Gerontological Nursing Care with Dementia at the Budhi Mulia 01 Cipayung Jakarta Social Home for the Elderly

Abstract

Dementia is a degenerative disorder of intellectual function that can affect memory, thought processes, judgment, interpretation, and communication, both verbally and in writing. This condition often occurs in the elderly and impacts an individual's ability to carry out daily activities. This study used a case study method with a geriatric nursing care approach for dementia clients at the Panti Tresna Werdha Budhi Mulia 01 Cipayung, East Jakarta. Data collection was carried out using a geriatric nursing care assessment format through the stages of assessment, diagnosis, intervention, implementation, and evaluation. The results of the assessment showed that both clients had almost the same complaints, especially memory impairment and the risk of falling in the elderly aged over 65 years. The first client experienced memory impairment, self-care deficit, and impaired sense of comfort, while the second client experienced memory impairment, impaired verbal communication, hearing impairment, and self-care deficit. Nursing interventions were carried out through memory stimulation and concentration training. After nursing actions were carried out, the client's condition showed quite good improvement. The assessment of geriatric nursing care for both clients revealed nearly identical complaints. Four nursing diagnoses were identified in the first client, while three were identified in the second client. Interventions and implementation were carried out based on a predetermined action plan, supported by adequate facilities and resources, and direct evaluation. It is recommended that nursing home administrators and healthcare workers continue to collaborate in monitoring the health conditions of the elderly so that clients can maintain their activities and quality of life.