Rumah sakit merupakan salah satu penyumbang limbah bagi suatu daerah. Limbah yang dihasilkan rumah sakit dapat berwujud padat, cair, dan gas yang dapat bersifat infeksius, mengandung mikroorganisme patogen serta bahan-bahan kimia beracun yang berbahaya bagi kesehatan maupun lingkungan. Rumah sakit di Indonesia menghasilkan limbah dalam jumlah yang tidak sedikit, dimana limbah ini dapat berbahaya bagi kesehatan dan dapat mencemari lingkungan. Hasil studi pengolahan limbah cair rumah sakit di indonesia menunjukkan hanya 53,4% rumah sakit yang melaksanakan pengolahan limbah cair. Pemeriksaan kualitas limbah cair hanya dilakukan oleh 57,5% rumah sakit. Ini mencerminkan bahwa betapa besar potensi rumah sakit untuk mencemari lingkungan dan kemungkinannya menimbulkan masalah-masalah lain serta penularan penyakit. Limbah cair mempunyai standar batas maksimal untuk suatu limbah dapat dibuang ke lingkungan yang disebut baku mutu limbah cair. Bagi rumah sakit, baku mutu limbah cair berarti batas maksimal limbah cair yang diperbolehkan dibuang ke lingkungan dari suatu kegiatan rumah sakit.
Selain hal tersebut di atas, rumah sakit merupakan salah satu fasilitas kesehatan yang sangat dibutuhkan oleh, dan adanya rumah sakit sangat diharapkan oleh masyarakat. Keberadaan rumah sakit yang berada di tengah masyarakat dan di tengah pemukiman menjadi perhatian khusus dalam dalam pengelolaan air limbah yang menjadi produk yang bisa berdampak secara negatif. Oleh karena itu rumah sakit harus dapat melakukan pengelolaan limbah baik padat maupun cair secara baik sehingga tidak berdampak negatip terhadap penduduk, atau bila ada dampak negatip maka dampak tersebut dapat diperkecil. Air limbah rumah sakit merupakan salah satu sumber pencemaran lingkungan yang sangat potensial.
Salah satu sumber utama pencemaran dari rumah sakit adalah sejumlah besar air dan juga menghasilkan sejumlah besar air limbah yang didalamnya meliputi mikroorganisme, logam berat, bahan zat kimia beracun, dan unsur radioaktif. Hal ini disebabkan karena air limbah rumah sakit mengandung senyawa organik yang cukup tinggi juga kemungkinan mengandung senyawa-senyawa kimia lain serta mikro-organisme patogen yang dapat menyebabkan penyakit terhadap masyarakat di sekitarnya. Dampak dari air limbah ini merupakan ancaman serius bagi kesehatan manusia dan lingkungan. Oleh karena potensi dampak air limbah rumah sakit terhadap kesehatan masyarakat sangat besar, maka setiap rumah sakit diharuskan mengolah air limbahnya sampai memenuhi persyaratan standar yang berlaku. Dengan keadaan di atas, permasalahan utama yang akan diteliti adalah melihat gambaran kualitas air limbah yang dihasilkan Rumah Sakit Umum Pusat Ratatotok, Buyat.
Tujuan khusus yang akan diamati dari permasalahan di atas adalah mengetahui karakteristik fisik, kimia dan biologis dari air limbah dan air olahan sistem pembuangan air limbah Rumah Sakit Umum Pusat Ratatotok, Buyat. Selain itu juga melalui penelitian ini diharapkan mendapatkan gambaran
6. These are biological requirements for human survival, e.g. air, food, drink,
shelter, clothing, warmth, sex, sleep.
Maslow considered physiological needs the most important as all the other
needs become secondary until these needs are met.
Physiological Needs
7. People want to experience order, predictability and control in their lives.
These needs can be fulfilled by the family and society (e.g. police, schools,
business and medical care).
For example, emotional security, financial security (e.g. employment, social
welfare), law and order, freedom from fear, social stability, property, health
and wellbeing (e.g. safety against accidents and injury).
Safety Needs
8. Abraham Maslow’s
Hierarchy of Human Needs
Published 1940s.
Food
Water
Shelter
Sleep
Others
Novelty
6 Modern Human Needs
These 6 needs, when met, allow for a
person to develop the self-esteem,
security, belonging, actualization, and
the other expressions of contentedness
11. Example
In spiter of remarkable economic growth
during the past two decades, One-fifth of
Thailand’s population are still living under
the poverty line and still suffering from
poor productivity, poor education and ill-
health
12. ●The social development process
has adopted the "desirable
characteristics of the Thai
society and people”.
13. Basic Minimum Needs
levels of need essential for each individual to achieve fulfilment in society.
Every Family Should Have Adequate Meals of Nutritional and Hygienic quality
Every Family Should Have Appropriate shelter and live in a proper environment
People shall have the right to receive necessary basic social services
People should have security of life and property
14. Basic Minimum Needs
levels of need essential for each individual to achieve fulfilment in society.
Every Family Should Have access to knowledge and means of reproduction for its
livelihood
Families should be able to control intervals between pregnancies and number of
children
People should be able to participate in community development and determine their
own mode of life
People should have proper spiritual development
15. Factors Affecting the Fulfillment of Basic
Human Needs
Disease
Meaningful
relationship
Self Concept
Development
stage
Family
Structure
17. Lack of Basic Needs
=
Difficulty in Starting
to fulfill Basic Needs
18. We develop beliefs that we are special, somehow more capable than
everyone else, because we can get along without having our needs fulfilled.
The truth is that we are often in denial.
Every single person on this planet needs food, water, shelter, sleep, others,
and novelty on a regular basis to be their best selves.
19. CREDITS: This presentation template was created by Slidesgo,
including icons by Flaticon, infographics & images by Freepik
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20. References
● Amorn, Nondasuta & Prapont, Piyaratn. (1987). Basic minimum needs / by Amorn Nondasuta and
Prapont Piyaratn. World health 1987 ; Jun : 14-15
● Federal Street Press. (2009). Needs. Webster's dictionary.
● Mcleod, S. (2020, December 29). Maslow's hierarchy of needs. Simply Psychology. Retrieved October
7, 2021, from https://www.simplypsychology.org/maslow.html.
● Quora. (2021, June 28). Six fundamental human needs we need to meet to live our best lives. Forbes.
Retrieved October 7, 2021, from https://www.forbes.com/sites/quora/2018/02/05/six-fundamental-
human-needs-we-need-to-meet-to-live-our-best-lives/?sh=5888c8e344a0.
● UMP 2017. Gambaran Pemenuhan Kebutuhan Dasar Menurut Maslow. 2015;11–31
Editor's Notes
Abraham Maslow = Psychiatrist , Who published Hierarchy of Human Needs (which was published in the 1940s)
Maslow's hierarchy of needs is a motivational theory in psychology comprising a five-tier model of human needs, often depicted as hierarchical levels within a pyramid.
From the bottom of the hierarchy upwards, the needs are: physiological (food and clothing), safety (job security), love and belonging needs (friendship), esteem, and self-actualization. Needs lower down in the hierarchy must be satisfied before individuals can attend to needs higher up.
Needs lower on the hierarchy arise due to deprivation and are said to motivate people when they are unmet. Also, the motivation to fulfill such needs will become stronger the longer the duration they are denied. For example, the longer a person goes without food, the more hungry they will become.
When a deficit need has been 'more or less' satisfied it will go away, and our activities become habitually directed towards meeting the next set of needs that we have yet to satisfy. These then become our salient needs. However, growth needs continue to be felt and may even become stronger once they have been engaged.
If these needs are not satisfied the human body cannot function optimally
Once an individual’s physiological needs are satisfied, the needs for security and safety become salient.
In his publication he listed 6 Human needs that stem from 75 years of psychology, neuroscience, and sociology research
Food - The body needs calories and a variety of nutrients including protein, fat, and carbohydrates everyday to grow, function, and repair. Without food, the body begins to atrophy.
Water - Ample hydration allows for the processes of the body to occur. Without water the body cannot process food or remove wastes.
Shelter - We require protection from blazing sun, freezing temperatures, wind, and rain. Without shelter, human skin and organs are damaged from extreme temperatures.
Sleep - 6–9 hours of sleep every 24 hours allows the brain to process new knowledge and deal with emotional information. Without ample sleep we cannot learn new things or get past emotional pain.
Others - Adults require connection (physical or emotional) with other humans to release certain hormones like oxytocin. Human touch is so important that when we are young, our brains don’t develop correctly without it. Regular connection to others allows us to maintain a sense of well-being that allows for self-care.
Novelty - Novelty creates the opportunity to learn and the potential to fail, which stimulates dopamine release in the brain. Without regular novelty, motivation wanes and a healthy sense of well-being is lost.
Emphasis is put on developing the quality of life as an important national resource, so that each individual in society would contribute in terms of knowledge, skills and responsibility to social progress. The net result would then be a parallel growth of people and society.
Unfortunately, when people go for a long time without having all 6 of these needs met
A person who doesn't get enough sleep will insist that they can do without. A person who has grown up without deep connection to others will insist that they prefer to live as a loner. Those who have deeply rutted routines will resist change when it is offered to them.