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Background: Elderly the elderly are individuals aged 60 years and above. Globally the elderly population is growing faster than the younger population. The aging process experienced by the elderly is a process of reducing the body's resistance to internal and external stimuli. in the face of internal and external stimuli. In the aging process the elderly will experience physiological, psychological and social decline, these changes will affect health in the elderly. affect health in the elderly. Diabetes mellitus (DM) or diabetes is a non-communicable disease characterized by high blood sugar levels. by high blood sugar levels. DM occurs when the pancreas does not produce enough insulin to control blood sugar. If people with diabetes mellitus do not carry out treatment, the impact of the occurrence of complications of the disease in people with diabetes mellitus, therefore it is necessary to control or lower blood sugar levels. The purpose of this literature review: To carry out nursing care for the problem of diabetes mellitus in the elderly.Research methods: The search for article data sources was carried out through an inclusion study design using a Literature Review.Results: analysis of journal reviews found differences in the level of effectiveness between foot exercises (50%) and dhikr therapy (5%) and hyperglycemia (45%) where foot exercises were more influential than dhikr therapy in diabetes mellitus.Conclusion: There is an effect of foot exercises on reducing sugar levels in diabetes mellitus.

Depression is the most common psychological disorder that occurs in the last years of an individual's life. Elderly depression has an impact, including shortening life expectancy by exacerbating physical deterioration in the elderly, hindering the fulfillment of elderly developmental tasks, decreasing the quality of life of the elderly, draining the emotions and finances of the affected person as well as their families and social support systems. Physiotherapist programs provided to the elderly who are depressed include listening to classical music in English and murottal. For this reason, this community service activity aims to socialize the provision of English classical music therapy and murottal to reduce the rate of depression in the elderly. This community service activity uses the method of practical lectures and questions and answers. The lecture method was carried out by delivering material about depression and English music therapy. After that, the practice of listening to English and Murotal classical music, while the question and answer method was carried out by asking participants about the material that had been presented. Results: The results of this community service activity were obtained that participants were able to understand and apply the material that had been delivered. Conclusion: Based on the community service activities that have been carried out, many of the participants enthusiastically received the entire series of events ranging from material presentations, practice listening to English classical music to question and answer interactions.   

Sleep disorders or insomnia refer to a condition where individuals struggle to achieve adequate sleep in terms of both quality and quantity. Insomnia sufferers often experience fatigue and drowsiness throughout the day due to a lack of optimal rest. Based on its duration, insomnia is classified into acute insomnia, lasting less than four weeks, and chronic insomnia, which persists for more than four weeks. One non-pharmacological approach to managing this issue is relaxation therapy, including the use of aromatherapy, which promotes a calming effect through pleasant scents. This community service program aims to provide awareness about the benefits of aromatherapy in managing insomnia. The methods used include health education, discussions, and Q&A sessions with participants. The target audience consisted of 12 elderly individuals experiencing sleep disturbances. The evaluation results indicated a significant improvement in participants' knowledge after the session, with 91.7% demonstrating a good understanding, while 8.3% had a moderate understanding of aromatherapy’s benefits. These findings suggest that educating the elderly on the use of aromatherapy for insomnia management positively impacts their awareness of relaxation therapy’s role in improving sleep quality. It is hoped that this method can be continuously promoted as an effective natural alternative to address sleep disorders.

Humans will experience old age or old age (elderly) where when in that phase there will be a decrease in muscle mass so that it will affect the mobility of the elderly. Socialization of medicinal plants (TOGA) and ergonomics of movement for the elderly is knowledge provided for the elderly who live in Meruya Utara Village, especially in RT 004/09, where the number of elderly is quite large. This socialization is expected to help improve the knowledge and understanding of the elderly regarding the benefits of family medicinal plants and ergonomics of movement problems. The explanation of the use of TOGA plants that is conveyed is mainly related to the processing of TOGA, especially those that have properties for bone and muscle health where there are various types of TOGA that can maintain bone and muscle health such as ginger, temulawak, celery, and lemongrass. The explanation of ergonomic movement is conveyed starting from the type of elderly, problems faced, elderly diseases, safe activities for the elderly and a focus on rearranging the bathroom which is an area prone to frequent accidents for the elderly where the elderly bathroom must at least have a sitting toilet, railing, water reservoir, rough bathroom floor and a door handle with a handle

Urinary incontinence occurs when a person's urine leaks unknowingly or unintentionally. Urinary incontinence varies in the form of urine excretion which is sometimes only a few drops or vice versa it is really a lot. One way to prevent urinary incontinence is to treat it, and doing Kegel exercises is one way to deal with it. (Sangga, M.W, R.C Choeron & Y Rosdiana, 2021). This community service activity aims to increase the knowledge of the elderly about urinary incontinence and how to overcome the problem of urinary incontinence. This community service activity uses the lecture method, and questions and answers and kegel gymnastics exercises. The lecture method was carried out by delivering material about urinary incontinence, the question and answer method was carried out by asking participants about the material that had been presented and doing kegel exercises in the elderly. The results of this community service activity were obtained that participants were able to understand and apply the material that had been delivered and perform kegel exercises independently. Based on the community service activities that have been carried out, the elderly are enthusiastic about accepting the entire series of activities ranging from the percentage of material delivery to the implementation of service running with Lanca, the elderly are very active in asking and answering questions and actively participating in kegel gymnastics training.

Elderly individuals are vulnerable to various chronic diseases, such as diabetes, hypertension, and cardiovascular disorders. Irregular or disrupted sleep patterns have been identified as key factors influencing the risk of chronic diseases in older adults. This study aims to examine the relationship between sleep patterns and the risk of chronic diseases in the elderly. A literature review method was employed by gathering data from relevant studies. The analysis indicates that sleep disturbances, such as insomnia and sleep apnea, increase the risk of chronic diseases due to disrupted bodily recovery processes and metabolism during sleep. Therefore, improving sleep patterns is a crucial intervention in preventing chronic diseases among the elderly.

As life expectancy and the number of elderly people increase in many countries, the welfare of the elderly is becoming an increasingly important issue. In this context, the family plays an important role in improving the physical, mental and social quality of life of the elderly. This research aims to determine the role of the family in improving the welfare of the elderly. This research method uses a qualitative approach and involves literature study, data collection techniques using interview methods and literature research. This research discusses that the family provides important support for the elderly in terms of physical care, emotional support, economic resources and social involvement. However, from the research results, the author found that the elderly people interviewed felt that family members had limited time in terms of dividing their time between work and visiting and exchanging stories.

The elderly are an age group that experiences the aging process with various physical, mental and social changes that affect their quality of life. As the number of elderly people increases in various countries, it is important to have a clear understanding of the scope of the needs and conditions of the elderly from a social, health and economic perspective. The aim of this research is to determine the scope of the needs and conditions of the elderly. This research method uses a qualitative approach and involves literature study, data collection techniques using interview methods and literature research. This research discusses the health needs and conditions of the elderly, with a focus on medical aspects of care, including ongoing care and management of chronic conditions (such as diabetes, cholesterol and high blood pressure). Elderly people also experience several challenges, such as accessing health care facilities which is often difficult due to distance, physical limitations, or dependence on family for care. Therefore, researchers hope to provide a deeper understanding of the challenges and needs of the elderly, as well as families spending more time providing care.  

Aging or getting old is a natural thing, which cannot be avoided and rejected by every living creature, including things that will happen to every human being. One of the most common diseases found in the elderly is hypertension, because age is one of the risk factors for hypertension because the arteries or blood vessels in the elderly tend to harden and lose their elasticity. This community service aims to provide information about laughter therapy as one of the non-pharmacologic therapies to lower blood pressure. Method: The implementation of this laughter therapy begins with an explanation of laughter therapy and is continued with a demonstration by team members after which all participants participate in carrying out laughter therapy. The implementation of laughter therapy begins with an explanation regarding laughter therapy and is continued with a demonstration by team members after which all participants take part in carrying out laughter therapy. When laughter therapy was given, there were changes in blood pressure, where 7 respondents (63.7%) of elderly people experienced a decrease in blood pressure, while 4 respondents (36.3%) of elderly people had stable blood pressure. The results of this community service can show that providing laughter therapy is effective in lowering blood pressure even though the implementation is short. The implementation of this therapy is easy to do by the elderly and is effective as a complementary therapy in treating hypertension.

Background: Good sleep quality is one of the factors for maintaining physical and mental health, especially in the elderly. As they age, many seniors experience changes in sleep patterns and decreased sleep quality. One of the factors that contribute to sleep problems can arise from various sources, such as health problems, loss of a loved one, or changes in lifestyle. Ongoing stress can affect an individual’s ability to sleep, which in turn can have a negative impact on overall health. Objective: This literature review aims to determine the relationship between stress and sleep quality in the elderly. Research method: Search for article data sources was carried out throught inclusion study design using Literature Review. Results: Based on the results of the analysis of ten journals, several things can be found related to stress levels and sleep quality. In general, it was found that there was a relationship between stress and the sleep quality of the elderly.Conclusion: Based on the results of the literature review, it shows that there is a significant relationship between stress and sleep quality in the elderly, where both influence each other and can have an impact on overall health. Elderly people who experience high levels of stress tend to experience sleep disorders.

Elderly in UUD Number 12 of 1998 is someone who has reached the age of 60 years or more. WHO states that the elderly population in Southeast Asia is 8%, around 142 million people.  WHO data for 2020 in the Southeast Asia region, the elderly population is 8%, around 142 million people. In Indonesia, based on data obtained by BPS in 2022, it was found that the number of elderly people aged 60 years and over was 10.8% or around 29.3 million people. At this age, people usually tend to experience a decline in body function more easily, due to the aging process that occurs in the elderly. The aim of this literature review is to determine the relationship between physical activity and a decrease in depressive symptoms in the elderly. This research uses a literature review method.based on the results of a literature review of 10 journals, the average results show that the more often elderly people do physical activity, the less symptoms of depression. The results show that physical activity has a significant relationship with reducing depressive symptoms in the elderly. Factors such as intensity, and type of physical activity also influence the effectiveness of reducing depressive symptoms.

As the elderly age, there are changes in physical changes that affect all systems, including the musculoskletal system. One of the daily health problems that often interfere with Activity of Daily Living in the elderly is low back pain (LBP)./1. This study aims to determine the relationship between LBP pain levels and ADL in elderly women in the Padang Kandis Health Center working area, Lima Puluh Kota Regency. This study is an observational analytic study with a cross sectional approach. The sampling technique used consecutive sampling technique with a total sample of 45 samples. Data collection using the Visual Analogue Scale (VAS) questionnaire, LBP, Katz Basic Activities Of Daily Living Scale (Index Katz). Data analysis using the Pearson Chi-Square test. The results of the Chi-Square test obtained a significant value (p-value) of 0.000 (p < 0.05). The p-value is smaller than 0.05 (0.000 <0.05), so the test decision is Ha accepted, which means “there is a relationship between the level of LBP pain and ADL in the elderly in the Padang Kandis Health Center working area, Guguak District, Lima Puluh Kota Regency, West Sumatra Province”. This study shows that there is a relationship between the level of LBP pain and ADL.

The elderly often face challenges such as decreased cognitive function, social isolation, depression and anxiety that can affect their overall quality of life. Providing art therapy to the elderly is closely related to understanding its benefits to their physical, mental, and emotional well-being. The purpose of providing art therapy to the elderly is to promote holistic well-being through creative expression, social interaction, and meaningful artistic experiences. The method of implementation is by providing art activities to the elderly who are divided into several groups, carried out for 1 x meeting, each for 1 hour. The target of this activity is the elderly residents of the Mulia Dharma Elderly Rehabilitation Social Institution, Kubu Raya Regency.  The results of the activity are in the form of artwork and documentation of art creation activities. Participants showed enthusiasm in participating in art creation activities with flower arranging activities and coloring pictures. Participants showed a happy attitude towards the work produced. Art therapy in the elderly is an effective approach in improving the quality of life in old age. Through creative expression, social interaction, and artistic experiences, older adults can find greater happiness, meaning, and well-being in living life.

The study aimed to analyze cases of management in hypertensive patients with a therapeutic intervention of lemongrass warm foot bath on the reduction of blood pressure. The writing design used is a case report. Participants in the preparation of case reports with medical diagnosis of hypertension, The focus of the study in this study is clients with nursing and diagnosis problems, namely clients who experience increased blood pressure with hypertension. The research instruments used were observation of blood pressure of hypertension patients and nursing care reports. The research was carried out at RW 24 Batursari, Mranggen Demak. The time for data collection is for the first and second patients on November 5, 2024 – November 07, 2024 with the length of data collection time to be carried out on patients, which is a minimum of 3 days of treatment. Based on the results of the final evaluation on both subjects, all of these diagnoses were successfully resolved. Diagnoses that were successfully completed in the first subjects included acute pain, impaired physical mobility, knowledge deficit, and risk of falls. Meanwhile, the diagnoses that were successfully overcome in the second subject were acute pain, sleep pattern disorders, knowledge deficits, and spiritual distress.

Hypertension in the elderly is characterized by an increase in systolic and diastolic blood pressure, namely ≥ 140/90 mmHg consistently and often occurs in the elderly aged ≥ 55 years. Progressive Muscle Relaxation is a technique that can relax tense muscles and create a relaxed feeling so that it can lower blood pressure. This study aims to determine the effect of progressive muscle relaxation on reducing the pain scale in middle-aged elderly with hypertension in the Siulak Gedang Health Center work area in 2024. The research design used was one group pretest and post-test design with a purposive sampling method, namely 16 middle-aged elderly respondents in the Siulak Gedang Health Center work area. The instruments used in data collection were SOP, observation sheets, stethoscopes, sphygmomanometers. The results of the study showed that there was an effect of progressive muscle relaxation therapy on reducing the pain scale in hypertensive patients with the results of the paired sample t-test obtained a p-value = 0.000, because the p-value <0.05.

Elderly people living in nursing homes often experience various challenges, such as physical limitations, loneliness, and decreased cognitive and psychosocial functions. One approach that can be applied to improve the welfare and independence of the elderly is Group Activity Therapy (GAT). The purpose of community service is to help the elderly increase their independence in fulfilling Daily Living (ADL) activities with Group Activity Therapy. The method of implementing the activity is carried out with a pre-test - post-test using a questionnaire. The elderly are given counseling then Group Activity Therapy. This activity was carried out on Saturday, December 14, 2024 at PPSLU Mappakasunggu Pare-pare. This activity was attended by 32 elderly people. The results of the pre-test elderly independence level were 62.5% elderly with dependence and 37.5% elderly with independence while the post-test independence level was 43.75% elderly with dependence and 56.25% with independence. To PPLSU Mappakasunggu Pare-pare to facilitate group activity therapy (TAK) continuously to create a feeling of joy so that the quality of life of the elderly remains healthy, independent, useful and productive.

Elderly people have a high risk of suffering from degenerative diseases, one of which is metabolic disorders. This is more widely recognized by the elderly when they are already in severe condition and with complications so that it has an impact on various aspects including increasing morbidity and mortality rates, as well as decreasing quality of life of the elderly and decreasing ability of the elderly to carry out daily activities. Metabolic disorders are caused by increased blood glucose levels in the body known as Diabetes Mellitus (DM) which is one of the health problems of the ten diseases that cause death and disability globally. The implementation of community service activities for Preventive Efforts for the Elderly in Diabetes Mellitus through several stages, namely the survey and field observation stages and counseling for Preventive Efforts for the Elderly in Diabetes Mellitus counseling is carried out for approximately 90 minutes, as well as evaluations in the form of pre-tests and post-tests. The provision of education was carried out on Wednesday, November 14, 2024 at the Antara Health Center, the number of participants was 32 people. Based on the results of the knowledge of the elderly before and after the counseling for Preventive Efforts for the Elderly in Diabetes Mellitus, it was found that 15 elderly people had sufficient knowledge and 17 elderly people had insufficient knowledge. After conducting counseling on Preventive Efforts for the Elderly in Diabetes Mellitus, the results obtained were a sufficient increase of 30 and less than 2 elderly. This means that community service on Preventive Efforts for the Elderly in Diabetes Mellitus is very effective in the elderly in order to prevent an increase in glucose levels. Counseling on preventive efforts for the elderly in diabetes regarding these degenerative diseases is very necessary so that the elderly maintain their health better. The elderly are expected to be able to understand about efforts to prevent and treat degenerative diseases in the elderly with diabetes. Hopefully this community service can be a reference for researchers and further community service, as well as the community.

Background: The main problem that is often experienced by the elderly is poor sleep quality, this condition can increase the risk of falls resulting in injuries and other health problems that can reduce the quality of life of the elderly. A cheap and easy intervention is needed so that efforts to improve the degree of health of the elderly through improving the quality of sleep of the elderly can be realized, one of which is with Five Finger Hypnosis. The purpose of this Community Service is to identify sleep disorders in the elderly, provide information and self-training Five finger hypnosis as an alternative to overcome sleep disorders in the elderly.  The methods used include coordination with partners to determine the time and location of activities, socialization of 5 Finger Hypnosis and distribution of leaflets. Result: It is known that of the 32 elderly who participated in this activity, the majority (72%) experienced poor sleep quality, the elderly participated in the activity with great enthusiasm and pleasure because they were introduced to alternative interventions to overcome sleep quality disorders that were cheap, easy and effective, and they were also committed to practicing it at home every time they wanted to sleep. Conclusion: 5-finger hypnosis can be used as evidance in an effort to improve the quality of sleep of the elderly in order to improve the quality of life.

Background: Aging leads to physical deterioration, which makes the elderly dependent on others for daily activities. One way to increase their independence is through physical activities such as elderly gymnastics. Regular participation in elderly gymnastics can restore physical function, improve joint, muscle, and movement coordination, and enhance heart function, leading to a healthier and fitter body. Method: The program began with a preparation stage, followed by elderly gymnastics training and counseling. This activity took place in one session, targeting both independent and assisted elderly individuals. The elderly gymnastics included basic exercises with a warm-up, core movements, and cooling down, lasting approximately 15-30 minutes. Afterward, an evaluation of the activity was conducted. Results: A total of 60 elderly individuals participated in the gymnastics session, which included warm-up, core, and cooling exercises. The participants appeared enthusiastic and easily followed the movements, especially with music accompaniment. However, some had difficulty with foot movements due to balance issues. After the gymnastics session, counseling was provided on the importance of doing elderly gymnastics independently. The elderly were very engaged during the counseling and asked several questions afterward. Conclusion: Elderly gymnastics can be incorporated as a routine activity in elderly health programs like posyandu, helping the elderly become more independent with a healthy and fit body. Regular participation in these exercises can improve their ability to perform daily activities independently.

Hypertension is the leading cause of premature death worldwide. To reduce the risk of hypertension, what needs to be done is hypertension treatment as an effort to control hypertension, one of which is non-pharmacological treatment, usually carried out by implementing the use of pandan wangi plants. Pandan wangi is a plant whose leaves are often used as a food additive. The purpose of implementing Community Service activities in Lorong Putri is to increase public awareness, especially the elderly, about Hypertension and the treatment of Hypertension with traditional medicine. Using the method of providing education and question and answer discussions related to dangerous conditions and efforts to prevent hypertension, participants in this activity were carried out on October 7, 2024 at Lorong Putri, Air Besar Health Center Work Area. totaling 20 people. During the Education Process, participants listened carefully and provided good feedback, in the form of benefits and how to consume boiled pandan leaf water, and whether it can be boiled together with drinking water at home, and all questions from participants can be answered well. With questions and answers from participants, participants can better understand hypertension and how to treat it with traditional medicine.