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Dementia or senility is an aging process so it is considered a normal thing and if dementia is not prevented or treated it will have an impact such as a decrease in cognitive function. Cognitive function is mental and intellectual abilities and memory. Cognitive function ability was measured using the MMSE (Mini Mental State Examination) questionnaire which consisted of 11 questions. Efforts to improve cognitive function one of them with classical music therapy. This case study aims to describe the application of classical music therapy to improve cognitive function in the elderly at the Sekaran Health Center in Semarang. This case study uses a type of case study with a descriptive approach. The subjects of this case study used 2 people with inclusion criteria: age between 60-74 years, able to communicate well, elderly with mild dementia (MMSE score 24-30) and moderate (probable) MMSE score 17-23, elderly who are cooperative and can read and write, the elderly who are not hearing impaired. This case study was conducted 4 meetings over 2 weeks. The results of this case study showed an increase in cognitive function felt by both subjects. Subject I from a score of 22 (probable cognitive disorder) to 28 (normal). Subject II from a score of 19 (probable cognitive disorder) to 25 (normal). Classical music therapy in conclusion can improve the cognitive function of elderly people with dementia and is recommended as an effective therapy application in improving cognitive function.

An elderly person is someone who has reached the age of 60 years and over. One of the health problems that often occurs in the elderly is a decline in memory, learning and cognitive abilities in the elderly which causes them to have difficulty interacting and being difficult to understand. Conditions that affect cognitive abilities in the elderly are called dementia. Dementia is a chronic and progressive decline in memory and thinking function, causing disruption of functional activities. Nursing interventions that can be given to the elderly to improve cognitive function in the occurrence of dementia include brain gymnastics. The case study design used is descriptive research. The method used to collect data is using the Android-based MMSE (Mini Mental State Examination), namely MEFuKo (MMSE for Cognitive Function) to determine the level of dementia in the elderly. Brain exercise therapy (brain gym) is carried out for 7 consecutive days, 1 meeting per day with a duration of 15 minutes. Subject I's MMSE score before brain exercise therapy was 16 (presence of definite cognitive impairment) increased to 19 (presence of probable cognitive impairment) and there was an increase of 3 in total MMSE scores. The MMSE score in subject II before brain exercise therapy was 19 (possible cognitive impairment), after therapy the MMSE score became 23 (probable cognitive impairment) and there was an increase of 4 in total MMSE scores. The more activities you do, the less likely it is that seniors will experience a decline in cognitive function. The conclusion is that there was an increase in cognitive function in the two case study subjects which illustrate the application of brain gym therapy to cognitive function in elderly people with dementia. Brain exercise therapy is recommended to improve working memory function which can improve the quality of life of the elderly.  

Hypertension is an increase in blood pressure above normal which has a very close relationship with the elderly, so it can cause complications and cardiovascular disease if not treated properly. In the treatment of hypertension, the elderly can control blood pressure by using the Benson relaxation technique. Benson relaxation is a non-pharmacological therapy that uses the breathing relaxation method by involving the patient's belief factor. This case study aims to describe the application of Benson relaxation therapy 10-15 minutes, 2 times a day, for 3 days can reduce blood pressure in the elderly with hypertension in the Pegandan Public Health Center Semarang. The type of case study used is descriptive. The subjects used were 2 people with criteria of age > 60 years, BP 140/90 mmHg – 159/99 mmHg. The instrument used is a digital sphygmomanometer and Benson relaxation SOP. The final result of the application of Benson relaxation showed that subject I experienced a decrease in blood pressure on the first day, namely 158/92 mmHg to 138/84 mmHg on the third day, subject II experienced a decrease in blood pressure on the first day, namely 158/86 mmHg to 130/76 mmHg on the third day. The level of family independence of the two subjects increased from the level of independence of III to IV. Benson relaxation is recommended to help lower blood pressure in the elderly with hypertension

ABSTRAK Hipertensi adalah suatu kondisi medis yang kronis di mana nilai sistolik >140 mmHg dan nilai sistolik >90 mmHg.  Peraan perawat untuk mengatasi hipertensi dengan memberikan perawatan farmakologi dan non farmakologi. Salah satu dari terapi non farmakologi  untuk menurunkan  tekanan darah tinggi pada lansia dengan hipertensi adalah terapi relaksasi otot progresif. Tujuan studi kasus ini adalah untuk menggambarkan penerapan terapi relaksasi otot progresif untuk menurunkan tekanan darah pada lansia dengan hipertensi. Jenis penelitian ini adalah deskriptif dengan menggunakan metode pendekatan kasus. Subyek yang digunakan dua responden dengan kriteria lansia berusia 60-75 tahun, hipertensi grade I antara 140/90 mmHg sampai 159/99 mmHg, lansia tidak menjalani perawatan tirah baring, lansia yang bersedia menjadi responden dalam penelitian. Analisa studi kasus dilakukan secara deskriptif dengan metode studi kasus. Hasil studi kasus menunjukkan perubahan penurunan yang signifikan dari terapi relaksasi otot progresif terhadap tekanan darah pada lansia dengan hipertensi, dibuktikan pada penurunan sistole dan diastole pada kedua subjek. Subjek I selama 6 hari  terjadi penurunan pada sistole sebanyak 7 mmHg dan diastole sebanyak 26 mmHg. Pada subjek II terjadi penurunan sistole sebanyak 10 mmHg dan diastole sebanyak 9 mmHg. Kesimpulan bahwa terjadi penurunan tekanan darah pada lansia dengan hipertensi pada kedua subjek studi kasus yang cukup signifikan dalam menggambarkan penerapan terapi relaksasi otot progresif pada lansia yang mengalami hipertensi dan terapi relaksasi otot progresif direkomendasikan untuk menurunkan tekanan darah pada lansia dengan hipertensi. Tingkat kemandirian pada kedua subjek mengalamai peningkatan yaitu dari tingkat kemandirian I menjadi tingkat kemandirian II karena lansia dapat memahami hipertensi pada lansia, memberikan dukungan saat terapi dan bersedia melanjutkan terapi relaksasi otot progresif secara mandiri.

The elderly are at risk of experiencing cognitive function disorders due to the aging process. Wapuwan Puzzle (Wayang Punakawan) is a game therapy that was developed to improve cognitive function by carrying elements of the art of wayang punakawan characters that are popular with the elderly. The purpose of this study was to analyze the influence of the Wapuwan Puzzle on the cognitive function of the elderly. The design of this study was a quasi-experimental with a pre-post design with a control group. The research sample was 38 elderly people using the total sampling technique at the Posyandu Setya Manunggal III. Research instrument using MMSE. Data analysis using Mann Whitney. The results showed that the gender characteristics of the majority of the respondents were female, the average age of the respondents was in the range of 60-74 years, and the education of the respondents was on average not attending school and completing elementary school. The MMSE score of the elderly who received the Wapuwan Puzzle increased significantly than the elderly who did not receive the Wapuwan Puzzle. The results of the Mann Whiteney test obtained a significance value of 0.000 (P value < 0.05) so that it was concluded that there was an effect of the application of the Wapuwan Puzzle on the increase in cognitive function in the elderly at the Setyamanunggal Posyandu III Lempuyangan Hamlet.

                Elderly is a population at high risk of experiencing hypertension due to the aging process. The treatment of hypertension in the elderly is not effective yet, because it only reduces hypertension by 8%, the disease often recurs and requires a long process. Dry cupping therapy is one of the non-pharmacological therapies that are safe and fast through the skin suctioning techniques to reduce blood pressure in the elderly. This study aims to determine the description of the application of dry cupping therapy in reducing blood pressure in the elderly with hypertension in the Rowosari Community Health Center Semarang. This type of research is descriptive research with a case study approach. Subjects used were 2 respondents with criteria of age > 60 years, had first-degree hypertension, and were able to self-care. Blood pressure measurement using a sphygmomanometer. Dry cupping therapy interventions carried out for ± 15-30 minutes once a day. The results of data analysis showed that subject I decreased blood pressure from 150/90 mmHg to 140/90 mmHg and subject II decreased blood pressure from 150/90 mmHg to 140/80 mmHg. The conclusion of this study is dry cupping therapy influences in reducing blood pressure in the elderly with hypertension and is recommended as a nursing intervention in the management of blood pressure in the elderly with hypertension.

The elderly group during the pandemic is the group most at risk of experiencing severity/morbidity and mortality due to Covid-19 disease. This is because elderly patients (geriatric) generally have various comorbidities, such as cardiovascular disease, chronic respiratory disease, diabetes mellitus and hypertension. The elderly as a vulnerable group, of course, really need the right information related to Covid-19 with the right media. Media that can be used to provide information on Covid-19 to the elderly are posters and power points. This provision can be done by nurses. This research will be conducted on 50 elderly people at Kelurahan Bendungan Semarang. The study was conducted by measuring the level of knowledge with a knowledge level questionnaire about the problem of covid-19, before and after treatment. The design of this study was a quasi-experimental pre-test post-test with control group. The research sample was determined by total sampling with certain criteria, namely: 1) elderly aged 60 years and over, 2) can read, write, communicate well, 3) do not experience sensory, cognitive, and movement disorders, 4) participate in all activities with 100% attendance. The division of the group was 25 people for the intervention group and 25 people for the control group. The provision of posters and PPT media was held 4 times in 4 weeks. This is done in combination because the combination of the two media can increase the level of better knowledge, especially for the elderly who have experienced a decline in function. There is an increase in the level of knowledge from low level 4 people (16%), medium level 15 people (60%), high level 6 people (24%) to low level 1 person (4%), medium level 9 people (36%), high level 15 people (60%).

Hypertension is an increase in blood pressure above 140/90 mmHg. One of the causes of hypertension that is difficult to control is stress which can worsen the client's condition so that it is needed to handle through stress management. Zikir relaxation therapy is one of the relaxation therapies with an elemental approach to spirituality that is useful for reducing stress. The purpose of this case study is to illustrate the application of Zikir Relaxation Therapy to stress on clients with essential hypertension in the area assisted by the Rowosari Health Center Semarang. This type of research is descriptive using the case study approach method. The subjects used were two respondents with the criteria of clients with essential hypertension, level I-II hypertension, and moderate stress levels. The form of intervention is the application of Zikir relaxation therapy 4 times in 2 weeks (twice a week). The analysis is used to determine the stress level using the DSS (Distress Symptom Scale) measuring instrument. The results showed a decrease in stress levels before and after the administration of Zikir therapy from moderate stress to mild stress for subject I with a decrease of 36 scores and from moderate stress to normal for subject II with a decrease in 40 scores. The average reduction in stress levels of the two subjects after Zikir relaxation from an average score of 63 to 38. From the results of these studies, the provision of zikir therapy can be used as an intervention to reduce stress levels in clients with essential hypertension.

Proses  menua  menimbulkan  permasalahan  baik  secara  fisik,  biologis, mental maupun sosial ekonomi. Lansia merasa terbatas aktivitasnya, sering sakit, lingkungan kurang bersahabat, dan tidak percaya diri dengan penampilan fisiknya dan ini menjadi tanda rendahnya kualitas hidup lanjut usia karena mereka tidak menikmati masa tuanya.  Hasil  survey menggunakan  Mini  Mental  Status  Exam (MMSE)  diperoleh  data  bahwa  lansia  sebanyak  45  orang  yang  terdaftar  di Posyandu Setya Manunggal III Dusun Lempuyangan Bulan Januari 2020 menunjukkan yang mengalami penurunan kognitif sedang sebanyak 13 orang, penurunan kognitif berat sebanyak 5 orang. Hasil wawancara dengan kader lansia didapatkan data yang banyak mengalami pikun dikarenakan lansia hanya di rumah tanpa  adanya  aktivitas  lain  karena  adanya  keterbatasan  mobilitas  fisik.  Kader sendiri  oleh  penanggunggjawab  BKL  (Bina  Keluarga  Lansia)  dari  kecamatan Bergas sudah diarahkan untuk memberikan edukasi kepada lansia dan keluarga, baik itu bisa berupa permainan ataupun memberikan pelatihan kerajinan tangan, namun karena keterbatasan informasi, minimnya dana operasional, dan kurangnya kemampuan kader menjadikan program tersebut hanya wacana. Analisis fenomena tersebut menjadi latar belakang tim pengabdian masyarakat Akper Kesdam IV/Diponegoro bekerjasama dengan Puskesmas Bergas untuk melaksanakan kegiatan bertema, “ Penerapan Brain Gym, Puzzle Therapy, dan Handycraft Training  sebagai  Upaya  Meningkatkan  Kualitas  Hidup  Lansia  Dusun Lempuyangan, Gebugan, Kab.Semarang”.    

Prediabetes will become a widespread health problem and have a serious impact (emerging epidemic. Prediabetes condition is a condition of a person before suffering from diabetes mellitus which is characterized by an increase in hyperglycemic status above the normal laboratory threshold value, but does not increase in diabetics. The prevalence of diabetes increases every year, data shows 5-14% of prediabetic conditions will become diabetic every year. There has been a shift in the age of people with diabetes, from previously a disease that affects the elderly, to a disease that attacks at a young age. If young age is identical with type 1 diabetes, now individuals are the group of young adults also suffers from type 2 diabetes mellitus. Likewise with prediabetes, the number of young adults who experience prediabetes is increasing every year. Students are a group of young adults who have a combination of risk factors for hyperglycemia. Life such as reduced physical activity because it is not necessary to exercise regularly for a certain period of time such as in the previous education period makes students have a high risk of developing prediabetes conditions. Efforts to detect non-communicable diseases early in the community are expected to help reduce and prevent the incidence of prediabetes that occurs in Kesdam IV/Diponegoro Akper students.

Old age is a final stage in the span of human life. Health problems that are often found in the elderly, one of which is psychological disorders, namely anxiety, depression, readiness. These psychological disorders usually cause the emergence of sleep disorders, namely insomnia. Insomnia has an impact on physical effects, namely fatigue and muscle pain. The combination of progressive relaxation techniques and keroncong music is a non-pharmacological therapy given to clients by tensing certain muscles and then relaxing chili sauce accompanied by keroncong music. The purpose of this study was to determine the effect of a combination of progressive relaxation therapy and keroncong music on insomnia in the elderly at the Setya Manunggal III Posyandu, Semarang Regency. This type of research is a quasi-experimental approach with a one group pre-post-test design without control approach. The population of the study was the active elderly who were registered at the Setya Manunggal III Posyandu Lansia as many as 33 elderly. The research sample was determined by purposive sampling by taking into account certain criteria, namely: 1) the elderly who were registered at the Setyamanunggal III Posyandu, 2) aged 60-74 years. 3) Does not experience limitations or paralysis of limbs 4) Likes keroncong music. The exclusion criteria set included: 1) Elderly people with dementia 2) Elderly people who received medication to help sleep/anti-depressants/sedatives 3) Elderly people with total hearing loss. Insomnia measuring instrument using the KSBPJ Questionnaire. The results showed that there was an effect of Combination of Progressive Relaxation Therapy and Keroncong Music on insomnia in the elderly with a t value of 16,142 > t table.

Indonesia sedang mengalami transisi menuju struktur penduduk tua (ageing population)   sebagai   dampak       peningkatan   Usia   Harapan   Hidup   (UHH). Peningkatan jumlah lansia ini diikuti dengan peningkatan ragam penyakit degeneratif, seperti hipertensi, diabetes, stroke, dan penyakit jantung koroner. Data Riskesdas tahun 2013 menunjukkan terjadi transisi epidemiologi dari penyakit menular ke peningkatan penyakit tidak menular (PTM) sehingga kaum lansia cenderung mempunyai penyakit yang multipatologis. Kementerian Kesehatan mencatat, angka sakit pada kaum lansia terhitung cukup besar, mencapai 25,05 persen pada 2014. Permasalahan meningkatnya populasi lansia memerlukan bentuk pelayanan kesehatan tersendiri salah satunya penyelenggaraan Pos Pelayanan Terpadu Lanjut Usia (posyandu lansia). Hasil pengkajian di Posyandu Lansia Sabar Narimo terdapat sekitar 100 lansia yang terdaftar di dusun Lempuyangan, namun karena  keterbatasan  kader  pelaksanaan  posyandu  hanya  sebatas  pengukuran tekanan darah dengan metode kunjungan rumah. Mayoritas kader tidak mengetahui pelayanan posyandu dengan sistem 5 meja. Beberapa lansia mengalami stroke karena   hipertensi   kronis   yang   baru   diketahui   saat   masuk   RS.   Intervensi keperawatan yang disusun untuk mengatasi masalah defisiensi kesehatan komunitas karena tingginya angka kejadian PTM pada lansia disertai kurang optimalnya program pelayanan kesehatan melalui posyandu lansia setempat adalah dilaksanakannya revitalisasi posyandu lansia sebagai upaya pengendalian PTM berbasis pemberdayaan masyarakat. Analisis fenomena tersebut menjadi latar belakang tim pengabdian masyarakat Akper Kesdam IV/Diponegoro bekerjasama dengan Puskesmas Bergas untuk melaksanakan kegiatan bertema, “Revitalisasi Kader Posyandu Lansia Sabar Narimo Sebagai Upaya Pengendalian PTM Pada Lansia Di Dusun Lempuyangan Desa Gebugan Kecamatan Bergas Kabupaten Semarang”. Hasi kegiatan terjadi peningkatan pengetahuan dan ketrampilan kader posyandu lansia dalam pelaksanaan pelayanan posyandu 5 meja.    

Masa remaja merupakan masa yang rawan dan kritis karena perkembangan emosi dan perilaku yang masih belum stabil. Banyak perilaku sehat serta perilaku tidak sehat berkembang selama masa remaja. Data menunjukkan berbagai ragam perilaku yang bersifat larangan banyak dilakukan oleh remaja seperti perilaku merokok, mengkonsumsi alkohol, seks bebas, pola makan tidak sehat dan kurang berolahraga. Meningkatnya perilaku hidup tidak sehat dan kenakalan remaja  ini juga didapatkan di SMP Islam Nurul Huda. Data hasil pengkajian menunjukkan 25% siswa laki-laki merokok di luar lingkungan sekolah, 2% siswa pernah melakukan hubungan seks di luar nikah saat berpacaran, 10% sering membolos sekolah, 35% sering makan makanan tidak sehat. Kepala sekolah menyampaikan Trias UKS belum optimal dijalankan sehingga edukasi baik tentang kesehatan fisik ataupun psikologis remaja kurang terfasilitasi. Lokasi sekolah tampak kotor, sampah dibuang sembarangan, dan kamar mandi tidak bersih. Kehidupan di sekolah merupakan masa keemasan untuk menanamkan nilai-nilai PHBS dan berpotensi sebagai agent of change untuk mempromosikan PHBS khususnya baik di lingkungan sekolah, keluarga, maupun masyarakat. Perilaku ini perlu diedukasikan dengan strategi yang tepat pada remaja salah satunya melalui teman sebaya yang telah dilatih menjadi konselor. Kelompok konselor sebaya menjadi salah satu strategi baru untuk mengedukasi remaja karena periode remaja merupakan periode yang sangat dekat dengan peer group, membutuhkan pengakuan dari kelompok atau teman sebaya dan membutuhkan identitas baru yang bisa meningkatkan harga dirinya sehingga menjadi suatu pilihan yang tepat dalam upaya membentengi remaja dari pengaruh negative lingkungan dan membentuk perilaku hidup sehat pada remaja. Analisis fenomena tersebut menjadi latar belakang tim pengabdian masyarakat Akper Kesdam IV/Diponegoro bekerjasama dengan Puskesmas Rowosari untuk melaksanakan kegiatan   bertema,   “Pelatihan   Konselor   Sebaya   sebagai   Upaya   Meningkatkan Perilaku Hidup Bersih dan Sehat (PHBS) pada Remaja di SMP Islam Nurul Huda”. Hasil yang didapatkan terjadi peningkatan pengetahuan terkait PHBS pada remaja, serta terbentuk kader kesehatan remaja yang berfungsi sebagai konselor sebaya du SMP Islam Nurul Huda.    

The increase in Life Expectancy (UHH) has an impact on the increase in the elderly population and the problems due to aging. One of them is the system for regulating blood sugar levels which is disrupted due to changes in the body composition of the elderly in the form of increased fat composition from the body 14% to 30%. Efforts to prevent the incidence of Diabetes Mellitus is to achieve good nutritional status with anthropometric measurements, namely the division of body weight in kg with height in meters squared expressed in body mass index or BMI. This study aims to analyze the relationship between BMI and blood sugar levels in the elderly at the Sabar Narimo Posyandu, Lempuyangan Hamlet, Gebugan Village, Bergas District, Semarang Regency. The research design used was descriptive observational with a cross sectional approach. The number of samples was 40 elderly who were taken by purposive sampling technique. The instrument used to measure BMI is a digital weight scale, and a microtoise that has been calibrated, while blood sugar levels are measured using a glucometer. Data were analyzed by Pearson Corellation test. The results of this study indicate the frequency distribution of blood sugar levels in the elderly at the Posyandu Sabar Narimo on average 139.92 mg/dl and an average BMI of 25.24 kg/m2. The results showed that BMI was related to the variable of blood sugar levels with a correlation coefficient (r) of 0.614 and a significance value (?) of 0.0234 then there is a relationship. The conclusion in this study is that there is a relationship between blood sugar and BMI in the elderly at the Sabar Narimo Posyandu, Lempuyangan Hamlet, Gebugan Village, Bergas District, Semarang Regency.

Usaha Kesehatan Sekolah (UKS) memiliki tujuan untuk memandirikan seluruh komponen di sekolah untuk melakukan pencegahan dan penanganan dini pada maslah- masalah kesehatan yang mucul saat disekolah. Pada MI Nashrul Fajar Kelurahan Meteseh sudah terdapat lembaga UKS yang disediakan pihak sekolah, namun belum berjalan dan dikelola dengan baik. Hasil observasi didapatkan minimnya kegiatan di UKS maupun belum terdapatnya petugas kesehatan yang terlatih / dokter kecil di sekolah tersebut. Oleh karena itu untuk mengatasi maslah tersebut melalui musyawarah warga sekolah diputuskan untuk menggerakkan kembali kegiatan di UKS dan melatih dokter kecil. Dukungan dari semua pihak terkait dibutuhkan untuk keberlangsungan pengelolaan, pembinaan dan pengembangan UKS. Program dokter kecil merupakan upaya pendekatan edukatif dalam rangka mewujudkan perilaku sehat antara lain perilaku kebersihan perorangan, dimana anak didik dilibatkan dan diaktifkan sebagai pelaksananya. Tujuan dokter kecil meningkatkan partisipasi siswa dalam program UKS, agar siswa dapat menjadi penggerak perilaku hidup bersih dan sehat di sekolah, di rumah dan dilingkungannya dan siswa dapat menolong dirinya sendiri, sesama siswa dan orang lain untuk hidup sehat.

Pola penyakit mengalami transisi epidemilogi yang awalnya didominasi oleh penyakit menular berubah menjadi penyakit tidak menular (PTM). WHO melaporkan tahun 2013 PTM merupakan penyebab utama kematian di dunia. Data dari Dinas Kesehatan Jawa Tengah tahun 2017 juga menyebutkan 55,76 % PTM didominasi penyakit hipertensi, peringkat ke dua diduduki Diabetes Melitus sebesar 20,57% dan sisanya PTM lainnya. Tingginya kejadian PTM ini disebabkan oleh pola hidup masyarakat yang kurang sehat, sehingga pemerintah melaksanakan tindakan pengendalian PTM dengan melibatkan seluruh komponen bangsa dalam memasyarakatkan  paradigma  sehat  melalui  GERMAS.     GERMAS  merupakan gerakan nasional yang mengedepankan upaya promotif dan preventif, dengan cara 1) Melakukan aktivitas fisik 30 menit per hari, 2) Mengonsumsi buah dan sayur; dan 3) Memeriksakan kesehatan secara rutin. Deteksi dini PTM melalui pemeriksaan kesehatan rutin merupakan salah satu upaya pengendalian PTM yang perlu digencarkan  untuk  mencegah  timbulnya  penyakit  yang  lebih  lanjut  karena  tidak semua penyakit mempunyai gejala yang jelas dan baru diketahui setelah pemeriksaan kesehatan. Kurangnya pengetahuan masyarakat akan pentingnya pemeriksaan kesehatan dan tempat pemeriksaan kesehatan yang kurang strategis menjadikan masyarakat   enggan   memeriksakan   diri   sehingga   memicu   peningkatan   PTM. Intervensi keperawatan yang disusun untuk mengatasi masalah pemeliharaan kesehatan  tidak  efektif  di  atas  antara  lain  melalui  pelaksaaan  “Pemeriksaan Kesehatan   untuk   Deteksi   Dini   PTM   sebagai   Upaya   Mewujudkan   Program GERMAS” oleh Tim Pengabdian Masyarakat Akper Kesdam IV/Diponegoro.

Hypertension is not infectious disease which occupy the third place in the region’s small-scale Clinics Rowosari Semarang. Less healthy lifestyles as well as stress lead to uncontrolled hypertension and cause various complicatio. Foot reflexiology message is one of complementary therapies with muscle compression techniques giving rise to a relaxing effect and the lower blood pressure. The purpose of this study  is illustrate the aplication of reflexiology message theraphy to lower blood preassurein hypertensive clients.The methods used in this research is a descriptive case study method with case study approach. The subject are 2 people with criteria of age 35-65 years old and suffering from hypertension grade I and II. Intervensions carried out in the form of foot reflexiology massage therapy 30-60  minutes for three days a row. The results of the case study shows that there is a decrease of blood preassure 160/90 mmHg  143/83 mmHg be on subject I and subject II 180/100 mmHg to 155/87 mmHg. Foot reflexiology message therapy is recomended as a nursing intervention in the client management of clients  with hypertension.