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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.