CURRICULUM VITAE

Nama & Gelar (lengkap) : dr. B. Kris Pranarka SpF, SpPD K-Ger,FINASIM
Tempat &Tanggal lahir : Semarang, 17 Juni 1945
Alamat : Bukit Kartika no 7, Bukit Sari, Semarang 50261
Tilpon : 024-7473265
Hp : 0811278211
E-mail : kris.pranarka@yahoo.com
RIWAYAT PENDIDIKAN

• Th 1972 : Lulus Dokter Umum : F.K. UNDIP

• Th. 1973 : Consortium of Medical Sciences
Bagian Forensik Medico-Legal, F.K UI
• Th. 1982 : Short Course In Geriatric Medicine.
Slotervaart Hospital, Amsterdam, The Netherland
• Th. 1983 : Spesialis Penyakit Dalam F.K. UNDIP.
• Th. 1989 : Consultan In Geriatric Medicine
Royal Adelaide Hospital, Adelaide – Australia
• Th. 1990 : Spesialis Forensik Medico-Legal, F.K. UNDIP.
• Th. 1995 : Konsultan Penyakit Usia Lanjut
Persatuan Ahli Penyakit Dalam Indonesia
• Th. 2011 : Fellow of The Indonesian Society of Internal
Medicine (FINASIM)
RIWAYAT PEKERJAAN
• 1972 – 1976 : Kepala Bagian Forensik- Medikolegal Fk. Undip
• 1980 – 2009 : Koordinator Pendidikan Bagian Penyakit Dalam S1
Fk. Undip
• 1993 – 2010 : Kepala Instalasi Geriatri RSDK
• 2005 – 2010 : Kepala Sub. Bagian Geriatri Fk. Undip
• 2010 – sekarang : Dosen Luar Biasa Gol. IV D Bagian Ilmu
Penyakit Dalam F.K. UNDIP RSDK
• 2011 – 2016 : Direktur Medik Rumah Sakit St Elisabeth Semarang
• 2016 – sekarang : Komite Medik RS St Elisabeth Semarang
• 2018 – sekarang : Dokter Konsultan tetap RS St. Elisabeth Semarang

RIWAYAT ORGANISASI
• Bidang Pembelaan Anggota IDI Wilayah Jawa Tengah ( 2002 -2010)
• Majelis Kehormatan Kode Etik Kedokteran IDI
Wilayah Jawa Tengah (2010 -2018)
• Bidang Pembelaan Anggota Persatuan Ahli Penyakit Dalam Indonesia – cabang Semarang (
sp. sekarang)
• Persatuan Dokter Forensik Medico-Legal Indonesia Cabang Semarang
• Perhimpunan Geriatri Medik Indonesia (PERGEMI)
• dll
PENGHARGAAN
• Satya Lancana Karya Satya
PELAYANAN GERIATRI
DI RUMAH SAKIT
SESUAI SNARS ed 1

Kris Pranarka, SpF ML, SpPD-KGER FINASIM

Diklat RSDK
25 Feb 2019
Introduction:

Indonesia : increased Elderly Population 11.34% (414%) in the

year 2020 (Bureau of the Census , USA)

WHO, 1989 : Indonesia, urutan ke V jumlah lansia (2020)

Bureau Of The Census, USA (1993) : Indonesia, lansia  414 % (1990 – 2025)

Th 2000 diproyeksikan 7,28 % dari jumlah penduduk

Th 2020 11,34 %

(BPS, 1992)
 NATIONAL PRIORITIES (2017)

a. Maternal & Infant Health

b. HIV /AIDS

c. Tuberculosis

d. Anti Resistency Microbial Programme

e. Geriatric Services
 Why Geriatric Medicine ?
( services )

• Changing demographic patterns

→ rapid increases in numbers of elderly people

– Radical improvement in public health :

• Spectacular reduction in infant mortality
• Elimination of infectious diseases
• Nutrition
• Environment

“live to be old”
 What is Geriatric Medicine ?

• Geros – Iatrea
(old age) (to care)

• Definition
Geriatric medicine is a branch of general internal
medicine,
concerned with the clinical, preventative,
remedial and psycho-social aspects,
of health and disease in the elderly

Health & Social care in the elderly

(British Geriatric Association)

 Who is a Geriatric Patient ?
• Age ≥ 60 yrs

Characteristics of diseases in the elderly

• Etiology
– Endogenous
– Occult
– Multiple pathologic
– Cumulative
• Onset
– Asymptomatic
– Insidious
• Course
– Chronic
– Progressive (long disability prior to death)
– Not protective (increased vulnerability to other diseases)
• Great individual variation
• Psycho-social issues
• Polypharmacy (iatrogenic diseases)

(Brocklehurst’s : Text Book Of Geriatric Medicine)

 Geriatric Assesment

• A multi disciplinary diagnostic process

intended to define medical problems and functional capabilities
in the context of social and physical environment
aims at determining short and long term plans for care of an elderly
patient
( British Geriatric Society )
→ a dynamic process, multidisciplinary team

• Benefits :
– Improved diagnostic accuracy
– Improved functional capacity
– Reduced polypharmacy
– Reduced hospital utilisation
– Reduced cost
– Reduced mortality
 Structures of Geriatric Services :

• A relatively young speciality

• Practice varies according to development
– Out patient department
Combined clinics
– Assesment team
– Acute wards
– Chronic wards
– Day hospital
– Respite care
– Hospice care
• Back up with other hospital services
• Nurses trained in Geriatric Medicine
 PELAYANAN GERIATRI
DI RUMAH SAKIT
SESUAI SNARS ed 1

1. Tingkat Sederhana
2. Tingkat Lengkap
3. Tingkat Sempurna
4. Tingkat Paripurna

Peresmian Unit Geriatri RSDK, 31 Maret 1993

 Tata Kerja Pelayanan Geriatri

IGD POLI SPESIALIS

KONSULTAN POLI GERIATRI

Spes.Peny.Dalam (+)

DAY-HOSPITAL R. GER. AKUT R. GER. KRONIS R. RWT. LAIN

Dr. Praktek Swasta PUSKESMAS Dr. Keluarga

POPULASI GOLONGAN USIA LANJUT

 Klinik terpadu Pelayanan Geriatri

Tim Asesmen : Dokter Umum (+), Perawat (+), Pekerja Sosial

Variasi Rekam Medik
Pelayanan Geriatri
HOME HEALTH CARE
Kunjungan Dubes Austria
Kunjungan Dirjen Yanmed Depkes RI
 Assesmen Geriatri

• Tim inti : geriatris, perawat, pekerja sosial medik

• Tim lengkap : (+) dokter rehabilitasi medik, psikiater / psikolog,
fisioterapis, OT, ahli gizi, konsultan bagian-bagian
lain yang dibutuhkan
Pertemuan Keluarga
(Family Conference)

Menyertakan keluarga secara aktif

dalam program kesehatan penderita
 ( respite care )
(Hospice care)
Klinik Rawat Siang ( Day Hospital )
 Kilinik memori
“ Jangan maklum dengan pikun “
Community Hospital Based Geriatric Services
Penempatan Lanjut Usia
di Panti Wredha
(Penelitian)
Terima kasih