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Hasmita .
Program Studi D3 Keperawatan, Fakultas Psikologi dan Kesehatan, Universitas Negri Padang
Health Professions Immunology & microbiology Library & Information Science Neuroscience Public Health

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Asuhan Keperawatan Gerontik Pada Pasien Dengan Diabetes Mellitus Dipanti Sosial Tresna Werdha Sabai Nan Aluih Sicincin Kabupaten Padang Pariaman Alya Fajriza Candra; Sandra Dewi; Hasmita .; Kheniva Diah Anggita
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1828

Abstract

Based on the International Diabetes Federation Data in 2021, more than 500 million people worldwide, precisely 537 million, suffer from diabetes. The percentage of the incidence of Diabetes Mellitus in Indonesia according to the Indonesian Health Survey is 1.7% with a total of 877,531 sufferers and the incidence of Diabetes Mellitus in West Sumatra shows 1.2% with a total of 18,138 sufferers. Diabetes Mellitus is a chronic disease caused by the body's inability to produce the hormone insulin or due to ineffective use of insulin production. This is characterized by high blood sugar levels. This case study aims to implement nursing care for Mr. E with Diabetes Mellitus at the Sabai Nan Aluih Sicincin Social Home for the Elderly, Padang Pariaman Regency. The method used is a nursing process approach consisting of assessment, nursing diagnosis, intervention, implementation, evaluation, and documentation. The research design used is descriptive with a case study approach. Data were obtained through interviews and observations. The results of the study are Mr. Mr. E, 73, experienced itching on his palms, with peeling skin, and reported taking Metformin 850 mg twice daily. Three diagnoses were diagnosed in Mr. E's case: unstable blood glucose levels, impaired skin/tissue integrity, and risk of falls. After a 5-day evaluation, the stability of blood glucose levels increased, skin integrity improved, and the fall rate decreased. It can be concluded that comprehensive geriatric nursing care can increase the independence of the elderly in caring for their physical condition independently.
Asuhan Keperawatan Gerontik Pada Pasien Dengan Diabetes Mellitus Dipanti Sosial Tresna Werdha Sabai Nan Aluih Sicincin Kabupaten Padang Pariaman Safiinatul Muthmainnah; Hasmita .; Vivi Yuderna; Sandra Dewi
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1872

Abstract

Diabetes Mellitus in the elderly is a global concern. According to the World Health Organization (WHO), the number of elderly people with diabetes mellitus in the world reached approximately 158.3 million in 2024. In Indonesia, the number of elderly sufferers reached approximately 20.4 million people. Diabetes mellitus is a chronic metabolic disease characterized by elevated blood glucose levels due to impaired insulin secretion, impaired insulin function, or a combination of both. This case study aims to provide comprehensive nursing care for elderly people with Diabetes Mellitus. The method used is the nursing process which includes assessment, nursing diagnosis, intervention, implementation, evaluation, and documentation with a descriptive design. The results of the assessment showed that the client experienced tingling in both hands and feet, itching, dry skin, fatigue, frequent thirst, frequent urination especially at night, and blurred vision. The examination results showed a random blood sugar of 257 mg/dL. The client took Metformin 500 mg twice a day, but not regularly. The established nursing diagnoses were unstable blood glucose levels, ineffective health maintenance, and anxiety. Implementation was carried out over five days. Evaluation results indicated that unstable blood glucose levels were not resolved, as indicated by a drop in blood sugar levels to 192 mg/dL. Meanwhile, health maintenance was ineffective, and anxiety was deemed resolved. Nursing care yielded positive results, but continued monitoring is still necessary. It is hoped that the client will maintain medication adherence, adhere to a diabetic diet, perform regular blood sugar checks, and maintain a healthy lifestyle. Recommendations for caregivers and healthcare professionals include providing support, education, and regular monitoring to maintain controlled blood glucose levels and prevent complications.
Asuhan Keperawatan Gerontik Pada Pasien Dengan Gout Arthritis Di Panti Sosial Tresna Werdha Sabai Nan Aluih Sicincin Kabupaten Padang Pariaman Annisa Aulia; Sandra Dewi; Hasmita .; Armaita .
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1874

Abstract

Based on data from the World Health Organization (WHO), the prevalence of gout arthritis at the global level increased in 2023, where the number of sufferers was around 44,000,000 people with a prevalence of 0.56%. Gout arthritis is a disease caused by a purine metabolism disorder that causes the accumulation of uric acid crystals in the joints. This condition is influenced by age, purine consumption, with symptoms such as pain, swelling, stiffness. If left untreated, it can cause joint damage and kidney disorders. The purpose of this study is for the author to be able to provide nursing care to elderly people with gout arthritis. The research method used was a case study for 6 days through interviews, observations, and checking uric acid from February 26 to March 3, 2026. The results of the study obtained 3 nursing diagnoses, namely: chronic pain, impaired physical mobility, ineffective health management. Where the interventions described are pain management, mobilization support, decision-making support and implementation carried out according to the prepared plan. After 5 days of implementation, the results obtained were reduced pain, decreased uric acid levels, increased mobility, and improved health management. The evaluation on the fourth day showed that the diagnosis of ineffective health management was resolved, and the diagnosis of chronic pain and mobility impairment was not resolved, so the caregiver continued. Educating the client to take medication regularly according to the prescribed dosage, maintaining a healthy diet, for example, reducing consumption of coconut milk and green vegetables, and educating the caregiver by reminding the client to take medication regularly, inviting the client to participate in activities held by the nursing home, such as exercise, health education, and arts.
Asuhan Keperawatan Gerontik Pada Pasien Dengan Hipertensi Di Panti Sosial Tresna Werdha Sabai Nan Aluih Sicincin Kabupaten Padang Pariaman Allisya Naswadiya Putri; Ramaita .; Armaita .; Hasmita .
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1877

Abstract

Hypertension is a chronic disease characterized by an increase in blood pressure ≥140/90 mmHg and commonly occurs in the elderly. Hypertension can cause serious complications such as stroke, heart failure, and kidney failure if not properly managed. This study aimed to provide gerontic nursing care for hypertensive patients at the Sabai Nan Aluih Sicincin Social Nursing Home, Padang Pariaman Regency. The method used was a case study with a nursing process approach conducted on one hypertensive patient from February 26  to March 3, 2026. The assessment results showed that the patient experienced chronic pain, ineffective health management, and risk of falls. Nursing interventions included pain management using deep breathing relaxation techniques, progressive muscle exercises, blood pressure monitoring, health education, a low-salt diet, and fall risk prevention. Nursing evaluation showed an increase in the patient’s knowledge regarding hypertension and the importance of adherence to treatment. After five days of nursing interventions, there was a decrease in pain intensity, improved therapy adherence, and improvement in the patient’s general condition. The recommendations given were to maintain a healthy lifestyle, improve medication adherence, and routinely monitor blood pressure. The conclusion of this study showed that the implementation of comprehensive and systematic gerontic nursing care was highly effective in overcoming nursing problems in hypertensive patients.
Co-Authors Allisya Naswadiya Putri Alya Fajriza Candra Annisa Aulia Armaita . Kheniva Diah Anggita Ramaita . Safiinatul Muthmainnah Sandra Dewi Vivi Yuderna