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Level of Dependency Based on Barthel and Lawton Score in Older People Living in Panti Werdha, Ciparay Diyanto, Rizky Nurwan; Moeliono, Marina A.; Dwipa, Lazuardhi
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

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Background: The population of older people continues to increase. Thus, many kinds of health-related problems can occur, such as a decrease independence level in performing activities of daily living (ADL) which can be assessed by using Barthel and Lawton index. Barthel index assesses basic ADL such as mobility function, continence, and self-care. Lawton index assesses instumental ADL that are a personâs ability to use tools and face other people. There are no data available reflecting the dependency of the older people at Panti Werdha, Ciparay . This study aimed to observe the level of dependence of the older people in Panti Werdha using Barthel and Lawton index.Methods: This study was a descriptive study and was conducted at Panti Werdha, Ciparay from September to November 2015 using the total population. The level of dependence in the older people was assessed by Barthel and Lawton index. Barthel index was divided into independent, mild dependent, moderate dependent, severe dependent, and totally dependent. Lawton index was divided into independent, low dependent, high dependent, and totally dependent.Results: A total of 144 older people participated as respondents in this study. Based on the Barthel index score, it showed that 51.4% of the subjects were dependent. As for the Lawton index scorÂ¬Â¬e, it showed that 81.2% of the subjects were dependent.Conclusions: Most of the older people in Panti Werdha, Ciparay are categorized as dependent, where they will need help in performing basic and instrumental ADL. [AMJ.2016;3(4):493â8]Â DOI:Â 10.15850/amj.v3n4.929

Characteristic of Older Adult with Balance Disorder in Rehabilitation Clinic Dr. Hasan Sadikin General Hospital 2014 Yun, Ku Shi; Defi, Irma Ruslina; Dwipa, Lazuardhi
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

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Background: Older adult population is increasing worldwide. Balance has an important role in conducting daily activities and mobility, with impaired balance it can lead to negative impacts for example fall. This study is conducted to obtain common factors and characteristics of older adults with balance disorder to provide better rehabilitation services.Method: A descriptive study was conducted in the Physical Medicine and Rehabilitation Clinic of Dr. Hasan Sadikin General Hospital, Bandung from August-October 2014 using total sampling method and a 5 times sit-to-stand (5STS) test was conducted. The total sample obtained was 34.Result: The characteristics of older adult with balance disorder in this study were mostly from young old (n=17), male gender (n=19), and mean 5STS test is 18.48 seconds. Most of the patients had high blood pressure (n=29), normal body mass index (BMI) (n=22), independent activity of daily living (ADL) (n=21), and use of greater than 3 medication (n=21).The most common disease found is musculoskeletal disease and majority of patients had one medical disease.Conclusion: Older adults categorized as young old has the greatest frequency of having balance disorder. Increase in age, increases the duration of 5STS test conducted. The most common problem among older adult is high blood pressure, musculoskeletal disease and hypertension and majority of the patients consume greater than 3 medication. Lastly, most of the BMI and the ADL of the older adults were normal.Â DOI:Â 10.15850/amj.v3n1.718

Analgesic Usage in Elderly at Public Health Center: A study in West Java, Indonesias Putro, Gembong Soeyono; Sastramihardja, Herri S.; Dwipa, Lazuardhi
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Althea Medical Journal

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Background: Various analgesics prescriptions for elderly are not appropriate according to the guideline and can cause the increase of side effects such as gastric problems. Puskesmas as a public health center in Indonesia has an important role in anticipating this problem. The objectives of this study was to identify theÂ analgesic usage in elderly patients at the public health center. Methods: This retrospective descriptive study was conducted for 3 months at Tanjungsari public health center, Sumedang, West Java, Indonesia, using total sampling. The data was taken from 417 medical records from 2013. The data taken from medical records were: sex, analgesic drug, diagnosis, and drug for gastric problem.Results: From the collected data, the most analgesics prescribed for the elderly patients was paracetamol, followed by Piroxicam, Mefenamic acid, and Ibuprofen. Not all of the elderly patients who received NSAIDs, were given gastric drug. Conclusions: The most prescribed analgesic drug given to elderly patients at the public health center is paracetamol. [AMJ.2017;4(1):16â9]DOI:Â 10.15850/amj.v4n1.1014

Three-Year Study of Geriatric Skeletal Muscle Strength at a Top Referral General Hospital, West Java, Indonesi Lumbantoruan, Sigop Elliot Parsaulian; Vitriana, Vitriana; Dwipa, Lazuardhi
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

Background: One of the aging effects is the decrease of skeletal muscle strength. The objectives of this study was to analyze the geriatric skeletal muscle strength by hand grip strength according to the characteristics of the elderly.Methods: An analytic retrospective study was carried out to 99 medical records of elderly who sought medication at the Geriatric policlinic of Dr. Hasan Sadikin General Hospital as the top referral hospital in West Java, Indonesia from 2012â2014. The result of hand grip strength measurement were grouped based on the characteristics of gender, age, body mass index (BMI), Barthel Index score, Mini Nutritional Assessment (MNA) score, number of disease and number of medication. All data were taken from patientâs medical records. The collected data were statistically analyzed with unpaired T-test and one way ANOVA test.Results: Among the 99 subjects, most of the subjects were male, under 80 years old,Â Â independent living persons, had normal BMI, and normal nutritional level according to Mini Nutritional Assessment. Most of the subjects had more than 3 diseases per person and less than 5 sorts of medication. Male had higher hand grip strength compared to female and it was statistically significant (p=0.04). Based on ADL score, Independent living had higher hand grip strength compared to other level (p=0.008).Conclusions: From all the variables measured, only gender andÂ Activity Daily Living level contibute to the hand grip strength.Â

Hypertension Treatment and Control in Older Adult at Tanjung Sari Primary Health Care Fauziah, Rahmi; Rohmawaty, Enny; Dwipa, Lazuardhi
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

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Background: Hypertension is considered as a major health problem in Indonesia, especially in older adult population because of its prevalence increases by age. Treatment strategy and control management of hypertension in Public Health Center (Pusat Kesehatan Masyarakat, Puskesmas) as primary health care should be enhanced to overcome this issue. This study aimed to describe the pattern of antihypertensive agent in older adults.Methods: This was a descriptive study with total sampling method for data collection. Data were collected from medical record of older adult patients with diagnosis of hypertension at Puskesmas Tanjung Sari from January to December 2013. The variables observed were gender, number of visits, the degree of hypertension, types of antihypertensive drug, combinations of antihypertensive drugs, and blood pressure control.Results: The number of older adults with hypertension was 180 people. Some of which, 120 women (66.7%) participated, 152 (84.4%) had hypertension stage 2, 100 (55.6%) had just one visit, and 80 (44.4%) had more than one visit. Among 80 participants with more than one visit, 8 had achieved target blood pressure. There were 166 participants (92.2%) who received single antihypertensive agent (captopril was given the most), and 14 participants (7.8%) who received the combination of two antihypertensive agent (combination of captopril and HCT (hydrochlorothiazide)) were given the most).Conclusions: More than 75% of older adult with hypertension have stage 2 hypertension and are treated by single antihypertensive agent. Ninety percent of the patient have uncontrolled blood pressure. [AMJ.2016;3(1):17â21]Â DOI:Â 10.15850/amj.v3n1.699

Intrinsic Risk Factors of Falls in Elderly Amatullah, Yasmin; Sastradimaja, Sunaryo B.; Dwipa, Lazuardhi
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Althea Medical Journal

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Background: Falls are common geriatric problems. The risk factors of falls are the intrinsic and extrinsic risk factors. Studies on falls are scarcely conducted in Indonesia, especially in Bandung. Therefore, this study was conducted to identify the intrinsic risk factors of falls among elderly.Methods: A descriptive study was carried out from August to October 2013 at the Geriatric Clinic of Dr. Hasan Sadikin General Hospital Bandung. Fifty three participants were selected according to the inclusion and exclusion criteria using consecutive sampling. The determined variables in this study were classification of the risk of falls, demographic profile, history of falls, disease, and medications. After the selection, the participants were tested by Timed up-and-go test (TUGT). Moreover, an interview and analysis of medical records were carried out to discover the risk factors of falls. The collected data were analyzed and presented in the form of percentages shown in tables.Results: From 53 patients, women (35.66%) were considered to have higher risk of fall than men (18.34%). The majority of patients (66%) with the risk of fall were from the age group 60â74 years. The major diseases suffered by patients were hypertension, osteoarthritis and diabetes mellitus. Drugs that were widely used were antihypertensive drugs; analgesic and antipyretic drugs and antidiabetic drugs.Conclusions: There are various intrinsic risk factors of falls in elderly and each of the elderly has more than one intrinsic risk factor of falls. [AMJ.2016;3(3):334â9]Â DOI: 10.15850/amj.v3n3.875Â

Level of Dependency Based on Barthel and Lawton Score in Older People Living in Panti Werdha, Ciparay Rizky Nurwan Diyanto; Marina A. Moeliono; Lazuardhi Dwipa
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (182.08 KB)

Background: The population of older people continues to increase. Thus, many kinds of health-related problems can occur, such as a decrease independence level in performing activities of daily living (ADL) which can be assessed by using Barthel and Lawton index. Barthel index assesses basic ADL such as mobility function, continence, and self-care. Lawton index assesses instumental ADL that are a person’s ability to use tools and face other people. There are no data available reflecting the dependency of the older people at Panti Werdha, Ciparay . This study aimed to observe the level of dependence of the older people in Panti Werdha using Barthel and Lawton index.Methods: This study was a descriptive study and was conducted at Panti Werdha, Ciparay from September to November 2015 using the total population. The level of dependence in the older people was assessed by Barthel and Lawton index. Barthel index was divided into independent, mild dependent, moderate dependent, severe dependent, and totally dependent. Lawton index was divided into independent, low dependent, high dependent, and totally dependent.Results: A total of 144 older people participated as respondents in this study. Based on the Barthel index score, it showed that 51.4% of the subjects were dependent. As for the Lawton index scor¬¬e, it showed that 81.2% of the subjects were dependent.Conclusions: Most of the older people in Panti Werdha, Ciparay are categorized as dependent, where they will need help in performing basic and instrumental ADL. [AMJ.2016;3(4):493–8] DOI: 10.15850/amj.v3n4.929

Three-Year Study of Geriatric Skeletal Muscle Strength at a Top Referral General Hospital, West Java, Indonesi Sigop Elliot Parsaulian Lumbantoruan; Vitriana Vitriana; Lazuardhi Dwipa
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: One of the aging effects is the decrease of skeletal muscle strength. The objectives of this study was to analyze the geriatric skeletal muscle strength by hand grip strength according to the characteristics of the elderly.Methods: An analytic retrospective study was carried out to 99 medical records of elderly who sought medication at the Geriatric policlinic of Dr. Hasan Sadikin General Hospital as the top referral hospital in West Java, Indonesia from 2012–2014. The result of hand grip strength measurement were grouped based on the characteristics of gender, age, body mass index (BMI), Barthel Index score, Mini Nutritional Assessment (MNA) score, number of disease and number of medication. All data were taken from patient’s medical records. The collected data were statistically analyzed with unpaired T-test and one way ANOVA test.Results: Among the 99 subjects, most of the subjects were male, under 80 years old, independent living persons, had normal BMI, and normal nutritional level according to Mini Nutritional Assessment. Most of the subjects had more than 3 diseases per person and less than 5 sorts of medication. Male had higher hand grip strength compared to female and it was statistically significant (p=0.04). Based on ADL score, Independent living had higher hand grip strength compared to other level (p=0.008).Conclusions: From all the variables measured, only gender and Activity Daily Living level contibute to the hand grip strength.

Characteristics of Elderly Patients with Sarcopenia at Geriatric Outpatient Clinic Dr. Hasan Sadikin General Hospital Period 2012–2014 Sania Putri Darwita; Yuni S. Pratiwi; Lazuardhi Dwipa
Althea Medical Journal Vol 5, No 4 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Sarcopenia can lead to difficulty in physical activities, therefore, elderly cannot live independently. However, data on sarcopenia are not yet available in Dr. Hasan Sadikin General Hospital. This study was conducted to identify the frequency of occurrence and characteristics of elderly patients with sarcopenia.Methods: This study used descriptive method and was conducted from May to October 2014. Total sampling method was performed to medical records of elderly patients with sarcopenia at Geriatric Outpatient Clinic Dr. Hasan Sadikin General Hospital during the period 2012–2014. Variables observed were age, gender, body mass index (BMI), activities of daily living (ADL), timed up and go test (TUG), mini nutritional assessment (MNA), disease record, and medication record. Patients with sarcopenia were then grouped based on characteristics of age, gender, BMI, ADL, TUG, MNA, disease record, and medication record.Results: Out of 255 registered elderly patients, 22(8.63%) were with sarcopenia and one was excluded due to incomplete data. Sarcopenia was most prevalent in patients aged 80 years and older (15.38%), and commonly in men (57.1%). Most patients had hypertension history (66.6%), multiple comorbidities (61.9%), normal BMI (33.3%), normal ADL (85.7%), normal MNA (76.1%), and normal TUG scores (80.9%), and polypharmacy (52.3%) history.Conclusions: Sarcopenia is prevalent in men aged 80 years and older. Although sarcopenia patients have hypertension history, multiple comorbidities and history of polypharmacy, most patients live with normal daily activities and have good body mass index, however, quality of life of elderlies needs to be improved further.

Characteristic of Older Adult with Balance Disorder in Rehabilitation Clinic Dr. Hasan Sadikin General Hospital 2014 Ku Shi Yun; Irma Ruslina Defi; Lazuardhi Dwipa
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (533.3 KB)

Background: Older adult population is increasing worldwide. Balance has an important role in conducting daily activities and mobility, with impaired balance it can lead to negative impacts for example fall. This study is conducted to obtain common factors and characteristics of older adults with balance disorder to provide better rehabilitation services.Method: A descriptive study was conducted in the Physical Medicine and Rehabilitation Clinic of Dr. Hasan Sadikin General Hospital, Bandung from August-October 2014 using total sampling method and a 5 times sit-to-stand (5STS) test was conducted. The total sample obtained was 34.Result: The characteristics of older adult with balance disorder in this study were mostly from young old (n=17), male gender (n=19), and mean 5STS test is 18.48 seconds. Most of the patients had high blood pressure (n=29), normal body mass index (BMI) (n=22), independent activity of daily living (ADL) (n=21), and use of greater than 3 medication (n=21).The most common disease found is musculoskeletal disease and majority of patients had one medical disease.Conclusion: Older adults categorized as young old has the greatest frequency of having balance disorder. Increase in age, increases the duration of 5STS test conducted. The most common problem among older adult is high blood pressure, musculoskeletal disease and hypertension and majority of the patients consume greater than 3 medication. Lastly, most of the BMI and the ADL of the older adults were normal. DOI: 10.15850/amj.v3n1.718

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