Asuhan Keperawatan dengan Masalah Defisit Perawatan Diri pada Lansia Demensia di Panti Werdha Hargo Dedali Surabaya

Defisit perawatan diri merupakan suatu kondisi pada seseorang yang mengalami penurunan kemampuan dalam melakukan aktivitas perawatan diri secara mandiri seperti mandi, berpakaian/berhias, makan, dan BAB/BAK. Jika kondisi defisit perawatan diri berlanjut maka bisa menimbulkan dampak secara fisik maupun psikologis. Fenomena yang terjadi, lansia cenderung tidak memperhatikan kebersihan diri, lansia juga menghindari topik pembicaraan tentang hidup bersih . Desain penelitian yang digunakan dalam penelitian ialah metode deskriptif dengan melakukan pendekatan studi kasus yang mana menggunakan konsep proses keperawatan yang meliputi pengkajian, diagnosa keperawatan, perencanaan, pelaksanaan, dan evaluasi.Pengkajian di dapatkan pasien mengalami ketidak mampuan melakukan perawatan diri dan pasien tidak menyadari bahwadirinya sudah mandi atau belum dan pasien bingung untuk kekamar mandi badan bau dan kotor, telinga kotor, telinga kotor. Diagnosa keperawatan yang muncul pada Tn. D dan Tn.B secara prioritas adalah defisit perawatan diri. Intervensi dan implementasi dukungan perawatan diri. Evaluasi selama 3x24 jam masalah teratasi pasien mampu menjaga kebesihan dirinya dengan kriteria pasien tampak bersih, rambut bersih dan wangi, kuku tangan dan kaki pendek dan bersih. Kesimpulan dari studi ini menunjukkan tujuan tercapai diharapkan pasien tetap mampu menjaga kebesihan dirinya dengan pendampingan perawat

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Self-care deficit is a condition in which a person experiences a decline in the ability to perform self-care activities independently, such as bathing, dressing/grooming, eating, and defecating/urinating. If the self-care deficit persists, it can have physical and psychological impacts. The phenomenon observed is that elderly people tend to neglect personal hygiene and also avoid discussing topics related to hygiene. The research design used in this study was a descriptive method with a case study approach, which utilizes the nursing process concept, which includes assessment, nursing diagnosis, planning, implementation, and evaluation. The assessment revealed that the patient experienced an inability to perform self-care, was unaware of whether he had bathed or not, and was confused about how to get to the bathroom due to body odor and dirt, and had dirty ears. The nursing diagnosis that emerged in Mr. D and Mr. B was prioritized as self-care deficit. Intervention and implementation of self-care support. After a 24-hour evaluation, the patient’s problem was resolved and she was able to maintain her personal hygiene, as indicated by the patient’s appearance, clean and fragrant hair, and short and clean fingernails and toenails. The study concluded that the goal was achieved, and it is expected that the patient continues to maintain personal hygiene with nursing support.