Health

Service
Standard
For Elderly
(Hospitalize)
Presented By
-Mirantika Audina-
 -Geriatic Patients-
Elderly patients with multiple disease due
to multifactor causes that require
integrated health service with
multidisciplinary approach

It is clear that health

services at old age
are different themself
from othe population
group
In the National Standard for Hospital
Accrediation (SNARS) states that
hospital needs to hold a geriatric
service according to the type of
geriatric service level such as simple,
complete, perfect and plenary
Principles Of Health Services in Elderly
-Holistic Principle-

An elderly patient must be seen as a whole person, including the

psychological (psychological) and socio-economic environment
>>geriatric studies is used in diagnose the disease in elderly
The holistic nature contains meaning either vertically (begin from
community service to the highest referral service) or horizontally.
(work cross-sectorally)
Services must cover preventive, promotive, curative, and
rehabilitative aspects. 4 levels of disease in elderly (WHO):
disease, impairment, disability and handicap
 Workplace where each
member depend on
Multi-
others to achieve the
Principles of Procedure discipline same goal
and Management In Periodically a meeting
is held between team
Team members to conduct an
evaluation of work
Create and
Various health harmonization of
The geriatric team is a form of disciplines that jointly concepts and
multidisciplinary collaboration that carry out treatment for harmonization of actions
works in an interdisciplinary manner in elderly patients
achieving the objectives of the geriatric
ministry that are carried out Consists of doctors,
socio-medical workers,
nurses, nutritionist,
physiotherapist, ect Inter-
Making and discipline
harmonizing concepts
Implementation of Geriatric Health
Service
All health efforts Local hospitals that The hospital,
related and carried have carried out depending on the The concept of health
out by the geriatric services are type of service services in the elderly
community must be tasked with fostering available, provides population is planned
sought to play a geriatrics in their various services and implemented.
role in handling the territories, either for the elderly, To strive for a
health of the directly or indirectly carried out sustainable holistic
elderly through primary between the principle, broadly the
health care guidance geriatric unit service to health at the
age can be divided as
follows
Community Based Hospital Based Hospital Based
Geriatric Health Community GeriatricHealth
Service Geriatric Service Service
The concept of elderly health services,
starting from the level in the community, to
the highest referral in the hospital with a
complete geriatric service

(Placement): is a type of service, in which a

geriatric unit in a hospital after conducting an
assessment of a patient, provides
recommendations to the patient to be accepted
into an elderly institution, especially if the
institution is implemented by / or receives
subsidies from the government
The level of services provided by
the hospital can be divided as:

01 Simple
Assessment, consultation, examination, counseling, and
supervision to the Primary Helath Care

02 Medium
Provided polyclinic and day-hospital
clinics
03 Complete
Provided elderly ward with acute illness

04 Plenery
All types of services are provided at a
complete level coupled with the presence
of an elderly ward with chronic diseases
Implementation of Geriatric Service in Hospital
-Building Requirement-
must be wide
enough to make
it easier for Hallway and
patients / visitors room lighting
to pass in a must be bright
wheelchair or but not
bed dazzling

Street Door Electricity Lighting Floor

must be strong must be sufficient ust be flat, easy

enough, flat, with power to clean but not
not slippery and
provided a b reserves if one day
requires additional
lighting so
d slippery, if there
are steps or stairs
to be clearly
Building
Construction
special path for stabilizers are visible with
patients / needed to ensure different tile
visitors with voltage stability, colors to prevent
wheelchairs equipped with an falls
electric generator
 ..cont. Building construction
uses a toilet seat
must be permanent with a handle on the
must be strong and and strong and must be adequately right and left. Shower
easy to clean should be brightly ventilated is equipped with a
colored seat and a handle

Ceiling Wall Ventilation Bathroom

must be given safety
and Toilet
rovided in each room and wood or aluminum
for examination, to avoid the (leuning) which serves must be sufficient
treatment and other possibility of danger / as a handle for the and meet the
rooms trauma. patient requirements

Sink Avoid sharp Safety Water

angel handle
Implementation of Geriatric Service in Hospital
-Room Needs-
Acute
Geriatric
Ward The care ward is divided into men and women
with bells installed on each wall of the bed;

Intensive space with a minimum of 1 (one)

bed, divided into male and female (adapted to
ability and development)

Doctor’s Room

Acute rehabilitation room

Implementation of Geriatric Service in Hospital
-Room Needs-
Acute
Geriatric
Ward nurse room, with a location that allows the nurse
to see all patients who are in care

bathrooms and toilets whose numbers are

appropriate and equipped with facilities and
requirements for elderly patients

bathrooms / toilets specifically for nurses and

visitors

small meeting rooms; and warehouse

Implementation of Geriatric Service in Hospital
-Room Needs-
Day Care
Room a break room with a bed and a high-backed chair
equipped with a foot support

action / check room if needed

space for exercise / gymnasium / light exercise

daily activity simulation room (small kitchen with

equipment, restroom and others)
Implementation of Geriatric Service in Hospital
-Room Needs-
Day Care
Room
recreation / hobby room, concurrent dining room

WC / bathroom whose amount is adjusted to the

number of visitors and staff

room for assessment and socialization

occupational therapy rooms; and living room,

furniture and pantry set.
 ..cont. Room Needs
Medical rehabilitation
facilities and infrastructure
in accordance with
equipment for day care, has
a large enough garden with
a sunbathing area for
patients and equipped with
a pond with running water
consisting of: 1) team leader
room; 2) member room; 3) 1
(one) meeting room for the
team; 4) employee break
room and pantry; and 5)
small rooms for employees.
similar to a chronic care
room but consists of
pavilion-like rooms / rooms
that aim to provide privacy
for elderly patients with
Chronic facilities such as libraries,
Respite
Geraitric socializing spaces and parks
Care for walking exercises
Ward
(mobilization parks)
a treatment room for
palliative patients in
Staff’s Hospice
hospitals. Medical hospice
Room Care care rehabilitation facilities
Room and infrastructure in
accordance with equipment
for day care
Equipment Requires
Equipment Requires
 Service Flow
-Simple Level Geriatric Service-
Hospitals with simple geriatric services may
do inpatient care, but because there is no
special care room, that is acute geriatric care
room, it can be treated in an ordinary care
room.
 Service Flow in
Hospital with
Complete Geriatric
Service
Service Flow in
Hospitals with
Perfect Level
Geriatric
Services
Flow of Services
in Hospitals with
Full Level
Geriatric
Services
 Monitoring and Evaluation
Functional Status
is measured from
the time the patient 05
Length of Stay is hospitalized until
the time of return 04
average length of stay
of geriatric patients \is 03
12 days
02
Patient
01 Re- Saisfaction
hospitalization
is measured when
Quality Of Life is re-treatment the patient returns
after returning home with an
ust use instruments that are
home from the instrument that can
able to assess health-related
hospital. accurately measure
quality of life (health related
quality of life = HRQoL patient satisfaction
Conclusion
Given the various specificities of travel and disease appearance in the elderly,
there are 2 main principles that must be met in order to carry out health services
for the elderly, namely the HOLISTIC / complete approach as well as teamwork
and management.

The implementation of elderly health

services is divided into 3 categories,
In an Emergency Department or In order to be able to provide
namely geriatric health services in the
other polyclinic, if the sufferer maximum inpatient health
community, geriatric health services in
turns out to be a Geriatric services to the elderly, it must
hospital-based communities, and hospital-
sufferer, it will be referred to the meet several standards both
based geriatric health services
Geriatric department (which can from buildings, equipment,
be handled by an internal (+) / integrated geriatric teams and
The geriatric service procedure is that geriatric specialist) who will appropriate monitoring and
health services at the community level run carry out geriatric assessment evaluation.
by Puskesmas, private practice doctors,
and family doctors at one stage can refer
patients to hospitals that have Geriatric
services, or to specialist polyclinics in
other fields.
 Thank You
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