Case study on the elderly with ineffective health management: chronic kidney disease in Gentingan Sidoagung Village
Keywords:
chronic disease, chronic kidney failure, elderly, palliative careAbstract
Background: The treatment of patients with chronic illnesses requires consistency and independence. Factors
contributing to ineffective health management in individuals with chronic diseases include limited knowledge,
lack of family and social support, and poor health behaviors—all of which fall under the scope of palliative care.
Palliative nursing plays a crucial role in assisting clients and their families in navigating the disease trajectory
while ensuring that the clients' holistic needs are met optimally. Objective: This study aims to explore the nursing
care process for a 65-year-old male patient with a chronic illness using a palliative approach to improve his quality
of life. Methods: This study employed a descriptive case study design. Data collection was conducted over seven
sessions, followed by the implementation of gerontological nursing interventions. Results: The study found
improvements in the patient's daily living activities, attributed to the care program supported by family
involvement. Conclusion: Effective health management using a palliative approach, combined with family
support, contributes to better daily functioning and an enhanced quality of life. The implementation of an
appropriate care program is essential in achieving these outcomes.
References
Agil, Naufal Muhammad et al. 2025. “Keperawatan Paliatif : Pendekatan Holistik Dalam Perawatan
Akhir Kehidupan.”
Ariyanti, Sri et al. 2024. “Keperawatan Gerontik Pengetahuan Praktis Bagi Perawat Dan Mahasiswa
Keperawatan.”
Elmaghfuroh, Dian Ratna et al. 2023. “Pengaruh Implementasi Palliative Care Dengan Pendekatan
Spiritual Therapy Terhadap Kemampuan Kognitif Lansia Di PSTW Jember.” The Indonesian
Journal of Health Science 15(1):46–53. doi: 10.32528/tijhs.v15i1.491.
Fadilah, Nikmatul et al. 2023. “Peningkatan Kesejahteraan Spiritual Pada Klien Penyakit Ginjal Kronis
(Muhammad Nur Cahyanta, Zubaida Rohmawati – Case study on the elderly with ineffective health....) 681
Proceedings International Conference on Nursing Relateded to Palliative Care
Vol. 1 (2025): 21 November 2025
(Muhammad Nur Cahyanta, Zubaida Rohmawati – Case study on the elderly with ineffective health....) 682
Melalui Pemberdayaan Keluarga.” J-Dinamika : Jurnal Pengabdian Masyarakat 8(1):93–100.
doi: 10.25047/j-dinamika.v8i1.3537.
Fransiskus, X. et al. 2022. “Pengaruh Edukasi Self-Care Management Terhadap Tekanan Darah Pasien
Hipertensi.” Watson Journal of Nursing 1(1):22–29.
Herlinda, Herlinda et al. 2023. “Mentoring Kader Terhadap Pencegahan Stunting Di Desa Sari Mulyo
Kecamatan Sukaraja.” Jurnal Pengabdian 2(1):7–12. doi: 10.58222/jp.v2i1.145.
Kemenkes RI. 2018. “Laporan Riskesdas 2018 Kementrian Kesehatan Republik Indonesia.” Kemenkes
RI 53(9):154–65.
Nur Arifatus Sholihah et al. 2025. “Peran Penting Promosi Kesehatan Dalam Pencegahan Penyakit
Kronik.” Detector: Jurnal Inovasi Riset Ilmu Kesehatan 3(1):01–08. doi:
55606/detector.v3i1.4773.
Octaviani, Oky et al. 2020. “Perawatan Paliatif Pada Penderita Hipertensi.” 25–36.
PPNI (2016). Standar Diagnosis Keperawatan Indonesia: Definisi dan Indikator Diagnostik, Edisi 1.
Jakarta: DPP PPNI.
PPNI (2018). Standar Luaran Keperawatan Indonesia: Definisi dan Kriteria Hasil Keperawatan, Edisi
Jakarta: DPP PPNI.
PPNI (2018). Standar Intervensi Keperawatan Indonesia: Definisi dan Tindakan Keperawatan, Edisi 1.
Jakarta: DPP PPNI.
Putri, Devi Setya et al. 2024. “Pengaruh Afirmasi Positif Terhadap Kualitas Tidur Pasien Gagal Ginjal
Kronik Yang Menjalani Hemodialisa Di Rs Mardirahayu Kudus.” Jurnal Keperawatan Dan
Kesehatan Masyarakat Cendekia Utama 13(2):150. doi: 10.31596/jcu.v13i2.2348.
Rahman, Zakiah et al. 2022. “Kualitas Hidup Pasien Gagal Ginjal Kronik Dengan Komorbid Diabetes
Melitus Dan Hipertensi Yang Menjalani Hemodialisa.” Menara Medika 5(1):121–27. doi:
31869/mm.v5i1.3541.
Supriadi, Dedi et al. 2023. “Penatalaksanaan Kualitas Tidur Pada Lansia Dengan Melakukan Aktivitas
Olahraga Jalan Kaki.” Holistik Jurnal Kesehatan 17(4):294–303. doi: 10.33024/hjk.v17i4.9949.
Vebrian, Garry et al. 2021. “Hubungan Antara Spiritualitas Dengan Tingkat Stres Pada Mahasiswa
Keperawatan Dan Kebidanan Yang Mengerjakan Tugas Akhir Di Politeknik Kesehatan Banten.”
Nusantara Hasana Journal 1(4):134–41.
Wahyuni, Emmi et al. 2024. “Peningkatan Pengetahuan Diet Nutrisi Dan Cairan Melalui Edukasi
Kesehatan.” Jurnal Pengabdian Masyarakat 5(2):181–90.
Wulandari, Deniza Anggun Et Al. 2024. “Studi Deskriptif : Pengetahuan Pengasuh Dalam Memenuhi
Kebutuhan Spiritual Lansia Di Akhir Hayat.” 1(September):29–35.
Yuliawati, Agustina Nila Et Al. 2022. “Hubungan Kepatuhan Pengobatan Dengan Kualitas Hidup
Pasien Gagal Ginjal Kronik Disertai Hipertensi Dan Menjalani Hemodialisis.” Jurnal Manajemen
Dan Pelayanan Farmasi (Journal Of Management And Pharmacy Practice) 12(1):28–39. Doi:
22146/Jmpf.69974.
