ASKEP DEMENSIA PADA LANSIA PDF

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Penyebab Infeksi, dehidrasi, penggunaan atau Biasanya gangguan otak kronik Alzheimer putus obat tertentu, dll disease, Lewy body dementia, vascular dementia sumbatan pembuluh darah otak, stroke dll Perjalanan penyakit Biasanya bisa pulih kembali Perlahan-lahan berkembang progresif Efek di malam hari Hampir selalu memburuk Sering memburuk Perhatian Sangat terganggu Tidak terganggu sampai demensia menjadi parah. Tingkat kesadaran Terganggu secara bervariasi Tidak terganggu sampai demensia menjadi cukup parah.

CASE: 70 years old female present with progressive memory loss for past 1 year. She also complaints of difficulty in naming objects and driving car and house keeping. For the past 1 month she has difficulty in dressing ,eating and gets agitated easily and wanders around at night. The beta- amyloid fragment is crucial in the formation of senile plaques in AD. Perkembangan beberapa defisit kognitif: 1.

Satu detik untuk tiap benda. Kemudian mintalah responden mengulang ketiga nama benda tersebut. Berhenti setelah 5 kali hitungan Apakah nama benda ini? Perlihatkan pensil dan arloji 2 nilai b. Laksanakan 3 perintah ini : Peganglah selembar kertas dengan tangan kananmu, lipatlah kertas itu pada pertengahan dan letakkan di lantai 3 nilai d. Tulislah sebuah kalimat!

Tirulah gambar ini! Tidak semua orang akan mengalami gejala yang sama atau perkembangan pada tingkat yang sama. Seven-stage framework dikembangkan oleh Barry Reisberg, M.

Pemeriksaan tidak menunjukkan bukti gejala demensia. Tahap 2: penurunan kognitif sangat ringan mungkin perubahan normal berkaitan dengan usia atau tanda-tanda awal penyakit Alzheimer Penderita mungkin merasakan adanya kehilangan memori - melupakan kata-kata yang biasa digunakan atau lokasi benda sehari-hari.

Namun tidak ada gejala demensia terdeteksi selama pemeriksaan medis atau oleh teman- teman, keluarga atau rekan kerja. Tahap 3. Penurunan kognitif ringan tahap awal Alzheimer dapat didiagnosis dalam beberapa kasus Teman, keluarga atau rekan kerja mulai menyadari kesulitan pasien. Selama wawancara medis secara rinci, dokter mungkin dapat mendeteksi masalah dalam memori atau konsentrasi. Individu mungkin masih mengatakan kata-kata atau frasa. Individu pada tahap ini perlu dibantu dengan banyak perawatan sehari-hari, termasuk makan atau menggunakan toilet.

Mungkin kehilangan kemampuan untuk tersenyum, duduk tanpa bantuan dan untuk menahan kepala tegak. Refleks menjadi abnormal. Otot menjadi kaku. Menelan terganggu. Sementara: Plak obat, tumor otak amiloid onset 65 tahun 65 tahun tapi dapat terjadi lebih awal seperti 30 tahun Gejala Masalah pada memori, fokus, Kesulitan mengingat perhatian, persepsi penglihatan, informasi yang baru saja pengambilan keputusan, penilaian, dipelajari, disorientasi, pemahaman perubahan mood dan perilaku mungkin terjadi seiring dengan perkembangan penyakit.

Kehilangan memori umumnya terjadi pada demensia, tetapi kehilangan memori saja tidak berarti memiliki demensia. Ada banyak penyebab gejala demensia. Tanda dan gejala: halusinasi visual, gangguan pergerakan, regulasi buruk fungsi tubuh, masalah kognitif, kesulitan tidur, perhatian berfluktuasi, depresi.

Penyebab Lewy tubuh demensia tidak diketahui, tetapi gangguan mungkin terkait dengan Alzheimer atau penyakit Parkinson. Faktor risiko: usia lebih dari 60 tahun, laki-laki, memiliki anggota keluarga dengan Lewy body dementia. Parkinson's disease medications carbidopa-levodopa Sinemet reduce parkinsonian symptoms.

However, these medications may also cause increased confusion, hallucinations and delusions. Menghindari mengoreksi dan menguji dengan tebak- tebakan.

Menenangkan dan memvalidasi kekhawatiran dapat membantu Modifikasi tugas dan buat rutinitas harian. Buat tugas dalam langkah- langkah yang lebih mudah dan berfokus pada keberhasilan. Present only one idea or instruction at a time. Benefits of exercise include improved physical function, more controlled behavior and fewer depression symptoms.

Some research shows physical activity may slow the progression of impaired thinking cognitive function in people with dementia. Participating in games involve using thinking skills may help slow mental decline in people with dementia.

Behavior issues may be worse at night. Try to establish going-to-bed rituals that are calming and away from the noise of television, meal cleanup and active family members.

Leave night lights on to prevent disorientation. Establish cognitive status, using standard measurement tools: MMSE. Determine self-care abilities. Assess threats to physical safety eg, wandering, poor reality testing. Assess affect and emotional responsiveness. Assess ability and level of support available to caregivers. Nursing Diagnosis for Dementia Impaired Thought Processes: Gangguan proses pikir Goal 1: The client can expect an trusting relationships Outcomes: Clients show a sense of fun, friendly facial expressions would shake hands with eye contact, would sit side by side.

Intervention: Greet clients with both verbal and non-verbal. Introduce yourself politely. Explain the purpose of the meeting. Honest and keep promises. Show empathy and accept the nature of the client. Pay attention to the basic needs of the clients and note. Outcomes: The client is able to say which one is around, the client is able to mention the days and places visited.

Interventions: Give a chance for patients to recognize private property, for example: a bed, closet, clothes etc.. Give the patient the opportunity to get to know the time by using a large clock, a calendar that has a daily sheet with great writing. Give the patient the opportunity to name and immediate family members.

Give an opportunity for clients to know where he is. Give praise when the patient if the patient is able to answer correctly. Goal 3: Patients were able to perform daily activities optimally. Outcomes: Patients were able to meet their daily needs independently. Interventions: Observation of the patient's ability to perform daily activities. Give the patient the opportunity to choose activities that can be done. Help the patient to engage in activities that have been chosen.

Give credit if the patient can perform activities. Ask if the patient feeling able to perform its activities. Together with the patient to make a schedule of daily activities.

Gather information about client pre-dementia functioning, including social situation, physical condition, and psychological functioning. Assess the client for signs of depression: insomnia, poor appetite, flat affect, and withdrawn behavior. Ensure that client is in a safe environment by removing potential hazards such as sharp objects and harmful liquids. Place an identification bracelet on client. Clients with dementia wander and can become lost; identification bracelets increase client safety.

Avoid exposing client to unfamiliar situations and people as much as possible. Maintain continuity of caregivers. Maintain routines of care through established mealtimes, bathing, and sleeping schedules. Send familiar person with client when client goes for diagnostic testing or into unfamiliar environments. Keep environment quiet and nonstimulating; avoid using buzzers and alarms if possible.

Minimize sights and sounds that have a high potential for misinterpretation such as buzzers, alarms, and overhead paging systems. Begin each interaction with client by identifying self and calling client by name. Approach client with a caring, loving, and accepting attitude and speak calmly and slowly.

Touch client gently, stroking hand or arm in a soothing fashion if acceptable in client's culture. Give one simple direction at a time and repeat as necessary. Break down self-care tasks into simple steps e.

Sit down on the bed. Take off your shoes. Now take off your socks. Keep questions simple; yes or no questions are often preferable to open-ended questions. If eating in the dining room causes increased agitation, let client leave and eat in a quieter environment with a smaller number of people.

Provide finger food if patient has difficulty using eating utensils or if unable to sit to eat. Provide boundaries by placing red or yellow tape on the floor or by using a stop sign. Boundaries help the client identify safe areas; older clients can more easily see red and yellow than other colors.

Assess the etiology of wandering before or rather than attempting to control the wandering. Write client's name in large block letters in the room and on client's clothing and possessions.

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Demensia pada lansia pdf

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Askep Demensia

Resiko melakukan Memberikan rangsangan pada SSP khususnya fluid. Gangguan perilaku dan emosional dengan onset biasanya pada masa kanak dan remaja F9. It is a syndrome group of symptoms associated with a progressive loss of memory and other intellectual. Penelitian ini di lakukan pada tanggal 13 Maret - 26 Juli Menurut penelitian dr. Kondisi seperti ini dapat saja diikuti oleh munculnya penyakit lain dan biasanya akan memperparah kondisi lansia.

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ASKEP DEMENSIA

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