and subject II average muscle strength 3.68 to 3,93. The conclusion of the case study increased muscle strength after the practice of roma. Suggestions for the family in order to train ROM for family members who had suffered stroke. Keywords: Stroke, muscle strength, ROM AbstrakStroke adalah penyakit nerulogis terbanyak yang dapat mengakibatkan disfungsi motorik dan sensorik.Dampak yang sering muncul jika klien pasca stroke tidak dilakukan rehabiltasi dengan segera maka akan mengalami gangguan mobilitas yang dapat menghambat aktivitas fisik sehari-hari. Saalah satu bentuk latihan dalam proses rehabilitasi untuk mencegah terjadinya kecacatan pada klien dengan gangguan mobilitas fisik pasca stroke yaitu dengan melakukan latihan Range Of Motion ROM. Studi kasus ini bertujuan untuk menggambarkan penerapan latihan ROM untuk meningkatkan kekuatan otot. Metode penulisan studi kasus ini menggunakan rancangan deskriptif dan hasil studi kasus dilaporkan dalam bentuk narasi. Instrumen yang digunakan yaitu lembar pengkajian dan lembar observasi terstruktur meliputi penilaian kekuatan otot. Hasil studi kasus setelah dilakukan penerapan ROM selama 6 pertemuan bahwa ROM dapat meningkatkan kekuatan otot pada Subyek I nilai rata-rata kekuatan otot 3,31 menjadi 3,50 dan Subyek II nilai rata-rata kekuatan otot 3,68 menjadi 3,93. Simpulan studi kasus ini terjadi peningkatan kekuatan otot setelah dilakukan latihan ROM. Saran bagi keluarga agar dapat melatih ROM pada anggota keluarga yang mengalmi stroke. Kata kunci: Stroke, kekuatan otot, ROM

scholarly journals PENGARUH PEMBERIAN TERAPI MUSIK GAMELAN JAWA TERHADAP TINGKAT KECEMASAN LANSIA

2019 ◽  
Vol 3 (1) ◽  
pp. 72
Author(s):  
Utami Dwi Yusli ◽  
Nurullya Rachma
Keyword(s):  
Music Therapy ◽  
Social Services ◽  
The Elderly ◽  
Nursing Intervention ◽  
Anxiety Level ◽  
Anxiety Scale ◽  
P Value ◽  
Purposive Sampling ◽  
Group Design ◽  
Therapy Intervention

Kecemasan lansia di panti wreda cenderung meningkat setiap hari.Kondisi ini dapat mengakibatkan ketidakmampuan berlebihan dan gangguan pada kualitas kehidupan lebih lanjut pada lansia. Terapi musik gamelan adalah salah satu alternatif terapi pada lansia dengan kecemasan, terutama kecemasan ringan sampai sedang yang sangat mudah untuk dilakukan dan tanpa efek samping. Penelitian ini bertujuan untuk mengetahui pengaruh terapi Musik Gamelan Jawa terhadap kecemasan pada lansia di Rumah Pelayanan Sosial Lanjut Usia Pucang Gading Semarang. Metode penelitian yang digunakan adalah penelitian kuantitatif dengan quasi experiment design dengan rancangan pretest-postest one group design. Teknik sampling yang digunakan adalah purposive sampling dengan jumlah sampel 40 responden. Pengambilan data menggunakan lembar kuesioner Geriatric Anxiety Scale (GAS). Hasil penelitian menunjukkan bahwa ada pengaruh terapi musik gamelan jawa terhadap tingkat kecemasan Lansia di Rumah Pelayanan Sosial Lanjut Usia Pucang Gading Semarang dengan nilai p value 0,000. Terapi musik gamelan dapat menjadi salah satu alternatif intervensi keperawatan yang dapat dilakukan oleh para caregiver di panti wreda untuk dapat diimplementasikan kepada lansia dengan masalah kecemasan. Kata kunci: Musik gamelan, lansia, kecemasan Abstract The effect of javanese gamelan music therapy intervention on elderly anxiety level. Elderly anxiety level in nursing homes tend increase every day. This condition can lead to excessive incompetence and further interference in quality of life. Gamelan music therapy is an alternative therapy management in the elderly with anxiety. It can control mild to moderate anxiety level which is very easy to do without side effects. The purpose of this study was to determine the effect of javanese gamelan music therapy intervention on elderly anxiety level at Elderly Social Services Home of Pucang Gading Semarang. The method of this study was quantitative used quasi-experimental design with pretest-posttest one group design. Sampling technique used was purposive sampling with 40 respondents as the sample. Retrieving data using a Geriatric Anxiety Scale (GAS) questionnaire sheet . The results show that there was a significant influence of Javanese gamelan music therapy on anxiety level of the Elderly at Elderly Social Services Home of Pucang Gading Semarang with p value of 0.000. Gamelan music therapy can be an alternative nursing intervention and can be done by the care giver in a nursing home for  elderly with anxiety problems.  Keywords: Gamelan music, elderly, anxiety

Penerapan Terapi Rom Terhadap Perubahan Rentang Gerak Pada Klien Lansia Pasca Stroke

2021 ◽  
Vol 1 ◽  
pp. 755-759
Author(s):  
Viranika Setyaningsih ◽  
Herni Rejeki
Keyword(s):  
Range Of Motion ◽  
Muscle Weakness ◽  
Nursing Care ◽  
The Elderly ◽  
Post Stroke ◽  
Physical Mobility ◽  
Family Nursing ◽  
Age Limit ◽  
The Right

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

scholarly journals The Effectiveness of Yoga to theJointPain of Elderly in PSLU Blitar

2016 ◽  
Vol 3 (3) ◽  
pp. 257-261
Author(s):  
Ning Arti Wulandari
Keyword(s):  
Social Services ◽  
Joint Pain ◽  
Joint Stiffness ◽  
The Elderly ◽  
Pain Scale ◽  
Analog Scale ◽  
Normal Functions ◽  
Post Test ◽  
Gradual Disappearance ◽  
Physical Changes

The aging process is a process of gradual disappearance of the network’s ability to repairitself and maintain its normal functions. Some physical changes will occur on all systems, for example inthe musculoskeletal system decreased fluid in the bone resulting in joint stiffness and joint pain. Themanagement of joint pain with some nonpharmacological therapy one of them is yoga. The purpose ofthis study was to identify the effectiveness of yoga to the joint pain of elderly. Method; This study designused pre and post test without control, with the number of sample 10 elderly people by purposivesampling. This research was conducted in elderly social services Blitar 11 to 14 December 2016. Thedata collected by using the Visual Analog Scale (VAS). The results of this study before the elderly didyoga was 80% felt joint pain scale was after attending a yoga 50% of elderly felt mild pain, the resultsof statistical analysis with Paired T Test was p = 0.001 means that there was an effect on joint pain byyoga exercises. Therefore, health employee could facilitate the elderly to follow yoga by bringing yogainstructors since yoga is considering not only reduces joint pain but also reduce stress and improve theenergy balance.

scholarly journals Asuhan Keperawatan Pada Lansia Ny.W Dengan Arthritis Gout Dalam Penerapan Implementasi Senam Ergonomis Untuk Menurunkan Nyeri : Studi Kasus

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Ketut Dewi Budiari ◽  
Nova Natalia Beba ◽  
Wibawani Yunestri Mukti ◽  
Sabarulin Tarigan
Keyword(s):  
Nursing Care ◽  
Case Study Research ◽  
The Elderly ◽  
Care Practice ◽  
Assessment Data ◽  
Descriptive Case Study ◽  
The Right ◽  
Special Assessment ◽  
Assessment Format

Elderly who experience pain needs to get attention with special strategies and techniques in solving problems. Implementation of ergonomic gymnastic becomes one of the right actions. The research objective was to find out and get an overview of nusing care to the elderly, Mrs.W who has arthritis gout in the implementation of ergonomic gymnastics to reduce pain in Tatura Utara Sub-District, Palu City. Descriptive case study research design, responden was 1 person, data was collected by interview, observation and physical, examination. The instrument used was an assessment format for the elderly that focused on pain problems and extremity assessment. Data analysis used was data reduction, presentation and conclusion. The results obtained from the special assessment on the elderly only focused on pain problems. The intervention conducted was the implementation of ergonomic gymnastics. The conclusion of nursing evaluation was obtained after nursing actions were carried out for 3 times which the client’s pain level was decreased. It is hoped that from the results of nursing care case study, the implementation of ergonomic gymnastics can be applied in Home Care practice for elderly.Keywords:  Nursing care, Arthritis gout, Ergonomic gymnastics, Pain, Elderly

Penerapan Terapi Range Of Motion (Rom) Terhadap Peningkatan Kekuatan Otot Pada Pasien Dengan Stroke

2021 ◽  
Vol 1 ◽  
pp. 692-698
Author(s):  
M. Zulfi Pratama ◽  
Firman Faradisi ◽  
Nuniek Nizmah Fajriyah
Keyword(s):  
Blood Flow ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Muscle Weakness ◽  
Stroke Patients ◽  
Physical Mobility ◽  
Patient Families ◽  
Scientific Essay ◽  
The Brain

Abstract A stroke is an injury to the brain caused by a blockage obstruction of blood flow to the brain. Weakness in the limbs is often found in patients with strokes. Range Of Motion therapy may help to increase the muscle strength that is experencing weakness, avoiding complications from inactivity, such us contractions. This study aims to describe the effect of ROM Therapy in stroke patients with impaired physical mobility. The design of the scientific essay was a case study of two stroke clients who had msucle weakness. A research instrument is an obsevation sheet on the scale of the muscle strength. This case study was conducted for six days of ROM therapy with a frequency of twice a day.The case study result showed that two respondents experienced an increase in muscle strength after ROM therapy. This study concludes that ROM therapy may increase muscle strength among stroke patients. Stroke patient families are expected to assist and support the patient during Range Of Motion exercises.Keywords: Muscle weakness strength, Range Of Motion, Stroke. Abstrak Stroke merupakan keadaan cidera pada otak yang disebabkan sumbatan atau obstruksi aliran darah menuju otak. Kelemahan pada anggota gerak sering dijumpai pada pasien dengan stroke. Pemberian terapi Range Of Motionbermanfaat untuk meningkatkan kekuatan otot yang mengalami kelemahan, menghindari komplikasi akibat kurang gerak, seperti kontraktur. Penelitian ini bertujuan untuk menggambarkan penerapan terapi ROM pada pasien stroke dengan gangguan mobilitas fisik. Desain karya tulis ilmiah berupa studi kasus pada 2 klien stroke yang mengalami masalah kelemahan otot. Instrumen penelitian berupa lembar observasi mengenai skala kekuatan otot. Studi kasus ini dilakukan selama 6 hari dengan frekuensi 2 kali sehari dengan intervensi penerapan terapi Range Of Motion (ROM). Hasil studi kasus menunjukan masalah gangguan mobilitas fisik yang dialami kedua responden mengalami peningkatan kekuatan setelah dilakukan terapi ROM. Kesimpulan terapi Range Of Motion(ROM) dapat untuk mningkatkan kekuatan otot pada pasien stroke. Saran bagi keluarga diharapkan keluarga untuk selalu melakukan pendampingan saat dilakukaSaran bagi keluarga diharapkan keluarga untuk selalu melakukan pendampingan saat dilakukan implementasi agar dapat menjadi supporting sistem bagi pasien dan dapat mengerti sehingga dapat membantu klien dalam melakukan latihan rentang gerak otot.Kata kunci: Kelemahan kekuatan otot, Range Of Motion, Stroke.

Institutional Racism in Old Age: Theoretical Perspectives and a Case Study About Access to Social Services

1987 ◽  
Vol 6 (2) ◽  
pp. 128-140 ◽  
Author(s):  
Micheal J. MacLean ◽  
Nancy Siew ◽  
Dawn Fowler ◽  
Ian Graham
Keyword(s):  
Elderly People ◽  
Social Services ◽  
The Elderly ◽  
Institutional Racism ◽  
Chinese People ◽  
Canadian English ◽  
Service Accessibility ◽  
Theoretical Perspectives ◽  
Elderly Chinese

ABSTRACTThis paper presents an analysis of access to social and health services of elderly people at three community and social service centres (CLSCs) in Montreal. Workers at the CLSCs were interviewed about service accessibility for elderly people in their neighbourhood. The elderly clientele of one CLSC, located in the centre of Montreal, primarily consists of French-Canadians and English-Canadians; the second CLSC is in a neighbourhood with many elderly Portuguese and the third CLSC is in a neighbourhood where a large concentration of elderly Chinese people live. No problems of access to services were perceived for elderly French-Canadian, English-Canadian or Portuguese people while serious problems of access were perceived for elderly Chinese people. Services provided for elderly people of the dominant cultures and elderly Portuguese are limited or unavailable to elderly Chinese people of Montreal. This suggests institutional racism against elderly Chinese people.

scholarly journals ASUHAN KEPERAWATAN PADA SALAH SATU ANGGOTA KELUARGA DENGAN GANGGUAN MOBILITAS FISIK AKIBAT GOUT ARTRITIS DI WILAYAH KERJA PUSKESMAS TAHUNA BARAT

2021 ◽  
Vol 5 (1) ◽  
pp. 9-13
Author(s):  
Rinaldi Adrian ◽  
Yeanneke Liesbeth Tinungki ◽  
Gracia Christy Tooy
Keyword(s):  
World Health Organization ◽  
Early Mobilization ◽  
The Body ◽  
World Health ◽  
Descriptive Case Study ◽  
Physical Mobility ◽  
Nursing Diagnosis ◽  
The Family ◽  
Health Organization

Gout Artritis merupakan salah satu penyakit yang telah lama dikenal dan sampai saat ini masih menjadi penyebab berbagai penyakit. Prevalensi gout artritis menurut World Health Organization (WHO) tahun 2018 gout artritis mengalami kenaikan dengan jumlah 1.370 (33,3%). Gangguan mobilitas fisik ini sering menjadi masalah keperawatan pada kasus Gout Artritis akibat kadar purin tinggi dalam darah, maka tubuh akan meresponnya dengan ditandai adanya hambatan mobilitas fisik pada sendi, menggigil dan badan lemah. Tujuan studi kasus diketahuinya asuhan keperawatan pada salah satu keluarga dengan gangguan mobilitas fisik akibat gout artritis di wilayah kerja Puskesmas Tahuna Barat. Metode studi kasus adalah desain studi kasus deskriptif dengan subjek studi kasus satu orang klien yang diamati dan berfokus untuk mengajarkan latihan rentang gerak (ROM) dan melibatkan keluarga untuk membantu klien dalam meningkatkan pergerakan. Hasil yang diperoleh : Diagnosa keperawatan gangguan mobilitas fisik berhubungan dengan ketidakmampuan keluarga dalam merawat anggota keluarga yang sakit, subjek studi kasus ditemukan nyeri pada lutut dan keluarga tidak tahu perawatan yang dibutuhkan untuk menanggulangi masalah kesehatan atau penyakit yang dialami yang menyebabkan gangguan mobilitas fisik. Kesimpulan : Masalah pada klien teratasi karena klien sudah dapat bergerak walaupun nyeri hilang dan sudah dapat melakukan mobilisasi dini dengan adanya dukungan keluarga. Saran : Perawat lebih meningkatkan pelayanan serta dapat memberikan pendidikan kesehatan pada klien yang menderita gout artritis.   Gout artritis is a disease that has been known for a long time and is still the cause of various diseases. The prevalence of gout artritis to the World Health Organization (WHO) in 2018 gout artritis has increased by 1370 (33,3%). Impaired physical mobility was often a nursing problem in cases of Gout artritis due to high levels of purines in the body´s blood which responds to it by being marked by obstacles to physical mobility in the joints, chills and weakness. The purpose of the case study was to find out nursing care in a family with impaired physical mobility due to gout artritis in the work area Puskesmas of the Tahuna Barat. The case study method was a descriptive case study design with a case study subject of one client who was observed and focus on teaching range of motion (ROM) exercise and involve the family to assist the client in improving movement. The result obtained: Nursing diagnosis of impaired physical mobility related to the inability of the family to care of sick family members, case study subjects found knee pain and the family who did not know the treatment needed to overcome health problem or illnesses that caused physical mobility problems. Conclusion: The Problem in the client was resolved because the client was able to move even though the pain was gone and can do early mobilization with family support. Suggestion: Nurse improve services and can provide health education to client who suffering from gout artritis.

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