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viii Keperawatan Gerontik
3.2.3 Sistem Persarafan ............................................................................... 29
3.2.4 Sistem Perkemihan ............................................................................ 30
3.2.5 Sistem Imun ....................................................................................... 31
3.2.6 Sistem Pencernaan ............................................................................. 32
3.2.7 Sistem Muskuloskeletal ..................................................................... 33
3.2.8 Sistem Integumen .............................................................................. 34
3.2.9 Sistem Sensoris .................................................................................. 35
3.2.10 Sistem Endokrin ............................................................................... 37
3.2.11 Sistem Reproduksi ........................................................................... 37
3.3 Perubahan Psikologis .................................................................................. 38
3.4 Perubahan Sosial .......................................................................................... 39
Bab 4 Pengkajian Keperawatan
4.1 Pendahuluan ................................................................................................. 43
4.2 Model Pengkajian Holistik ......................................................................... 44
4.2.1 Kebutuhan yang berhubungan dengan Promosi Kesehatan ........... 44
4.2.2 Kebutuhan Dalam Menghadapi Tantangan Kesehatan .................. 45
4.2.3 Pemenuhan Kebutuhan (Requisite of Needs) .................................. 46
4.2.4 Proses Keperawatan dalam MPKH .................................................. 47
4.3 Pemeriksaan Fisik ........................................................................................ 47
4.3.1 Keadaan Umum ................................................................................. 47
4.3.2 Kepala dan Leher ............................................................................... 48
4.3.3 Thoraks / Dada .................................................................................. 49
4.3.4 Abdomen ........................................................................................... 49
4.3.5 Genitourinaria .................................................................................... 49
4.3.6 Ekstremitas ........................................................................................ 50
4.4 Status Fungsional ......................................................................................... 51
4.5 Status Kognitif ............................................................................................. 52
4.6 Fungsi Sosial ................................................................................................ 53
4.7 Spiritualitas ................................................................................................... 54
4.8 Rapid Geriatric Assessment ........................................................................ 54
4.8.1 Frailty .................................................................................................. 54
4.8.2 Sarcopenia .......................................................................................... 56
4.8.3 Nutrisi ................................................................................................. 57
4.8.4 Skrining kognitif ................................................................................. 57
Bab 5 Faktor-Faktor Yang Memengaruhi Kesehatan Lansia
5.1 Pendahuluan ................................................................................................. 61
5.2 Faktor Memengaruhi Kesehatan Lansia .................................................... 62