ASUHAN KEPERAWATAN GANGGUAN MENELAN DENGAN PATAKARA TAISOU PADA LANSIA DI PANTI JOMPO KHUSUS KOMYOSO

Dewintasari, Ni Nyoman Paramitha (2025) ASUHAN KEPERAWATAN GANGGUAN MENELAN DENGAN PATAKARA TAISOU PADA LANSIA DI PANTI JOMPO KHUSUS KOMYOSO. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2025.

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Abstract

NURSING CARE FOR SWALLOWING DISORDERS USING PATAKARA TAISOU IN ELDERLY RESIDENTS AT KOMYOSO SPECIALIZED NURSING HOME ABSTRACT Swallowing disorder is the difficulty in moving a bolus of food from the oral cavity to the stomach. One non-pharmacological therapy to improve swallowing ability is the Patakara Taisou exercise. This study used a case study method on two elderly residents at the Komyoso Specialized Nursing Home. On December 2, 2024, an assessment revealed that Patient 1 experienced difficulty swallowing, coughing before and after swallowing, and food residue in the oral cavity. Patient 2 experienced coughing during swallowing, choking, hoarseness, and difficulty retaining food. The intervention involved aspiration prevention and support for treatment adherence, focusing on the Patakara Taisou exercise twice daily. Implementation was carried out from December 2 to 4, 2024. The results showed that Patient 1 still had difficulty swallowing but demonstrated improvement, such as no food remaining in the mouth and being able to swallow more slowly. Patient 2 showed significant improvement, including reduced coughing, less choking, and a clearer voice. Therapy evaluation indicated both patients felt more comfortable swallowing due to the exercise targeting muscles around the mouth, jaw, and tongue by articulating the specific syllables “Pa,” “Ta,” “Ka,” and “Ra,” which are vital for oral functions such as swallowing, speaking, and chewing. In conclusion, the Patakara Taisou exercise is beneficial for improving swallowing ability, although results were not entirely significant. Respondents are advised to continue the exercise to maintain their swallowing ability. Keywords: patakara; swallowing; elderly ASUHAN KEPERAWATAN GANGGUAN MENELAN DENGAN PATAKARA TAISOU PADA LANSIA DI PANTI JOMPO KHUSUS KOMYOSO ABSTRAK Gangguan menelan adalah kesulitan memindahkan bolus makanan dari rongga mulut ke lambung. Salah satu terapi nonfarmakologi untuk meningkatkan kemampuan menelan adalah latihan patakara taisou. Penelitian ini menggunakan pendekatan asuhan keperawatan pada dua lansia di Panti Jompo Khusus Komyoso. Hasil pengkajian 2 Desember 2024, pasien 1 mengalami kesulitan menelan, batuk sebelum dan sesudah menelan, serta makanan tertinggal di rongga mulit. Pasien 2 mengalami batuk saat menelan, tersedak, suara serak, dan kesulitan mempertahankan makanan. Intervensi dengan pencegahan aspirasi dan dukungan kepatuhan program pengobatan dengan memfokuskan latihan patakara taisou dua kali sehari. Implementasi dilaksanakan 2-4 Desember 2024. Hasilnya, pasien 1 masih sulit menelan namun menunjukkan perbaikan, seperti tidak ada makanan tertinggal di mulut dan mampu menelan lebih perlahan. Pasien 2 menunjukkan peningkatan signifikan, termasuk berkurangnya batuk, tersedak, dan suara lebih jelas. Evaluasi terapi didapatkan kedua pasien merasa nyaman saat menelan karena latihan ini menargetkan otot-otot di sekitar mulut, rahang, dan lidah dengan mengucapkan empat suku kata spesifik: "Pa", "Ta", "Ka", dan "Ra" yang penting untuk fungsi oral seperti menelan, berbicara, dan mengunyah. Kesimpulannya, latihan patakara taisou bermanfaat untuk meningkatkan kemampuan menelan dan responden disarankan melanjutkan latihan patakara taisou untuk menjaga kemampuan menelan. Kata kunci: patakara; menelan; lansia

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