scholarly journals PELATIHAN KADER KESEHATAN MENGENAI PENGELOLAAN KESEHATANLANSIA DI MASA PANDEMI COVID 19 SEBAGAI UPAYA MENINGKATKAN KESEHATAN LANSIA

2021 ◽  
Vol 2 (2) ◽  
pp. 70-77
Author(s):  
Nanik Dwi Astutik

The increasing number of elderly in quantity must get a great attention so that the elderly can pass through their old age successfully, and be able to maintain their health in the midst of the covid 19 pandemic.Tajinan Health Center already has an integrated service program (posyandu) for the elderly that is routinely held every month. However, the activity was temporarily suspended due to constraints on not being allowed to leave the house during Covid 19. Elderly people are among the vulnerable to contracting corona virus because at that age there is a decrease in hormone production and function of the body's organs. Even seniors who already have chronic diseases such as hypertension, diabetes and cancer are more susceptible to contracting due to declining immunity. According to a report issued by the World Health Organization (WHO), the highest death rate due to COVID-19 is the elderly over the age of 80. During the covid 19 period, cadres cannot accompany the elderly directly even though the elderly need to be given knowledge and assistance to be ready to face COVID 19. Elderly people are difficult to digest some of the appeals given by the government related to efforts to keep themselves from being exposed to the COVID-19 virus. The presence of cognitive impairment can make it difficult for the elderly to understand the reasons behind various precautions, such as why they should not leave the house, why they should wear masks, and so on. Therefore, the approach and way of communicating with the elderly needs a little adjustment. Based on the potential of elderly posyandu cadres and the assessment results that have been described, it is necessary to provide knowledge and understanding on elderly health management to improve the understanding of health cadres as an effort to improve the health of the elderly during the covid 19 pandemic.

2021 ◽  
Vol 8 (2) ◽  
pp. 137-146
Author(s):  
ANTI LIN ◽  
Hui-Chuan Wei

The population of individuals who are over 65 years-old in Taiwan has grown from less than 10% in 2008 to 14% in 2018. Since 2008, Taiwan has officially been an aging nation as defined by the World Health Organization. With the current rate of growth, we expect the country to become a super-aged society with 20% of the population being older than 65 years of age in 2025. The challenge Taiwan currently faces in bracing for a rapidly aging society is more difficult than ever. In response to a rapidly aging population, universities have been cooperating with the government since 2008 in promoting a community-based lifelong learning-oriented "active aging" education policy, of which we collectively call "Senior Learning" (“Le-Ling Learning” in Mandarin, meaning “Active Aging Learning”). 12 years into implementing the program, 369 senior learning centers have been established in Taiwan by 2020. These established centers with their extensions can be found throughout Taiwan, including 360 towns and cities as well as 3,175 villages. These centers, supported by local resources (e.g. schools, and non-governmental organizations), provide senior learning courses and activities. There are thousands of community volunteers participating every year, as well as over 200,000 hours of Active Aging Learning course duration prepared by the government; moreover, there are currently 200 instructors trained for teaching these programs. Active Aging Learning program has truly become a “zeitgeist” in Taiwan in response to the elderly society. In caring for the elderly, meaningful educational learning has become the best strategy as reflected by the public. The purpose of this article is to report on the developmental background, promotion model, effectiveness of, and the prospects of Active Aging Learning in Taiwan. The contents of this article include: (1) the conceptual basis of Active Aging Learning, (2) the practice mode and strategy of Active Aging Learning, (3) the implementation effect of Active Aging Learning, and (4) the future progress of Active Aging Learning. The research data in this article originate from policy documents, both qualitative and quantitative data for the implementation of the Active Aging Learning program, as well as my 12 years of practical observations and experience as the overall project principal investigator. Through reading this article, the readers can quickly understand the implementation process, effectiveness, and problems of senior learning in Taiwan, as well as the key findings of our 12 years of experience. We found that the best strategy for an aging society is not to emphasize "care" in the context of traditional pathology, but to learn in order to "prevent". Educational strategies and talent cultivation are the broad directions of our active efforts.


2018 ◽  
Vol 16 (2) ◽  
Author(s):  
Michele Bittencourt Silveira ◽  
Ricardo Pedrozo Saldanha ◽  
José Carlos de Carvalho Leite ◽  
Thamyres Oliveira Ferreira da Silva ◽  
Thiago Silva ◽  
...  

ABSTRACT Objective To develop and validate the content of the online Questionnaire for Fall Risk Assessment in the Elderly. Methods The instrument was developed based on the International Classification of Functioning, Disability and Health (ICF) of the World Health Organization. Initially, the set of items was submitted to evaluation of judges (healthcare professionals with experience in elderly health), who could suggest inclusion or exclusion of questions from the instrument; they were also asked to rate each question according to the expected scope. At this stage, clarity and relevance levels for each item were evaluated, generating a total of Content Validity Coefficient (CtVC). Results Content Validity Coefficient values were satisfactory for both clarity (CtVC=0.76) and relevance (CtVC=0.82) of the questions. Next, a group of elderly volunteers participating in a socializing group evaluated the questionnaire for comprehension. The level of comprehension for each item was identified on a Likert scale, ranging from 0 to 5. The questionnaire was considered easy to understand by most participants (95%), with a mean of 4.75 (±0.11) points for each item. Conclusion The instrument showed acceptable psychometric qualities for screening fall risk among the elderly population. Future studies shall investigate different validation aspects of construct for this measure.


2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Sameen Rafi ◽  
Shyna Saif

India is one of the nations in the world where the population is undergoing anomalous demographic changes. The increase in longevity and decrease fertility lead to the boom of older people aged 60 and above both in relative and absolute terms. Due to the rise in number, it creates pressure not only on the family but the responsibility shifts to the government also. This issue becomes a significant social problem not only in India but across the globe. The government had taken action by creating policies and programs to provide services to them. Still, the majority of the elderly population is lacking behind in these areas like health facilities, infrastructure, living arrangements suffering from isolation, loneliness, abuse, crime. Nowadays, smart city initiatives are taken by the government across the country but still in process. To involve and facilitate more cities for "age-friendly," the World Health Organization develop the Global Age-Friendly Cities Guide and a manual "Checklist of Essential Features of Age-Friendly Cities." Cooperating with 35 urban communities from developed and developing nations, the WHO oversees eight highlights for age-accommodating urban areas in the space of urban life. This paper had an objective to study and understand exiting literature on age-friendly communities in developed and developing countries and draw attention to the need to create age-friendly cities in India. The realization of the needs and demands of older people, the Indian government should give attention to promote and implement more age-friendly communities all over the country. This initiative till now taken in 3 states, i.e., Delhi, Udaipur, and Kolkata-which involved in age-friendly community initiatives collaborated with WHO.  In this era of a rapid aging sphere, the communities have to enhance in such a manner where the older population can meet their needs quickly without any conflicts and problem. To conclude, the government and policymaker should emphasize the policies into practices to build age-friendly communities across the country and make better living conditions for "all-ages." For timely action and productive recommendation, it is an urgent need on the part of the government, policymakers, researchers, social workers to develop and enhance the community's facilities, which can gain confidence and wellbeing of the elderly in India


2017 ◽  
Vol 4 (08) ◽  
pp. 1558 ◽  
Author(s):  
Hamidreza Sadeghi Gandomani ◽  
Mahshid Ghoncheh ◽  
Hamid Salehiniya

One of the achievements of the 21st century is the aging population (Angus and Reeve, 2006). According to the World Health Organization (WHO), senility is passing the 60th birthday (Bengtson and Allen, 2009). According to forecasts, by 2050, the population of the world 65-year-old age group will reach over 1.4 billion people from 550 million. It means that the world's aging index, rising from 24 people in 1950 to 33 people in 2000, will increase to 101 people in 2050 (Christensen et al., 2009). Currently, due to lower birth rates, increased life expectancy, health promotion, and disease detection, Iran is also in the age structure transition phase of the population from youth to senility (Noroozian, 2012). Therefore, elderly people are considered as the largest population group in Iran. According to the census conducted in 2016, the ratio of the elderly of Iran reached 6.1% in the past five years from 5.7% (Yearbook, 2017). It is anticipated that by 2050, the Iran’s elderly population will reach 31.5% of the total population of the country (Yearbook, 2013, 2017). Due to the WHO, the world's elderly population will reach 21.5% in 2050 and 24% in Asia (Organization, 2009), according to which the population of the elderly people in Iran will be higher than the whole world average and the Asia average till 4 years (Yearbook, 2017). This demographic crisis in Iran can be called the senility tsunami, which can be debatable in various aspects including social, economic, health, medical, and political, in developing countries like Iran.


2021 ◽  
Vol 3 (1) ◽  
pp. 01-02
Author(s):  
Abu Bashar

The COVID-19 pandemic has profoundly affected the elderly people (those aged 60 years or above as per the definition by the World Health Organization) who are found to have higher rates of infection and poorer health outcomes in this pandemic compared to other age groups [1,2]. Nevertheless, elderly adults, despite having a wide range of chronic illnesses, are experiencing critically inadequate access to care as healthcare organizations are emphasizing more on patients primarily affected by COVID-19 [3,4]. Furthermore, Elderly people remain most vulnerable in this pandemic as most of the nations do not have adequate preparedness to ensure acute and chronic geriatric care in public health emergencies.


2021 ◽  
pp. 107-145
Author(s):  
Paul V. Dutton

This chapter investigates the health of the elderly in Sweden and the United States, focusing on populations that are no longer active in the labor force. For most workers in the United States and Europe, the working years are followed by a period of voluntary withdrawal from the labor market. Sweden earned third place on the Global AgeWatch ranking of ninety-six countries. The rating considers health outcomes, income security, financial capability, and an enabling environment in determining the best places to grow old. Meanwhile, the United States ranks ninth. The chapter looks at three social determinants that the World Health Organization has identified as the most important to healthy aging: (1) financial security, including the ability of the elderly to afford appropriate and safe housing, to maintain a nutritious diet, and to benefit from adequate means of transport; (2) social integration, the degree to which elderly people participate in the community, through continued employment, volunteering, or activity in sports, clubs, or other social organizations; and (3) access to preventive and curative health services, including long-term care, and the proximity of these services to the community in which elderly people live.


SinkrOn ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 72
Author(s):  
Linda Marlinda ◽  
Widiyawati Widiyawati ◽  
Reni Widiastuti ◽  
Wahyu Indrarti

A person who is in the elderly phase will experience various decreases, ranging from decreased memory or senility, hormone production, skin elasticity, muscle mass, bone density, strength and function of body organs, and the immune system. As a result, it is difficult for the elderly or the elderly to fight against various kinds of disease-causing bacteria or viruses, comorbidities, and adaptation to the social environment. Due to the complexity of this health problem, improvements can not only be made in the aspect of health services but also improvements in the environment and engineering of population factors or hereditary factors, but it is necessary to pay attention to behavioral factors that have a considerable contribution to the emergence of health problems. This research uses the certainty factor (CF) method which can provide a measure of belief in a symptom as a measure of how much the value is in the later diagnosis. The purpose of making this expert system is so that patients, patient families, and medical teams can monitor the health of the elderly daily. The results of this study indicate that using the CF method has an accuracy rate of 91 percent for the prediction of patients who have cholesterol


Author(s):  
Marcelo Carvalho Filgueiras ◽  
José Nilson Rodrigues Menezes ◽  
Maria Dorilane Ferreira Apolônio ◽  
Rafaele Teixeira Borges

Resumo: A saúde é um fator essencial para o desenvolvimento humano e um dos campos de ação propostos no contexto da promoção da saúde é a criação de ambientes favoráveis. A Organização Mundial de Saúde (OMS), desde o ano de 2002, desenvolve uma política de saúde que preconiza o chamado envelhecimento ativo. A Fisioterapia , cujo objetivo de estudo é principalmente o movimento humano, colabora lançando mão de seus conhecimentos e recursos fisioterapêuticos com intuito de facilitar a compreensão dos fatores que possam acarretar em diminuição de qualidade de vida e bem estar nos idosos. A pesquisa teve como objetivo geral descrever a percepção dos idosos sobre a atuação da fisioterapia em um programa de promoção da saúde. A metodologia utilizada foi descritiva qualitativa na qual foram entrevistados 16 idosos que participam de um Programa de Assistência Fisioterapêutica dedicada à Terceira Idade no NAMI. Foram incluídos na pesquisa idosos que participavam regularmente do programa e excluídos idosos que obtiveram no total de 03 faltas consecutivas. O período de coleta foi de Maio a Julho de 2008, no qual foi realizada uma entrevista semi-estruturada . Os resultados indicaram que a fisioterapia contribuiu, através do grupo, na vida dos idosos, motivando-os buscar um programa de assistência. A solidão é um dos grandes problemas na velhice. Assim era o dia a dia desses idosos antes de participar do programa de assistência, porém houve uma mudança de vida após o mesmo. Logo, pelo grupo investigado, observou-se que a fisioterapia contribui pra a promoção da saúde de idosos, através de grupos promotores de saúde que apresentam benefícios para o idoso e sua rede, estendendose ao seu processo de envelhecimento.  Palavras-chave: Fisioterapia; Gerontologia, Promoção de Saúde. Abstract: Health is an essential factor for human development and one of the fields of action proposed in the context of the health promotion is the creation of favorable environments. The World Health Organization (WHO) develops a health policy that advocates the so-called active aging since the year 2002. The Physiotherapy, which the objective of study is especially the human movement, collaborates through its knowledge and physiotherapeutic resources aiming to facili tate the understanding of the factors that may cause a decrease in the elderly well-being and quality of life. The research had as general objective to describe the elderly perception about the physiotherapy performance in a health promotion program. It was used a qualitative and descriptive methodology in which 16 elderly people who participate in a Program of Physiotherapeutic Assistance dedicated to the third age at NAMI were interviewed. It was included in the research the elderly people who had a regular participation in the program and excluded the ones who got a total of 03 consecutive absences. The period of collected data was from May to July 2008 when it was conducted a semi-structured interview. The results indicate that the Physiotherapy contributed through the group in the elderly lives, motivating them to look for an assistance program. The loneliness is one of the major problems in old age. The daily life of these elderly was like that before joining in the assistance program, but there was a change of life after the program. Therefore, it was observed in the investigated group that the Physiotherapy contributes to the elderly health promotion through promoters groups of health that present benefits to the elderly and his network, extending to the ageing process. Key words: Aged; Health Promotion; Physiotherapy.  


2009 ◽  
Vol 25 (8) ◽  
pp. 1756-1762 ◽  
Author(s):  
José Tadeu Nunes Tamanini ◽  
Maria Lúcia Lebrão ◽  
Yeda A. O. Duarte ◽  
Jair L. F. Santos ◽  
Ruy Laurenti

To investigate the prevalence of urinary incontinence among elderly people living in São Paulo, Brazil and their associated risk factors. The Pan-American Health Organization and World Health Organization coordinated a multicenter study named Health, Wellbeing and Aging (SABE Study) in elderly people (over 60 years old) living in seven countries in Latin America and the Caribbean. In Brazil, the study was carried out in São Paulo in the year 2000. The total Brazilian sample included 2,143 people. The prevalence of self reported urinary incontinence was 11.8% among men and 26.2% for women. It was verified that among those reporting urinary incontinence, 37% also reported stroke and 34% depression. It was found that the greater the dependence that the elderly people presented, the greater the prevalence of urinary incontinence. The associated factors found were depression (odds ratio = 2.49), female (2.42), advanced age (2.35), important functional limitation (2.01). Urinary incontinence is a highly prevalent symptom among the elderly population of the municipality of São Paulo, especially among women. The adoption of preventive measures can reduce the negative effects of urinary incontinence.


2018 ◽  
Vol 5 (2) ◽  
pp. 43
Author(s):  
I Kadek Abdi Kesuma Wijaya ◽  
Ni Komang Ekawati ◽  
Ni Wayan Arya Utami

ABSTRAK Lanjut usia menurut definisi dari World Health Organization (WHO) adalah orang yang berusia 60 tahun keatas. Lansia sangat rentan untuk terkena penyakit. Beberapa penyakit yang dialami oleh lansia adalah hipertensi, rematik, diabetes mellitus, gagal jantung dan lain-lain. Selain upaya penanganan kesehatan yang dibuat pemerintah, terdapat kegiatan lain yang dapat menangani masalah kesehatan pada lansia yaitu senam yoga tertawa. Penelitian ini bertujuan untuk mengetahui persepsi tentang manfaat senam yoga tertawa terhadap kesehatan lansia di Kota Denpasar.Penelitian ini merupakan penelitian kualitatif dengan menggunakan pendekatan fenomenologi yang menggunakan metode pengumpulan data dengan Focus Group Discussion dan wawancara mendalam. Berdasarkan hasil penelitian, sebagian besar lansia memandang di usia 60 tahun keatas akan rentan terkena penyakit serius. Lansia yang mengikuti senam yoga tertawa didorong atas 2 faktor yaitu faktor internal dikarenakan ingin sembuh dan menjadi lebih sehat, serta faktor eksternal disebabkan oleh dukungan keluarga. Tidak ada hambatan yang dirasakan lansia dalam mengikuti senam yoga tertawa. Hal ini dikarenakan mereka termotivasi untuk sehat dan sembuh dari penyakit serta dukungan dari keluarga.Kesimpulan bahwa persepsi lansia terhadap manfaat senam yoga tertawa adalah sakit yang dirasakan berkurang dan lebih sehat. Jadi dapat disarankan senam yoga tertawa dapat diterapkan sebagai alternatif untuk membantu lansia dalam mengatasi masalah kesehatan dan bagi penelitian selanjutnya dapat dijadikan dasar penelitian dalam hal kesehatan lansia dan yoga. Kata Kunci: persepsi, senam yoga tertawa, lansia, kesehatan mental, Denpasar   ABSTRACT The elderly according to the definition of the World Health Organization (WHO) are people aged 60 years and over. The elderly are very susceptible to disease. Some diseases experienced by the elderly are hypertension, rheumatism, diabetes mellitus, heart failure and others. In addition to health care efforts made by the government, there are other activities that can handle health problems in the elderly, namely laughing yoga exercises. This study aims to determine perceptions about the benefits of laughing yoga exercises on the health of the elderly in Denpasar City. This research is a qualitative study using a phenomenological approach that uses data collection methods with Focus Group Discussion and in-depth interviews. Based on the results of the study, most of the elderly looked at the age of 60 years and over will be vulnerable to serious illness. The elderly who attend yoga exercises are encouraged to push for 2 factors: internal factors due to wanting to recover and become healthier, and external factors caused by family support. There are no obstacles felt by the elderly in participating in the laughing yoga exercises. This is because they are motivated to be healthy and recover from illness and support from the family. The conclusion that the elderly's perception of the benefits of laughing yoga is a pain reduction and healthier. So it can be suggested laughing yoga exercises can be applied as an alternative to helping the elderly in overcoming health problems and for further research can be used as a basis for research in terms of health of the elderly and yoga. Keywords: perception, laughing yoga exercises, elderly, mental health, Denpasar


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