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The global elderly population in 2022 was 1.4 billion, and in ASEAN, the number of elderly people reached 142 million or 8% of the population. Indonesia has become an aging population since 2021 with 10% of its population being elderly, reaching 28.9 million people in 2022, with 1 elderly person supported by 6 productive residents (BPS, 2022). In DKI Jakarta, there are 951,557 elderly people with 2,340 elderly people in Kelurahan Dukuh (Jakarta Open Data, 2020). The increasing number of elderly people indicates successful development, but unproductive, financially weak, sick elderly people without social security and needing assistance can become an economic burden (BKKBN, 2020). Neglected elderly are at risk of becoming PMKS and are fostered by the Social Service. These elderly people need social adaptation and are vulnerable to depression. This study aims to analyze the process of social adaptation and depression control in an effort to improve the quality of life of neglected elderly at Sasana Tresna Werdha Dukuh 5, 2023-2024. The observational study uses a sequential explanatory mixed-method approach with surveys and in-depth interviews as well as FGDs, using 19 respondents. The results show that 89.47% of respondents are young elderly, 68.42% show moderate social adaptation, 10.53% mild depression, and 26.32% have a moderate quality of life. Some of these elderly people experience social adaptation disorders and schizophrenia, as well as severe social problems. ASN and PJLP lack knowledge about mental disorders, especially depression. In conclusion, most neglected elderly fostered by PSTW experience good self-adaptation, do not experience depression, and have a good quality of life, but some elderly people are found to experience severe depression and moderate quality of life. Special education on mental health for ASN and PJLP is very necessary.    

Hypertension is one of the main cardiovascular risk factors which is the main cause of death in the world, especially in the elderly. Maximizing the utilization of elderly health posts is one strategy in controlling hypertension in the elderly, but the limited knowledge and skills of elderly health cadres, especially in managing hypertension, make the implementation of elderly health posts less than optimal. Sumur Gunung Elderly Health Post is one of the elderly health posts that routinely runs in Sumurejo Village, but services are still limited to measuring blood pressure, weight, and height, educational services still depend on the health center, there is no exercise, and there are no special provisions for the PMT menu. This is due to the limited knowledge and skills of the cadres. The results of BP examinations on 20 elderly people registered at the Sumur Gunung Elderly Posyandu showed that 35% (7 out of 20 elderly people) had blood pressure > 140/90 mmHg. The questionnaire results showed that 46% of elderly people had not regulated their diet, 75% of elderly people had a habit of drinking coffee, 80% of elderly people had not limited the amount of salt consumed, 50% of elderly people smoked, 60% of elderly people did not know how to treat hypertension. Based on this background, the STIKES Kesdam IV/Diponegoro Community Service Team carried out an activity entitled "IbM Empowerment of Antihypertension Cadres at the Sumur Gunung Elderly Posyandu". The activities included field visits, refreshing cadres, mentoring posyandu, hypertension education, and utilization of cucumber infusion water. The target outputs were to achieve increased knowledge and skills of cadres so that they were empowered in efforts to control hypertension, publication of community service results in national journals, and electronic media. The results of this activity obtained 35% of elderly people were detected to have blood pressure > 140/90 mmHg, there was an increase in knowledge and skills of cadres in implementing elderly posyandu according to standards, and the use of cucumber infused water to reduce hypertension in the elderly.

The elderly who live in social institutions are more at risk of depression than the elderly who live with their families. Because the elderly have no place to complain. Depression is often overlooked and triggers suicide. Generally, depression is given pharmacological therapy, namely anti-depressant drugs. However, these drugs have side effects and if not consumed regularly, they will cause symptoms of recurrence. For this reason, non-pharmacological therapy is needed to reduce depression, namely music therapy. Music can increase serotonin which causes feelings of happiness. The purpose of this literature review is to explain the effect of music therapy on reducing depression levels in the elderly living in social institutions based on the literature sources of related scientific research journals. The method used was a search for articles on Google Scholar using the keywords music therapy, elderly, depression, and social homes. Then the articles were selected using PRISMA. Then the data obtained were systematically organized and discussed. Music therapy is effective for reducing depression in the elderly in social institutions. There are no restrictions in doing music therapy, so this therapy can be applied to all patients.

Background: The prevalence of elderly hypertension in the world according to WHO data is approximately 972 million people or 26.4% of people worldwide have hypertension, which is likely to continue to increase.The prevalence of elderly people in Indonesia in 2020 reached 10.7% of the total population.The prevalence of hypertension in Central Java Province based on the criteria for measuring hypertension in the population in 2019 reached 37.2%, in 2020 it reached 32.9% and in 2021 it reached 50.9% of the decline in all organ functions in blood vessels. Objectives: To describe the results of the application of 20-minute walking therapy in elderly patients with hypertension in the Sukomangu Village area, Purwantoro District. Method: Case study is a series of scientific activities carried out intensively, at the beginning of the study, interviews and blood pressure measurements were carried out on the respondents, then after the application, blood pressure measurements were carried out again on the respondents. Results: There was a decrease in blood pressure after giving 20-minute walking therapy to Mrs. W. and Mrs. K from stage 2 hypertension to stage 1 hypertension.Conclusion: The application of 20-minute walking therapy can potentially reduce blood pressure in the elderly with hypertension in both respondents.

 Mojolaban is one of the sub-districts in Sukoharjo Regency, Central Java, which has 15 villages. The district has Mojolaban main health center, Jatimalang auxiliary health center and Kustati Clinic. Low back pain (LBP) is a disease that is widely suffered in Sukoharjo Regency, according to the Sukoharjo Regency Health Office, LBP sufferers amounted to 3,670 people from 2018-2022. LBP is one of the health problems that is often not taken seriously by the community, especially the elderly. Even though if left unchecked it can interfere with daily life and reduce quality of life. The purpose of this counseling is to prevent, promote health related to LBP with the target participants of the Matahari Elderly Posyandu located in Ds. Wirun Mojolaban. The measurement used in this activity is a pre-test and post-test questionnaire to measure the understanding of the elderly. The results of the questionnaire showed a good improvement with an average pre test and post test increase of 50%. For this reason, posyandu cadres always follow-up so that the elderly can do this exercise not only during counseling but also at home.

Mojolaban is a sub-district in Sukoharjo Regency, Central Java which has 15 villages. This sub-district has a Mojolaban main health center and a Jatimalang sub-district health center. Mojolaban sub-district has many elderly people aged 60-64 years, 42,481 people and most of them work as ethanol, roof tile and gamelan craftsmen. Ischialgia has risk factors such as age, unergonomic working positions, the habit of lifting too heavy weights, and injury. These risk factors are related to the majority of people's jobs in the Mojolaban District area. Ischialgia is a problem that often arises in the elderly and people in Mojolaban District do not yet know how to treat Ischialgia properly. This outreach method uses the lecture method and uses leaflets as an outreach medium. The aim of this outreach is to prevent, promote health related to Ischialgia, targeting participants at the Elderly Posyandu located in Palur Mojolaban Village. The measurements used in this activity were pre-test and post-test questionnaires to measure the elderly's understanding of Ischialgia.  The results showed a significant increase in understanding regarding Ischialgia material with an average pre-test score of 3.5 and an average post-test score of 6.1.

Disturbances in the eyes of the elderly will cause disturbance which have an impact on discomfort and other disturbances in carrying out daily activities. The figure of the elderly is part of family members and community members whose number is increasing in line with the increase in life expectancy. The number of elderly people in Indonesia is increasing rapidly every year, so that Indonesia is expected to experience an “elderly population boom” in the early 2 decades of the 21 century as a result of the baby boom several decades ago. BPS projects that ini 2045 Indonesia will have around 63,31 million elderly or nearly 20 percent of the population. According to UN projections, the percentage of elderly Indonesians will reach 25 percent in 2050 or around 74 million elderly. This community service activity is a form of application in the optics and wave physics course. The purpose of this screening is to find out the description of eye refraction abnormalities and lectures can apply it to the community. The location for the screening was held in the Sei Agul area of  Medan, North Sumatera. The subjects were the ederly and the poor around Medan Barat District who ere suspected of having refractive errors. Screening was carried out using the Snellen Optotype and corrected using a trial lens. The implementation of this community service activity took place smoothly and efficiently. The results of the exmation of the elderly, which were almost large, were that the elderly were not found to have eye defects such as night blindness, cataracts or color blindness. This activity is expected to foster community motivation in carrying out their lives with the glasses provided by the lion clubs and remind them to carry out routine checks before experiencing cataracts.

Gout is a musculoskeletal disease that occurs in the joints due to an increased concentration of uric acid in the blood. Risk factors that can cause high levels of uric acid include age, gender, obesity, purine diet, alcohol, and some medications. Therapies that can be given to the elderly who experience gout include ergonomic exercises. Objective : To determine the effectiveness of applying ergonomic exercise therapy as a non-pharmacological method to reduce high uric acid levels in the elderly. This study used a case study approach with two elderly had high uric acid levels. The intervention was carried out for 2 weeks by giving ergonomic exercises 4 times in 1 week consecutively with a duration of 20 minutes of exercise. There were changes in uric acid levels in both respondents and they decreased. Ergonomic gymnastics is a potential non-pharmacological method in reducing high uric acid levels in the elderly.

Background: The impact of hypertension that is not treated properly and uncontrolled will cause various complications, such as heart failure and coronary heart disease, in the brain there is a stroke, if it hits the kidneys there is chronic kidney failure, and if it hits the eyes there will be visual impairment. The various complications that may arise are very serious diseases and have an impact on the patient's psychology because of their low quality of life. Objective: To describe the results of blood pressure comparison before and after the application of Red Ginger Water Foot Soak Therapy in the elderly. Methods: This study used a descriptive research design with a case study approach by observing blood pressure in 2 elderly respondents, carried out 5 days for 1 consecutive week within 15 minutes. The instruments used are observation sheets, Blood Plesure Monitor, and stopwatch. Results: There is a decrease in blood pressure after giving Warm Red Ginger Water Foot Soak to Mrs. T from stage 2 hypertension to stage 1 hypertension and to Mr. S from stage 1 hypertension to stage 1 hypertension. S from stage 1 hypertension to prehypertension. Conclusion: The application of warm red ginger water foot soak therapy can potentially reduce blood pressure in the elderly with hypertension in both respondents.

Background: Hypertension is commonly referred to as high blood pressure. A person has hypertension if his systolic and diastolic blood pressure has risen above 140/90 mmHg. Hypertension is the leading cause of premature death worldwide with more than 1 in 4 men and 1 in 5 women and more than one billion people experiencing the condition (WHO, 2020). Non-pharmacological therapy acupressure therapy can be an option for the elderly to overcome hypertension. Objective: To describe the results of the comparison of blood pressure reduction in the elderly before and after the application of acupressure therapy on 2 (two) respondents. Methods: This study uses a descriptive method, selecting samples according to the inclusion criteria and selecting 2 elderly respondents who experience hypertension. The research instrument used a digital Sphygmomanometer and the research was carried out 15 minutes for 3 consecutive days. Results: There was a decrease in systolic pressure in Mrs. T by 10 mmHg and a decrease in Mrs. P's systolic pressure by 7 mmHg. While the diastolic pressure of Mrs. T was 12 mmHg and Mrs. P decreased by 10 mmHg. The results of the application of acupressure therapy on both respondents showed a change in blood pressure reduction from previously included in the classification of grade 1 hypertension to high normal. Conclusion: There are differences before and after acupressure in elderly hypertension.

This research explores the emotional lives of individuals in multigenerational families in rural communities, focusing on children, adolescents and the elderly. In the context of a rural community that generally has a close-knit and interdependent family structure. This study aims to understand the emotional dynamics that occur between different generations and how this can affect individual well-being as well as relationships between family members. The research methods used included in-depth interviews, participatory observation, and thematic analysis of data collected from several villages representing the socio-economic diversity of the region. The results of this study show that emotional relationships in rural multigenerational families are often characterized by closeness and reciprocity, but also face challenges such as generational conflict and economic pressures. This study provides insights into how multigenerational family dynamics affect the well-being and emotional lives of family members.      

Background: The prevalence of elderly hypertension in the world according to World Health Orgaization data there are approximately 972 million people or 26.4, which is likely to continue to increase in 2025 to as much as 29.2%.  The prevalence rate in Surakarta City, Jebres sub-district is 23,398 people, Mojosongo village is the first with a prevalence of hypertension incidence of 12,296 patients. The development of complementary medicine has a very rapid percentage increase. Globally, complementary therapy to reduce blood pressure has been widely practised, for example Swedish massage. Objective: Describe the results of the implementation of Swedish massage therapy in elderly patients with hypertension in the Mojosongo urban area of Surakarta City. Method: This study used a descriptive research design with a case study approach by observing blood pressure in 2 elderly respondents, carried out 1x a day for 3 meetings in 1 week with a time of 20-30 minutes in 1 session. The instruments used are observation sheets, Blood Pressure Monitors, and SOP sheets. Results: There is a decrease in blood pressure after giving swedish massage therapy to Mr T. T and Mr. S from grade 1 hypertension to prehypertension. Conclusion: The application of swedish massage therapy can reduce blood pressure in the elderly with hypertension in both respondents.  

Background: The prevalence of gouty arthritis has increased significantly by 2023, reaching 33.3% according to WHO. In Indonesia, 35% of cases occur in men aged over 45 years, while Central Java has a prevalence of 26.4%. In Sukoharjo District, Mandan Village recorded the highest number of gout patients with 150 cases, followed by Gayam (75 cases) and Sukoharjo (35 cases). The use of warm water compresses is recommended to relieve joint pain due to gouty arthritis by increasing blood flow and reducing joint stiffness. Objective: Knowing changes in the pain scale in two respondents with gouty arthritis before and after a warm compress method: This research is applied research with a case study using pre-post test results: There was a decrease in Mrs. S's pain scale which initially 6 decreased to 3 while in Mr. T, the pain scale 7 decreased to 5. Mr. T is a pain scale of 7 decreasing to 5. Conclusion: After the application of warm compresses on Mrs. S and Mr. T, there was a decrease in the pain scale. T there is a decrease in the pain scale. Mrs. S from moderate pain to mild pain, Mr. T from severe pain to moderate pain. T from severe pain to moderatepain. This shows that warm compresses can reduce pain in people with gout.

Background: Osteoarthritis often occurs in the elderly aged more than 60 years which is characterized by pain in the joints when moved. In Indonesia, 65% of elderly people aged 60 years and over experience osteoarthritis. Red ginger compress is an alternative nonpharmacological treatment to reduce joint pain in the elderly with osteoarthritis. Objectives: Knowing changes in pain scale in the elderly before and after doing red ginger compresses. Method: This application uses descriptive methods on 2 respondents, with pretest and posttest in the observation sheet of pain scale measuring instruments in the form of NRS (Numeric Rating Scale). Red ginger compress is given 2x a day in the morning and evening for 14 consecutive days within 20 minutes Result: There was a change in the intensity of the pain scale in both respondents. Mrs. P from moderate scale to mild scale and Mrs. E from moderate scale to painless scale. Conclusion: The application shows that there are changes in the pain scale before and after the red ginger compress, both in the first respondent and the second respondent. Red ginger compress can reduce osteoarthritis joint pain in the elderly.    

This study aims to describe the conditions and analyze the influence of family support and depression on the quality of life of the elderly at the Widhi Asih Nursing Home in Surakarta. An elderly person is someone who has entered the age of 60 years and over. The elderly are an age group of humans who have entered the final stages of their life. Family support is an important element to motivate the elderly, increase self-confidence, accompany the elderly in meeting their needs and dealing with their problems. The higher the support received from the family, the quality of life will increase. Depression is a mood disorder that affects an individual's feelings, ability to think and ability to carry out daily activities (playing, sleeping and working). This research is a survey study of 15 elderly people at the Widhi Asih Nursing Home in Surakarta. The types of data used are primary and secondary data. Data collection techniques use questionnaires, observation and literature study. The data analysis technique uses the SEM method with the SmartPLS 3 analysis tool. The results of this study show that family support has a positive and significant effect on the quality of life of the elderly and depression has a negative and significant effect on the quality of life of the elderly.

Background: Gout is a disease associated with high levels of uric acid in the blood. Apart from the aging process, gout can also occur due to the inhibition of the secretion process and a decrease in the enzyme uricase. The aging process in the elderly causes various health problems, as a result of which they are susceptible to diseases, one of which is an increase in uric acid. Uric acid numbers can be said to be abnormal if >6 mg/dl for women and >7.2 mg/dl for men. Non-pharmacological therapy that can be done is ergonomic exercise. The purpose of this study is to compare measurements of uric acid levels before and after ergonomic exercise. Methods: A case study of 2 respondents was conducted three times a week, with a duration of 19 minutes for each exercise. Results: The application of the two respondents resulted in a significant decrease in uric acid levels; namely, Mrs. S obtained a result of 4.8 mg/dl, while Mrs. T obtained a result of 5 mg/dl. Conclusion: The results of this study concluded that there was a decrease in uric acid levels in both respondents after ergonomic gymnastics.    

Background : In old age, there is a decline in the body's immune function, including a decline in heart function, one of the diseases of which is hypertension. Hypertension is high blood pressure with systolic blood pressure results >140 mmHg or diastolic blood pressure ≥ 90 mmHg.. The prevalence of hypertension cases according to the Surakarta City Health Service showed an increase in the incidence of hypertension in 2023 reaching 67,355 cases. One of the non-pharmacological therapies that can be used is deep breathing relaxation techniques. Objective: This study describes a comparison of blood pressure development before and after the application of deep breathing relaxation techniques. Method: This study used a case study of 2 respondents conducted on May 11-13, 2024 for 2 times in a row with a therapy duration of 10 minutes. Results: The application of Deep Breathing Relaxation Therapy to both respondents obtained comparative results of development before and after therapy in Mrs. S systolic 24 MmHg and diastolic 17 MmHg while Mrs. T showed a decrease with systolic 25 MmHg and diastolic 13 MmHg. Conclusion: The results of the study can be concluded that there is an effect of deep breathing relaxation techniques on reducing systolic and diastolic blood pressure in both respondents.

Education is an independent nursing intervention designed to help individuals, groups, or communities, including hypertension patients, address their health issues through learning activities, with nurses acting as educators. Hypertension is a chronic disease often referred to as the "silent killer." Family support is crucial for hypertension patients in dealing with problems that arise during long-term treatment. Based on interviews with 10 elderly hypertension patients, it was found that when they went for health check-ups and monitoring at healthcare facilities, they were not accompanied by their families. This study aims to analyze the Effect of Education on Family Support in Hypertension Management for the Elderly at UPTD Jekan Raya Health Center, Palangka Raya. Method: This study used a Pre-Experimental Design with a One-Group Pretest-Posttest approach. The sampling technique was Purposive Sampling, with 49 respondents. Results: Based on the results of the Paired Sample Test, a p-value of 0.00 was obtained, which indicates a significance level of p < 0.05. Therefore, it can be concluded that the alternative hypothesis (Ha) is accepted, meaning that education significantly influences family support in managing hypertension in the elderly at UPTD Jekan Raya Health Center, Palangka Raya. Conclusion: There is a significant effect of education on family support in managing hypertension for the elderly at UPTD Jekan Raya Health Center, Palangka Raya.

Steps to optimize treatment adherence and care are implemented through health education for patients. Health education is crucial because Diabetes Mellitus is a lifestyle-related disease, necessitating increased knowledge. In the research location, it was found that pre-elderly individuals diagnosed with Diabetes Mellitus were routinely undergoing treatment, but their blood sugar levels remained unstable. Additionally, they rarely engaged in physical activity, their Diabetes Mellitus diet was uncontrolled, and they often did not regularly take diabetes medication. If left unaddressed, this could lead to complications. The objective of this study is to analyze the effect of health education on the knowledge of pre-elderly individuals about Diabetes Mellitus complications at the internal medicine clinic of Palangka Raya General Hospital. Method: This study used a Pre-Experimental design with a one-group pre- and post-test approach. The sampling technique was purposive sampling, with 60 respondents. Results: Based on the Wilcoxon test results, a p-value of 0.000 was obtained, indicating a significance level of p < 0.05, meaning Ha was accepted. This shows that there is an effect of health education on the knowledge of pre-elderly individuals regarding Diabetes Mellitus complications at the internal medicine clinic of Palangka Raya General Hospital. Conclusion: There is an effect of health education on the knowledge of pre-elderly individuals about Diabetes Mellitus complications. This study can be used as a source of information and to establish a counseling corner for providing health education on a weekly basis.

Background: Indonesia is included in the category of rheumatism sufferers which is quite high, namely 6.3% in the world of the high rate of rheumatism in indonesia. if it is not treated, it will cause swelling and stiffness in the sufferer's joints, resulting in discomfort. for this reason, efforts are needed to control rheumatism.  one of the rheumatism therapies is doing back massage. back massage is a technique for giving massage to the back with slow rubbing which provides a feeling of comfort and relaxation to the body. objective: to determine the intensity of the pain scale before and after giving back massage therapy and to see the effect of giving back massage therapy on pain in rheumatism sufferers. method: this type of research uses descriptive research methods and by observing 2 respondents with a history of rheumatism and who were given the implementation of back massage therapy. results: there was a decrease in the intensity of rheumatic pain after giving therapy on Mr. S from a scale of 5 to 2 and in Mrs. G from a pain scale of 6 to a pain scale of 2. Conclusion: there is an effect of giving back massage therapy on pain in rheumatism sufferers.