scholarly journals Skrining Osteoporosis Dengan Ultrasonografi Kalkaneus Sebagai Upaya Pencegahan Patah Tulang Pada Usia Lanjut

Society ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 122-134
Author(s):  
Basuki Supartono ◽  
Sofia Wardhani ◽  
Prita Kusumaningsih

Abstrak Latar Belakang. Patah tulang osteoporosis pada usia  lanjut menimbulkan banyak komplikasi dan menjadi beban ekonomi. Pemerintah telah melakukan strategi pencegahan dan pengobatan namun belum melakukan strategi skrining osteoporosis. Bila hal ini tidak dilakukan maka beban tersebut akan semakin berat di masa mendatang. Skrining dapat dilakukan menggunakan alat pengukur densitas tulang ultrasonografi kalkaneus. Alat ini ringan, mudah dipindah-pindahkan, aman, nyaman dan hasilnya akurat untuk skrining tulang. Alat ini adalah alternatif diagnosis osteoporosis secara dini sebagai strategi pencegahan patah tulang osteoporosis pada kaum lanjut usia terutama bagi warga desa.  Kegiatan skrining akan maksimal hasilnya bila menggunakan pendekatan kolaborasi dengan melibatkan berbagai pemangku kepentingan. Analisis situasi. Kelurahan Tugu, Kecamatan Cimanggis, Depok mempunyai banyak warga lanjut usia yang berisiko patah tulang. Terdapat kegiatan pos pembinaan terpadu (Posbindu) namun tidak mempunyai program pencegahan osteoporosis.  Permasalahan. Belum adanya kegiatan pencegahan osteoporosis bagi warga desa lanjut usia. Solusi. Kegiatan pengabdian masyarakat berupa skrining osteoporosis dengan melibatkan Pos Pembinaan Terpadu menggunakan alat ultrasonografi kalkaneus. Kesimpulan. Pencegahan osteoporosis wanita lansia di desa berhasil dilakukan melalui skrining tulang menggunakan alat ultrasonografi kalkaneus berkolaborasi dengan Posbindu setempat. Kata Kunci: pengabdian masyarakat, osteoporosis, patah tulang, usia lanjut, ultrasonografi kalkaneus     Abstract Background. Osteoporotic fractures in the elderly cause many complications and become an economic burden. The government has implemented prevention and treatment strategies but has not implemented osteoporosis screening strategies. If this is not done, the burden will become heavier in the future. Screening can be performed using a calcaneus ultrasound bone densitometry. This device is lightweight, portable, safe, comfortable, and accurate for bone screening. This tool is an alternative early diagnosis of osteoporosis as a strategy to prevent osteoporosis fractures in the elderly, especially for rural residents. Screening activities will have maximum results when using a collaborative approach involving various stakeholders. Situation analysis. Tugu Village, Cimanggis District, Depok has many elderly populations who are at risk of fractures. This village has an Integrated Healthcare Center (Posbindu), but it has no osteoporosis prevention program. Problem. There are no osteoporosis prevention activities for elderly villagers. Solution. Community service activities in the form of an osteoporosis screening program involving the Integrated Guidance Post using a calcaneus ultrasound. densitometry Conclusion. The prevention of osteoporosis fracture in elderly villagers has been successfully carried out through bone screening using a calcaneus ultrasound bone densitometry in collaboration with the local Posbindu. Keywords: community service, osteoporosis, fractures, elderly, calcaneus ultrasound densitometry

Author(s):  
Elferida Sormin ◽  
Rosintan Napitupulu ◽  
Novlinda Susi Andrianawati ◽  
Ronny Gunawan ◽  
Renatha Ernawati ◽  
...  

Abstrak Jumlah penduduk lansia Indonesia saat ini yang sudah mencapai persentase 9,6% dari total jumlah penduduk menjadi perhatian semua stakeholder termasuk pemerintah dan akademisi di perguruan tinggi. UKI yang berkedudukan wilayah terdapat di Jakarta Timur menjadi salah satu dari lima perguruan tinggi yang dihunjuk langsung oleh pemerintah provinsi DKI Jakarta melalui Dinas Pemberdayaan Perlindungan Anak dan Pengendalian Penduduk (Dinas PPAPP) Provinsi DKI Jakarta untuk melakukan kegiatan KKN Tematik, yang oleh UKI dilaksanakan dalam bentuk kegiatan pengabdian kepada masyarakat dengan jenis kegiatan pendampingan pengelolaan dan pembinaan kelompok Bina Keluarga Lansia (BKL). Adapun yang menjadi tujuan dari kegiatan pengabdian ini adalah untuk menggairahkan kembali kelompok-kelompok BKL yang sudah pernah terbentuk, namun tidak ada aktifitas alias mati suri. Bekerjasama dengan Sudin PPAPP Jakarta Timur, Tim UKI diarahkan untuk melakukan pendampingan dan pembinaan kepada kelompok BKL di RW 05 Kelurahan Cililitan. Berdasarkan data yang diperoleh, terdapat sekitar seratus orang lansia yang menjadi anggota tetap BKL di RW 05 Kelurahan Cililitan, yang pada saat awal dibentuk memiliki struktur kepengurusan yang sah dan berbagai macam program. Namun beberapa waktu terakhir dengan adanya pergantian kepengurusan, aktifitas berkurang bahkan struktur kepengurusan juga belum memeroleh pengesahan dari Kelurahan. Hal ini disebabkan oleh beberapa faktor, di antaranya tidak tersedianya cukup banyak waktu oleh pengurus yang terbaru untuk melakukan koordinasi. Melalui kegiatan pendampingan dan pembinaan yang dilakukan oleh tim UKI bekerjasama dengan dinas PPAPP diperoleh beberapa hasil, di antaranya semakin bertambahnya pengetahuan para kader tentang kelanjutusiaan yang diperoleh dari kegiatan sharing dan diskusi, terbentuknya kepengurusan kelompok BKL yang disahkan oleh Lurah Kelurahan Cililitan dan adanya program terencana kelompok BKL  Kata kunci: Bina Keluarga Lansia, Pengabdian kepada Masyarakat, Kelanjutusiaan Abstract The current population of elderly Indonesians who have reached 9.6% of the total population is the concern of all stakeholders including the government and academics in tertiary institutions. UKI domiciled in East Jakarta is one of five tertiary institutions appointed directly by the provincial government of DKI Jakarta through the Office of the Empowerment of Child Protection and Population Control (Dinas PPAPP) of DKI Jakarta Province to carry out Thematic Community Service Program activities, which is conducted by UKI in the form of community service activities with the type of mentoring management and fostering the Elderly Family Development (BKL) group. The purpose of this community service activity is to revive BKL groups that have already been formed, but there is no suspended activity. In collaboration with East Jakarta PPAPP Sub-dept., The UKI Team was directed to provide assistance and guidance to the BKL group in RW 05, Cililitan Village. Based on the data obtained, there are about one hundred elderly people who become permanent BKL members in RW 05, Cililitan Sub-District, which at the beginning were formed having a legal management structure and various programs. However, recently with the change of management, activities have been reduced, even the management structure has not yet received approval from the Kelurahan. This is caused by several factors, including the unavailability of enough time for the latest management to coordinate. Through the mentoring and coaching activities carried out by the UKI team in collaboration with the PPAPP service, several results were obtained, including the increasing knowledge of cadres about humanity obtained from sharing and discussion activities, the formation of the management of the BKL group which was endorsed by the Kelurahan of Cililitan and the planned group program BKL  Keywords: Elderly Family Development, Community Service, Continuation


2021 ◽  
Vol 2 (1) ◽  
pp. 63-69
Author(s):  
Muhammad Mahafada Esa Putra Tugiyono ◽  
Rita Kusuma Astuti

The purpose of the vaccination program organized by the government is to reduce the possibility of transmission of the Corona virus. If given in bulk, the Covid-19 vaccine can encourage the formation of herd immunity in society. So, people with vulnerable ages such as the elderly and infants or people with autoimmunity and people who can't get vaccinated can still get protection from those around them. Community Service Activities by Immigration Polytechnic Cadets in the context of Vaccination in the Tangerang City area received a positive response in the form of appreciation and thanks delivered directly by the Covid-19 Task Force. It is hoped that this activity is a form of concern and involvement in supporting the government's program to suppress the spread of Covid-19 in Indonesia so that herd immunity can be formed and the pandemic can be ended immediately.


2018 ◽  
Vol 3 (2) ◽  
pp. 129-140
Author(s):  
Eka Zuni Lusi Astuti ◽  
Tri Winarni

Bina Keluarga Lansia (BKL) is one of the government programs to empower the elderly and their families. Through this program the elderly are expected to apply 7 dimensi lansia tangguh so that the elderly are physically, emotionally, spiritually, intellectually, socially, professionally vocational and environmentally empowered. The existence of BKL is needed in every hamlet. However, in Sumbersari Village, Moyudan, Sleman, out of five BKLs already established, only one BKL, BKL Mugi Waras, with a paripurna status that applied 7 dimensi lansia tangguh in its activities. Therefore, the community service program of the development of the targeted village aims to replicate BKL Mugi Waras to other BKL which have basic status. The activity used for community service were socialization and education in various training for strengthening BKL institutionally. The program has shown positive impacts on understanding managing BKL and applying 7 dimensi lansia tangguh on its activities.  


2020 ◽  
Vol 5 (2) ◽  
pp. 319
Author(s):  
Zulfa Rufaida ◽  
Sri Wardini Puji Lestari ◽  
Abdul Muhith

The number of elderly people is increasing, therefore the government has formulated various health care policies aimed at improving the health status and quality of life of the elderly to achieve a happy and efficient old age in family and community life according to their existence. The purpose of this community service is to increase knowledge about the Elderly Posyandu and to be active in participating in elderly gymnastics. The methods used are lectures, discussions, role play and mentoring. The targets are the elderly in Pagerngumbuk Village, Wonoayu District, Sidoarjo Regency, the implementation of activities from April to June 2018. Data analysis uses frequency distribution. The results obtained, there were 34 participants with the mean pre-test and post-test scores of 87.94. The result is a significant increase in knowledge of 0.000 with a value of t = -16.85, and a 95% CI between -46.81 - -36.72, meaning that the effect is strong because it does not pass 1; giving treatment can increase 3-4x knowledge compared to not given. Meanwhile, for elderly exercise assistance, the number of participants averaged 27 people. The Posyandu Elderly counseling participants were enthusiastic about the material presented. There is an increase in the knowledge of the elderly about the role of the elderly Posyandu and the importance of elderly exercise. Health workers always provide information about the activities of the Elderly Posyandu to cadres, village officials and the community on an ongoing basis.  


2022 ◽  
Vol 1 (1) ◽  
pp. 69-74
Author(s):  
Ayu Dewi Nastiti ◽  
Erik Kusuma ◽  
R.A Helda Puspitasari

ABSTRAKHipertensi di Indonesia memerlukan perhatian yang serius karena merupakan penyebab kematian nomor 3 setelah stroke dan tuberculosis. Seiring dengan semakin meningkatnya angka penderita hipertensi di Indonesia, pemerintah merumuskan berbagai kebijakan pelayanan kesehatan untuk lansia agar derajat dan mutu kesehatan lansia penderita hipertensi dapat meningkat. Salah satunya yaitu dengan mencanangkan pelayanan kesehatan pada lansia melalui beberapa jenjang. Pelayanan di tingkat masyarakat dilakukan oleh Posyandu Lansia. Uraian situasi di atas merupakan dasar mengapa perlu dilakukan pemberdayaan kader posyandu lansia untuk pencegahan hipertensi dan komplikasinya di Kecamatan Purwosari Kabupaten Pasuruan. Bentuk kegiatan pengabdian masyarakat ini berupa pemberian edukasi tentang hipertensi dan komplikasinya serta, memberikan pelatihan pemerikasaan tekanan darah bagi kader. Subjek dalam kegiatan ini adalah seluruh kader kesehatan di wilayah Kecamatan Purwosari. Lokasi ini dipilih mengingat kasus hipertensi di wilayah ini masih cukup tinggi. Kegiatan pengabdian ini mendapatkan sambutan hangat dari peserta. Hal ini terbukti dengan banyaknya peserta yang aktif dalam diskusi dan mengajukan pertanyaan. Setelah sesi diskusi pemateri malakukan post test secara lisan kepada peserta, dalam post test yang dilakukan 100% peserta mampu menjawab pertanyaan yang disampaikan oleh pemateri dengan benar. Kesimpulan yang bisa ditarik dari kegiatan ini seluruh peserta cukup aktif dalam kegiatan ini dan tidak meninggalkan tempat sampai acara selesai. Upaya peningkatan pengetahuan  masyarakat tentang penyakit hipertensi dapat lebih maksimal setelah diadakan kegiatan ini diukur dengan hasil apersepsi dan evaluasi. Kata Kunci: Pemberdayaan, Kader, Hipertensi ABSTRACTHypertension in Indonesia requires serious attention because it is the 3rd cause of death after stroke and tuberculosis In line with the increasing number of hypertension sufferers in Indonesia, the government has formulated various health service policies for the elderly so that the degree and quality of health of elderly people with hypertension can increase. One of them is by implementing health services for the elderly through several levels. Services at the community level are provided by the Elderly Posyandu. The description of the situation above was the basis of why it is necessary to empower elderly Posyandu cadres for the prevention of hypertension and its complications in Purwosari District, Pasuruan Regency. The form of this community service activity was in the form of providing education about hypertension and its complications as well as providing training in blood pressure checks for cadres. The subjects in this activity were all Health Cadres in the Purwosari District area. This location was chosen considering that there were still many cases of hypertension in this region. This service activity received a warm welcome from the participants. This is evidenced by the large number of participants who are active in the discussion and asking questions. After the discussion session the speaker performs a post test orally to the participants, in the post test 100% participants were able to answer the questions presented by the speaker correctly. The conclusion that can be drawn from this activity was that all participants were quite active in this activity and do not leave the venue until the event was over. Efforts to increase public knowledge about hypertension can be maximized after this activity was measured by the results of apperception and evaluation. Keywords: Empowerment, Cadres, Hypertension   


Crisis ◽  
2010 ◽  
Vol 31 (2) ◽  
pp. 100-108 ◽  
Author(s):  
Hirofumi Oyama ◽  
Tomoe Sakashita ◽  
Kei Hojo ◽  
Naoki Watanabe ◽  
Tohru Takizawa ◽  
...  

Background: In addition to implementing a depression screening program, conducting a survey beforehand might contribute to suicide risk reduction for the elderly. Aims: This study evaluates outcomes of a community-based program to prevent suicide among individuals aged 60 and over, using a quasiexperimental design with an intervention region (41,337 residents, 35.1% aged 60 and over) and a neighboring reference region. Methods: Our 2-year intervention program included an anonymous survey by random sample in the entire intervention region and, in the second year, a depression screening with follow-up by a psychiatrist in the higher-risk districts. Changes in the risk of completed suicide were estimated by the incidence-rate ratio (IRR). Results: The risk for men in the intervention region was reduced by 61% (age-adjusted IRR = 0.39; 90% CI = 0.18–0.87), whereas there was a (statistically insignificant) 51% risk reduction for women in the intervention region, and no risk reduction for either men or women in the reference region. The ratio of the crude IRR for elderly men in the intervention region to that for all elderly men in Japan was estimated at 0.42 (90% CI = 0.18–0.92), showing that the risk reduction was greater than the national change. Conclusions: The management of depression through a combination of an initial survey and subsequent screening holds clear promise for prompt effectiveness in the prevention of suicide for elderly men, and potentially for women.


2019 ◽  
Vol 19 (7) ◽  
pp. 913-920
Author(s):  
Fabiani L. R. Beal ◽  
Pedro R. Beal ◽  
Juliana R. Beal ◽  
Natan Carvalho-Neves ◽  
Octávio L. Franco ◽  
...  

Background: Arginine is considered a semi-essential amino acid in healthy adults and the elderly. This amino acid seems to improve the immune system, stimulate cell growth and differentiation, and increase endothelial permeability, among other effects. For those reasons, it has been theorized that arginine supplementation may be used as an adjuvant to conventional cancer therapy treatments. Objective: This review aims to evaluate the existing knowledge of the scientific community on arginine supplementation in order to improve the efficacy of current cancer treatment. Results: Despite the continued efforts of science to improve treatment strategies, cancer remains one of the greatest causes of death on the planet in adults and elderly people. Chemo and radiotherapy are still the most effective treatments but at the cost of significant side effects. Conclusion: Thus, new therapeutic perspectives have been studied in recent years, to be used in addition to traditional treatments or not, seeking to treat or even cure the various types of cancer with fewer side effects.


NASPA Journal ◽  
1997 ◽  
Vol 34 (3) ◽  
Author(s):  
Michael H. Persons ◽  
David Lisman

This is an optimistic, and useful, book written at a pessimistic time. In an era when the nation faces many social problems - including alienation from the government and work, the fragmentation of the family, and an expanding materialism - this book promoting civic literacy approaches to service learning and seeks to help educators in their efforts to redefine the role of civics in contemporary society. The civic literacy approach to service learning is defined as pedagogy that combines community service and academic instruction and that focuses on critical, reflective thinking and civic responsiblity. The editors challenge community colleges to act as catalysts for a national movement of community renewal, suggesting that they may be our best hope for finding ways to solve our social problems.


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