ASUHAN KEPERAWATAN GANGGUAN MENELAN DENGAN PEMBERIAN TOROMI TSURURINKO PADA LANSIA DISABILTAS KONGENITAL

Dewi, Ni Putu Lohita Intan Pramesti (2026) ASUHAN KEPERAWATAN GANGGUAN MENELAN DENGAN PEMBERIAN TOROMI TSURURINKO PADA LANSIA DISABILTAS KONGENITAL. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2026.

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Abstract

NURSING CARE FOR SWALLOWING DISORDERS USING TOROMI TSURURINKO IN ELDERLY PATIENTS WITH CONGENITAL DISABILITIES Ni Putu Lohita Intan Pramesti Dewi Program Studi Profesi Ners Poltekkes Kemenkes Denpasar Email: [email protected] ABSTRACT Swallowing disorders (dysphagia) in elderly patients with congenital disabilities occur due to decreased neurological function and impaired coordination of swallowing muscles, thereby increasing the risk of aspiration and inadequate nutritional intake. This study aimed to describe nursing care for swallowing disorders through the administration of Toromi Tsururinko in elderly patients with congenital disabilities in Dayroom Team C of Valstagardel Disability Special Hospital, Nara City, Nara Prefecture, Japan. This study employed a case study method using a nursing process approach, including assessment, nursing diagnosis, intervention, implementation, and evaluation in two patients. The results showed that both patients experienced severe swallowing disorders characterized by coughing and choking when given thin liquids. After fluid consistency modification using high-viscosity Toromi Tsururinko, the frequency of coughing and choking decreased, swallowing ability improved, and no signs of aspiration were observed. Based on this study, it can be concluded that the administration of Toromi Tsururinko is effective in improving swallowing safety and reducing the risk of aspiration in elderly patients with swallowing disorders. Keywords: Dysphagia, Disabled Elderly, Toromi Tsururinko ASUHAN KEPERAWATAN GANGGUAN MENELAN DENGAN PEMBERIAN TOROMI TSURURINKO PADA LANSIA DISABILTAS KONGENITAL Ni Putu Lohita Intan Pramesti Dewi Program Studi Profesi Ners Poltekkes Kemenkes Denpasar Email: [email protected] ABSTRAK Gangguan menelan (disfagia) pada lansia disabilitas kongenital terjadi akibat penurunan fungsi neurologis dan koordinasi otot menelan sehingga meningkatkan risiko aspirasi dan gangguan pemenuhan nutrisi. Penelitian ini bertujuan menggambarkan asuhan keperawatan gangguan menelan dengan pemberian Toromi Tsururinko pada lansia disabilitas kongenital di Ruang Dayroom Tim C Rumah Sakit Khusus Disabilitas Valstagardel Kota Nara, Prefektur Nara, Jepang. Penelitian menggunakan metode studi kasus dengan pendekatan proses keperawatan meliputi pengkajian, diagnosis, intervensi, implementasi, dan evaluasi pada dua pasien. Hasil penelitian menunjukkan kedua pasien mengalami gangguan menelan berat yang ditandai batuk dan tersedak saat diberikan cairan encer. Setelah dilakukan modifikasi konsistensi cairan menggunakan Toromi Tsururinko dengan tingkat kekentalan tinggi, frekuensi batuk dan tersedak menurun, kemampuan menelan meningkat, dan tidak ditemukan tanda aspirasi. Berdasarkan penelitian ini, dinyatakan bahwa pemberian Toromi Tsururinko efektif meningkatkan keamanan menelan dan menurunkan risiko aspirasi pada lansia dengan gangguan menelan. Kata Kunci: Gangguan Menelan, Lansia, Toromi Tsururinko

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