PUSKESMAS : UPTD Kec.

Gunungsitoli Selatan
KECAMATAN : Gunungsitoli Selatan
BULAN : Juni 2022
Sasaran
Jumlah Jumlah 45-59 60-69 ≥70
Nama
No Posyan Panti
Desa
du Wredha L P L P L P

1 2 3 4 5
1 Faekhu 1 0 65 70 25 25 7 21
2 Fodo 1 0 181 231 68 76 20 36
3 Hiligara 1 0 31 56 19 23 5 10
Hiligod
4 1 0 79 86 39 48 16 20
u omb
5 Lolofaos 1 0 20 45 23 30 12 14
6 Lolombol 1 0 22 22 15 20 10 12
7 Lololakh 1 0 30 14 30 63 19 32
Luaha
8 1 0 62 67 14 20 7 10
Laraga
9 Mazingo 1 0 31 39 17 29 15 12

Ombola
10 1 0 29 48 10 18 8 11
ta Sim

Onona
11 molo I 1 0 70 110 30 38 10 25
Lot
Onozito
12 1 0 24 31 8 8 4 11
li Tab
Sihareo
13 1 0 25 35 26 28 5 13
I Tab
Sisoba
14 hili II 1 0 10 16 9 16 10 7
Tan
Tetehos
15 1 0 15 25 10 15 4 6
i Omb
15 0 694 895 343 457 152 240
Jumlah Lansia dengan Kelainan
NO Ggn
DM As. Urat tinggi Ggn ginjal Ggn kognitif
Penglihatan
L P L P L P L P L
 1 13 14 15 16 17
1 0 0 1 0 0 0 0 0 0
2 3 1 2 2 0 0 0 0 3
3 0 0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0 0 0
5 0 2 0 2 0 0 0 0 0
6 0 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0
8 0 0 0 0 0 0 0 0 5
9 0 0 1 1 0 0 0 0 0
10 2 0 2 0 0 0 0 0 0
11 3 5 0 0 0 0 0 0 1
12 0 0 1 0 0 0 0 0 0
13 0 4 2 3 0 0 0 0 3
14 1 3 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0
JUMLAH 9 0 9 8 0 0 0 0 12
Mengetahui
Ka.UPTD Pusk.Kec.Gusel

SOSAIDAMAN H ZEBUA,S.Kep.Ns
PENATA TK I
NIP.19840621 200101 2 041
 FORMAT PENCA

Kunjungan
45-59 60-69 ≥70
L P L P L

B L B L B L B L B L

6
2 2 1 5 4 0 1 0 2 0
0 0 0 0 8 0 0 10 4 0
0 0 0 0 0 0 0 0 0 0

2 1 0 18 0 0 2 0 4 0

2 4 7 5 1 0 1 0 1 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 7 0 3 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 3 2 0 2 0 1 0

0 0 0 4 7 0 4 0 1 0

0 0 0 0 6 0 6 0 3 0

3 0 2 5 1 0 3 0 0 0

0 0 0 0 3 0 6 0 0 0

0 0 0 0 2 0 2 0 1 0

0 0 0 0 0 0 0 0 0 0

9 7 10 40 41 0 30 10 17 0
Kelainan Pengobatan
Jml Lansia dgn Konseling
Ggn Ggn kelainan
Lain-lain
Penglihatan pendengaran Diobati Dirujuk
B
P L P L P L P
 18 19 20 21 22 23
0 0 0 0 0 6 2 8 0 8
0 0 5 0 0 12 0 12 0 12
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 4 2 6 0 6
0 0 0 0 0 2 2 4 0 4
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 7 3 10 0 10
5 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 2 0 2
0 0 0 0 0 8 8 16 0 16
5 1 3 0 0 9 10- 19 0 19
0 0 0 0 0 1 5 6 0 6
3 3 6 0 0 3 6 9 0 9
0 0 0 0 0 0 0 7 0 7
0 0 0 0 0 0 0 0 0 0
13 4 14 0 0 53 29 99 0 99
FORMAT PENCATATAN DAN PELAPORAN KESEHATAN LANJUT USIA DI PUSK

Usia ≥ 60 tahun yang

Usia ≥ 60 tahun yang diskrining kesehatannya
≥70 diskrining kesehatannya
P L P
JUMLA
B L L P B L Abs B L
H
7
1 0 6 2 8 6 2 11 2 8
0 0 12 0 12 12 5 35 0 19
0 0 0 0 0 0 9 18 0 0

0 0 4 2 6 4 4 10 2 2

1 0 2 2 4 2 2 14 2 2
0 0 0 0 0 0 0 31 0 0
0 0 7 3 10 7 7 30 3 3

0 0 0 0 0 0 5 25 0 5

1 0 1 1 2 1 3 16 1 2

4 0 8 8 16 8 8 24 8 8

5 0 9 10 19 9 3 15 10 5

2 0 1 5 6 1 1 4 5 5

0 0 3 6 9 3 3 12 6 6

2 0 3 4 7 3 0 9 4 0

0 0 0 0 0 0 0 13 0 0

16 0 58 46 104 56 52 267 43 65

Konseling Jumlah
Pember
Penyul Panti
dayaan
uhan Wredha
L S Lansia
dibina
23 24 25 26
10 9 8 0 0
24 12 12 0 0
30 24 0 0 0
2 4 6 0 0
18 0 4 0 0
0 0 0 0 0
17 0 10 0 0
10 10 0 0 0
5 11 2 0 0
0 0 16 0 0
6 13 19 0 0
0 0 6 0 0
9 0 9 0 0
0 0 7 0 0
0 0 0 0 0
131 83 0 0 0 99 0 0 0 0
JUT USIA DI PUSKESMAS

Kegiatan sehari-hari Juml

g kesehatannya
Kemandirian IMT
Ggn ME
P L N
A B C
Abs L P L P L P

8 9 9
28 8 0 0 0 0 2 0 4 2
89 12 0 0 0 0 5 0 7 0
30 0 0 0 0 0 0 0 0 0

8 6 0 0 0 0 0 0 4 2

20 4 0 0 0 0 0 0 2 2
27 0 0 0 0 0 0 0 0 0
27 10 0 0 0 0 0 0 7 3

25 0 0 0 0 0 0 0 0 0

17 2 0 0 0 0 1 1 0 0

16 16 0 0 0 0 0 0 8 4

35 19 0 0 0 0 2 3 7 5

25 6 0 0 0 0 0 0 1 5

24 9 0 0 0 0 0 0 0 3

16 7 0 0 0 0 1 1 2 2

14 0 0 0 0 0 0 0 0 0

401 99 0 0 0 0 11 5 42 28
Jumlah
Kunjun
Ket.
gan
Rumah
27 28
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
Pengelola Program Keseha

SURYANI HALAWA,A.Md.Keb
PENATA TK I
NIP.19730905 199303 2 003
 Jumlah Lansia dengan Kelainan
MT Tek. Darah
Hb Kurang
K T N R

L P L P L P L P L P

9 10 11
0 0 2 0 4 2 0 0 0 0
0 0 3 0 9 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0

0 0 2 0 2 2 0 0 0 0

0 0 0 0 2 2 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 7 3 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 1 1 0 0 0 0 0 0

0 4 0 0 8 8 0 0 0 0

0 2 2 3 7 5 0 2 1 3

0 0 0 0 1 5 0 0 0 0

6 0 1 2 3 4 0 0 0 0

0 1 1 1 2 2 0 1 0 0

0 0 0 0 0 0 0 0 0 0

6 7 12 7 45 33 0 3 1 3
a Program Kesehatan Lansia
Kolesterol
tinggi

L P

12
2 0
5 0
0 2

2 1

1 2
0 0
2 2

0 0

1 1

3 2

6 4

0 0

0 5

1 1

0 0

23 20