WORKING WITH ELDERS

WHO HAVE
CARDIOVASKULAR
CONDITION
NURAZIZATUL ARIFAH
ISMI JIHAN
DICKY HERVIRAWAN

Tanda-Tanda dan
Gejala Disfungsi
Kardiovaskular

Penyakit kardiovaskular terkait dengan beberapa

tipe kondisi kondisi jantung, seperti:
1. Penyakit utama yang mempengaruhi jantung
seperti penyakit arteri koroner dan gagal
jantung kongestif.
2. Masalah sirkulasi yang melibatkan pembuluh
darah perifer seperti penyakit vaskular perifer.
3. Masalah sirkulasi yang melibatkan sirkulasi
cerebral.

Aspek Psikososial pada Disfungsi

Kardiovaskular
Anxiety

Helplessn
ess

Lansi
a

Denial

Depressio
n

Discomfor
t
Fear of
death

Dependen
ce

Anxiet
y

Anti-anxiety

Communicati
on

Therapeut
ic
Interventi
on

Helplessn
ess

Education

To begin ambulation and self-care activities

Denial

Instruct to
monitor
their
performan
ce
carefully

Inactivi
ty

Anxiety
Depressi
on

Relaxation
training

Lifestyle
education

Phase I
COTA/OTR team reviews the medical chart obtain information on
medical history and curretnt cardiac status
They interview the elder todetermine lifestyle and personal goals
for rehabilitation
Activities and exercises are initially low level
Elders are educated to accommodate for changes in their health
status.
COTAs educate elders with stress reduction techniques
COTAs introduces the concept of energy conservation and work
simplification while providing beside intervention

 METs help establish parameters for functional

activities

METs

Activities

The oxygen
consumed by the
body at rest

1,5

To write letter in
bed with arms
supported

1,5-3,5
1,5-2

Most Self care

activities
To perform light
work without
symptoms of
dyspnea,
palpitation, or

Phase II
An elders functional performance during self-care
activities is evaluated by monitoring the resting
pulse and peak pulse during a task and then
measuring the recovery time to a resting pulse
During this phase of rehabilitation, education and
training continue for modifications of risk factors
and monitoring of the elders general health

 Phase III
- Once elders are able to tolerate increased MET activities at
-

greater then 3,5 METs with safe and appropriate HR, BP,
and ECG responses, they are ready to move into phase III
of rehabilitation
Requires elders to be more responsible for self monitoring
and to react appropriate if signs or symptoms of recuiring
cardiac event become evident
In this phase, therapist can evaluate the function and
performance and facilitate progression of activity programs

Energy conservation, work

simplification, and other
education
Elders receive EC, WS and cardiac status

monitoring from OTs

EC is for elders well being, safety monitor for
routine tasks
Elders should be educated to pace themselves
during activities to reduce fatigue

INTERVENTION WITH ELDERS WITH

CARDIAC CONDITION IN OTHER SETTINGS

Another key area is the type of medication

that elders with cardiac or BP problem are

taking
Knowledge of which medications elders are
taking and their side effects is important to
any therapist, but especially to those who
perform therapy sevices through a home
healty agency orcommunity setting