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In old age, physiologically the body's cells can decline, resulting in decreased body function and endurance. One example is the urinary system which will affect changes or instability in the function of the urinary tract, so that the elderly will experience abnormal urination patterns. The management that can be carried out as an effort to restore the function of the urinary tract, especially the frequency of urination, is pelvic floor muscle exercise. Can analyze gerontic nursing care in the elderly to control decreased urinary tract function. This case study uses a descriptive method with a nursing process approach which was carried out on 3 patients using a one group pretest posttest research design. There was a change in the frequency of urination in the three respondents who had implemented pelvic floor muscle exercises. It is hoped that this nursing care report can become a reference in gerontic nursing care for the elderly with decreased urinary tract function.

Hypertension is a disease whose prevalence continues to increase every year. Uncontrolled hypertension can cause various complications, so comprehensive management is needed to treat this disease. One non-pharmacological therapy for treating hypertension is ginger. Ginger contains flavonoids which can have a vasodilation effect so scientifically it can lower blood pressure. The method used in this service is a lecture and simulation of making ginger stew to lower blood pressure. The results of blood pressure examinations showed that 71% of participants had hypertension. The knowledge value before providing education and simulating making ginger stew was 64.5, while the value after providing education and simulating making ginger stew was 84.2.

This study examines the effect of listening to Quranic murottal on the quality of sleep of the elderly. Quality sleep is important for physical and mental health, especially for the elderly who often experience sleep disorders. The approach used was a qualitative method with a case study, in which in-depth interviews were conducted with five elderly people who routinely listened to Al-Quran murottal before going to bed. Respondents were aged between 60-74 years. The results showed that listening to Quranic murottal significantly improved the quality of sleep of the elderly. They reported feeling calmer, more relaxed and slept better after listening to the murottal. This study reveals that Quranic murottal can be an effective non-pharmacological therapy to improve the sleep quality of the elderly. Further research with larger samples and quantitative methods is needed to measure the effectiveness of this therapy more objectively.

An elderly person is someone who reaches the age of > 60 years. This increase in age will result in a decrease in the ability of the body's functions, one of which is the nervous system, namely a mild, moderate decline in cognitive function and even dementia. Severe dementia will result in elderly people being unable to carry out activities so that they will experience elderly people who are not prosperous and happy. To overcome this, puzzle therapy is needed. Puzzle therapy is a game of arranging certain shapes until they become a complete image or form a certain pattern. This is to stimulate and improve the cognitive function of the brain. It is known that nursing care for elderly people with decreased cognitive function is provided by providing puzzle therapy. This case study uses a descriptive method with a nursing process approach carried out on 3 clients using a One Group Pretest Posttest puzzle therapy research design on cognitive function in the elderly. The implementation results showed that there was a change in the MMSE score after being given puzzle therapy for 5 consecutive days, namely Mrs. F from 21 to 23, Mrs. L from 22 to 24 while Mrs. E of 16 and still has a score of 16. The average MMSE score which increased after being given puzzle therapy was 2 scores. It is hoped that the results of this case study can become an application for implementing puzzle therapy to improve cognitive function in the elderly where caregivers or nursing home staff can also make puzzle therapy a routine activity that can be carried out every week at the Dharma Bhakti KM 7 Palembang Nursing Home.

Depresi adalah kondisi kesehatan mental yang serius dan sering terjadi yang dapat menyebabkan penurunan kualitas hidup dan berbagai komplikasi kesehatan. Apolipoprotein A dan B diketahui memiliki hubungan dengan depresi, sehingga dalam upaya pencegahan dan pengelolaan depresi pada lansia, perlu dilakukan skrining apolipoprotein A dan B. Maka dari itu kegiatan pengabdian masyarakat ini dilaksanakan dengan menggunakan metode PDCA (Plan, Do, Check, Act) untuk memastikan keberlangsungan kegiatan ini dan meningkatkan kualitas kegiatan dengan evaluasi berkelanjutan. Kegiatan ini dilaksanakan dengan edukasi kesehatan mengenai pentingnya nutrisi dan aktivitas fisik, serta dukungan sosial. Hasil menunjukkan bahwa pada lansia, didapatkan kadar apolipoprotein A rata-rata adalah 155.59 mg/dL dan apolipoprotein B rata-rata adalah 93.2 mg/dL. Sebanyak 59.1% lansia tidak mengalami depresi, sementara 20.4% mengalami depresi ringan, 9.7% depresi sedang, dan 10.8% depresi berat. Deteksi dini merupakan hal yang penting sehingga individu dapat mencari yang tepat dapat membantu mengelola kadar apolipoprotein, mengurangi risiko depresi, dan pada akhirnya meningkatkan kualitas hidup lansia.

The most common health problem suffered by the elderly is hypertension. In Indonesia, hypertension is in first place with the most problems experienced by the elderly, followed by arthritis, diabetes mellitus, heart disease and stroke. One non-pharmacological treatment that can be done is consuming Ambon bananas twice a day for 7 days. Objective: This research is to determine the effect of Ambon bananas on reducing blood pressure in elderly people with hypertension in the Tebing Tanjung Balai Karimun health center working area. This research design uses a Group Experimental with a Quasy Experiment design using a One Group Pretest and Posttest Design. The respondents in this study were 30 respondents divided into 15 intervention groups and 15 control groups. The sampling technique used was purposive sampling. Results: statistical paired sample t test showed p value = 0.000 (< 0.05) so Ho was rejected. This shows that there is an influence of consumption of Ambon bananas on reducing blood pressure in the intervention group. Conclusion: with this research, consumption of Ambon bananas can be used as a non-pharmacological therapy to lower blood pressure. Suggestion: Respondents should always apply non-pharmacological walking exercises to control blood pressure.

Posyandu for the elderly is a form of public health service that aims to improve the health and quality of life of the elderly. However, the utilization rate of Posyandu for the elderly is often not optimal. One of the influencing factors is family support. Family support is a form of assistance provided directly by the family to the elderly, including informational, emotional, instrumental, and appreciation. This study aims to determine the relationship between family support for the elderly and the utilization of Posyandu for the elderly. The design or method of this study uses an analytical survey design with a cross-sectional study method approach. The population in this study were elderly people who live in the Lembang Community Health Center Working Area with a sample of 80 respondents based on predetermined inclusion criteria. Data collection using questionnaires and observations. Univariate analysis is presented using a frequency distribution table while Bivariate analysis uses a chi-square test. The final result obtained a P value = 0.000 with a significant value of α = 0.005 through the Chi-square test. Since the P value <α, it is statistically concluded that there is a relationship between family support for the elderly and utilization of the Posyandu for the elderly in the Lembang Community Health Center work area. It is recommended that health workers be more active in providing education and motivation to elderly families regarding the importance of support in utilizing Posyandu for the elderly. Furthermore, health workers need to increase the socialization of Posyandu activities, conduct home visits for less active elderly people, and establish good communication with families so that they play a greater role in supporting elderly participation in Posyandu for the elderly.

Background: Promotive and preventive efforts are important factors as an effort to reduce morbidity in the elderly. One form of promotive and preventive effort to manage anxiety in the elderly can be done with physical and spiritual activities, namely spiritual relaxation. Objective: As an effort to increase the knowledge and skills of elderly people in preventing anxiety. Method: The method used is providing counseling and demonstration of Spiritual Relaxation. Results: It was found that 80% of participants were able to know the purpose of doing Spirotive Relaxation, 70% of participants were able to know the indications and contraindications of Spirotive Relaxation, and 75% of participants were able to know how to do Spirotive Relaxation. Conclusion: Based on the results, it can be concluded that there has been an increase in the knowledge and abilities of elderly people regarding spiritual relaxation as an effort to prevent anxiety.  With counseling and demonstrations of Spirotive Relaxation, it is hoped that seniors can independently prevent anxiety.

Introduction: Hypertension (HTN), defined as systolic blood pressure (SBP) >140 mmHg or diastolic blood pressure (DBP) >90 mmHg, is a major health problem that is growing worldwide. It is the most common risk factor for cardiovascular disease and affects nearly two-thirds of adults aged 60 years or older. The side effects caused by experiencing prolonged high blood pressure are kidney damage (kidney failure), heart (coronary heart disease) and brain which can lead to stroke if not detected early and receive adequate treatment. And can also cause death. Risk factors for complications of hypertension include elderly age, medication compliance, and lifestyle. Empowerment of the elderly can be through non-pharmacological therapy. An example of non-pharmacological therapy is by doing anti-hypertension exercises. The purpose of this program is for the elderly to be able to learn about hypertension and apply how to do anti-hypertension exercises. The method used is providing education to the elderly and applying anti-hypertension exercises with participants (elderly). Implementation of health education and anti-hypertension exercise activities for the elderly at the UPTD for Elderly Social Services in Binjai in November 2023. Most participants were able to answer questions during the question and answer session after the presentation of the material and participants were able to follow the instructor's exercise movement directions. Health education about hypertension and anti-hypertension exercise for the elderly is a program that can help increase physical activity in the elderly which can lower blood pressure in the elderly.

Inner Harmony: Dhikr Therapy in Increasing the Self-Esteem of the Elderly in the Trisna Werdha Budi Mulia II Cengkareng Social Institution is a therapeutic approach that focuses on increasing the self-esteem of the elderly living in the social institution. This therapy, which integrates dhikr (a form of Islamic meditation), aims to promote inner harmony and spiritual growth among the elderly. By increasing self-confidence and self-esteem, this therapy can improve the welfare and quality of life of elderly people in social institutions. From 30 respondents, the N-Gain Score was 58.0. This shows that the method used by researchers in this activity is quite effective. Apart from that, the N-Gain Score obtained at 0.58 places the category or strength in this community service activity at a relatively moderate level. In other words, even though the method used is effective, there is still room for improvement so that the results achieved can be maximized. This N-Gain Score value indicates that there is a significant increase, but not in a very high category, indicating quite good effectiveness but needs further development to achieve optimal results.

ABSTRACT Background: Indonesia is one of the top five countries with the highest number of elderly people in the world. The Central Bureau of Statistics in 2017 stated that in a period of five years, the percentage of the number of elderly people in Indonesia had doubled, namely to 8.97% (23.4 million). The government has anticipated an increase in the number of elderly groups by holding an Integrated Service Post (Posyandu) for the elderly which is fostered by the Community Health Center (Puskesmas) spread across various regions in Indonesia. The purpose of this study was to describe the level of family knowledge about the elderly posyandu in Petak Village, Gianyar. Methods: This study uses descriptive research methods. The population in this study were families who have elderly people, and the sample in this study amounted to 83 people. The sampling technique used in this study was purposive sampling. The instrument used by the researcher was a questionnaire consisting of 20 questions. After the data from the questionnaire were collected, the data was coded first, after that it was processed / processed in IBM SPSS Statistics version 24. The inclusion criteria of this study were the head of the family / family member who lives in the Petak Village based on ID card, is willing to be a respondent, has the elderly aged 60-74 years, and the exclusion criteria were uncooperative families and did not allow data collection (illness). Results: The results of the study of 83 respondents, namely the level of family knowledge about the elderly posyandu mostly in the good category. Knowledge in the good category is 83 respondents (100%), the moderate category is 0 respondents (0%), and the poor category is 0 respondents (0%). Based on the characteristics obtained, most of the respondents were aged 36-45 years (45.8%), male gender (50.6%), last education was primary school (36.1%), and worked as farmers (57.8%). Conclusion: The level of family knowledge about elderly posyandu in Petak Village, Gianyar is mostly in the good category, as many as 83 respondents (100%).

As a person ages, various changes often arise due to a decrease in biological function caused by the aging process. Hypertension is one of the NCDs that is a threat, especially to the elderly. Based on data from the World Health Organization (WHO) in 2019, it shows that around 1.13 million people in the world experience hypertension. Nguri Village is one of the villages in Lembeyan District, Magetan Regency, East Java Province. The problem from the results of the study in Nguri Village is that there are still many people, especially the elderly, who suffer from hypertension and a lack of understanding in preventing hypertension, namely 75% or 45 out of 60 elderly people. The aim of community service is to increase knowledge regarding efforts to prevent hypertension. The implementation method uses health education in the form of doing tera exercises to prevent hypertension in the elderly. Previously, blood pressure was measured. Activities were carried out on 30 hypertensive elderly aged >40 years. The results of the activity were that the elderly knew about preventing hypertension, namely 95% of the 30 elderly were able to understand and the elderly were able to carry out tera and exercise activities. The elderly play a very active role in this activity.

Penuaan secara alami mengakibatkan penurunan struktur dan fungsi organ tubuh, sehingga memicu terjadinya gangguan degeneratif seperti hipertensi pada lansia. Meningkatkan sirkulasi darah dan menurunkan tekanan darah adalah tujuan terapi musik. Tujuan penelitian ini yaitu mengetahui bagaimana terapi musik alam mempengaruhi tingkat tekanan darah lansia dengan  hipertensi menggunakan metode kuantitatif desain kuasi eksperimen pada dua kelompok, dimana salah satunya kelompok kontrol. Convenience sampling digunakan pada 30 responden, yang kemudian dipisah masing-masing 15 orang untuk kelompok intervensi dan kelompok kontrol.  P-value 0,001 tekanan darah sistol ditemukan pada uji t dependen pada kelompok intervensi. Nilai p pre-test dan post-test 0,001 menunjukkan bahwa diastol mempunyai pengaruh yang besar pada kelompok intervensi. Uji t independen dengan nilai p-value 0,001 (?0,05) pada tekanan darah sistol dan diastol menampilkan perbedaan penurunan tekanan darah. Terapi musik adalah alat yang berguna dalam menurunkan tekanan darah lansia hipertensi, sehingga mereka dianjurkan melakukan terapi musik alam selain terapi farmasi guna menurunkan tekanan darahnya.

Fatty liver is a medical condition in which fat builds up in liver cells, which can develop into steatohepatitis, fibrosis, cirrhosis and liver cancer if not treated properly. Fatty liver in the elderly causes an increased risk of serious complications due to the high prevalence of metabolic risk factors such as hypertension, diabetes, hyperlipidemia and obesity which are more common in the elderly. The importance of education and understanding risk factors so that the elderly community can adopt a healthy lifestyle is the main focus of this community service activity. Through the Plan-Do-Check-Act (PDCA) method, initial assessment, education, implementation of healthy eating and exercise patterns, and evaluation of the effectiveness of the intervention are carried out. The results showed that the majority of elderly people had cholesterol levels and liver function within normal limits, although 9.7% had hypercholesterolemia and 43% had SGOT levels that were not optimal. Continuous education and support are key in preventing and managing fatty liver and dyslipidemia in the elderly, thereby improving their quality of life.

Health and fitness for the elderly is important in maintaining their quality of life and independence. This community service activity aimed to increase cadres' knowledge about health and fitness for the elderly at Posyandu Lansia. Posyandu cadres are important in providing information and health services for the elderly. Through structured training and education, it is hoped that cadres better understand and implement optimal health practices for the elderly. The methods used counselling sessions, material discussions, assisting cadres in providing physical exercise to improve physical fitness, assisting cadres in carrying out elderly fitness checks using the six-minute walking test (6MWT), as well as pre-post tests to determine the success of cadres' understanding, about the material that has been given. The activity results showed a significant increase in cadres' knowledge regarding the fitness and health aspects of the elderly, with the average score on the pre-test being 65,625 to 90 on the post-test. In addition, cadres reported increased confidence in providing physical exercise education to the elderly and measuring physical fitness with the 6MWT. In conclusion, this training program effectively increases the knowledge and capacity of cadres, which can contribute to improving the quality of life of elderly people in elderly communities. This service activity recommends implementing similar programs in other posyandu to improve the fitness and health of the elderly at large.

Pruritus, or itching, is a common symptom in seniors that has a significant impact on their quality of life. Primary skin disorders such as xerosis, atopic dermatitis, and scabies, as well as systemic diseases such as cancer, chronic renal failure, cholestasis, hyperthyroidism, diabetes mellitus, iron deficiency anemia, and certain medications, can cause this condition. Chronic pruritus, which is common in individuals over 60 years of age, can cause discomfort, sleep disturbances, and psychological stress. This activity uses the PDCA (Plan-Do-Check-Act) methodology to screen for pruritus intensity in the elderly in St. Anna. One individual (2.4%) reported mild pruritus, while 12 individuals (29.3%) reported severe pruritus. Routine assessment using the 12-PSS provides important information for managing pruritus in the elderly, meeting clinical and research needs, and improving patient care and quality of life.

Background: The elderly are said to have a risk of developing various degenerative diseases, one of which is hypertension. According to data from the World Health Organization (WHO) in 2023 the prevalence of 1.28 billion people with hypertension aged 30-79 years. The prevalence of hypertension at Sibela Health Center in 2022 was 12,447 hypertensive patients with the highest incidence rate in Surakarta City, One of the non-pharmacological therapies that can be given to elderly hypertensive patients is progressive muscle relaxation. Objective: Describe the results of blood pressure comparison before and after the application of Progressive Muscle Relaxation in the elderly. Method: This study used a descriptive research design with a case study approach by observing blood pressure in 2 elderly respondents, carried out 2x a day for 3 consecutive days within 15 minutes. The instruments used were observation sheets, Blood Pressure Monitors, and stopwatches. Results: There is a decrease in blood pressure after giving Progressive Muscle Relaxation to Mrs. D from grade 1 hypertension to normal and in Mrs. S from grade 2 hypertension to grade 1 hypertension. Conclusion: The application of progressive muscle relaxation therapy can potentially reduce blood pressure in the elderly with hypertension in both respondents.

Introduction: The most common anemia in pregnancy is iron anemia, this is caused by a lack of iron intake in food due to reabsorption disorders, digestive disorders and bleeding. Method: counseling for targets is carried out orally. Results: Participants in this activity were all 46 pregnant women who visited PMB Lismayani Lubis, Simalungun Regency. Conclusion: From the results of the counseling, it was found that there were still pregnant women who did not receive enough support from their families in consuming Fe tablets, especially in reminding them of the schedule for taking Fe tablets. This community service has been carried out from August-October 2023, for exactly 3 months

The COVID-19 pandemic has significantly impacted elderly health, requiring regular medical check-ups to monitor their condition. This study examines the health examinations of the elderly at Posyandu Ngudi Waras, Semanggi RW XII, Surakarta, during the pandemic. The research aims to assess the frequency of health check-ups, key health indicators such as blood pressure, oxygen saturation, blood sugar levels, and body mass index, as well as the challenges faced in providing healthcare services for the elderly. Using a descriptive quantitative approach, data were collected through medical records and interviews with healthcare providers and elderly participants. The results indicate that despite pandemic-related restrictions, routine health monitoring continued with adjustments to health protocols. The findings highlight the importance of community-based health services in ensuring the well-being of the elderly, particularly during health crises. Strengthening health programs for the elderly, enhancing accessibility, and improving awareness of preventive healthcare are essential for maintaining their quality of life.

Hypertension, or high blood pressure, is a condition in which the pressure in the arteries increases. In general, this condition often does not cause symptoms, but blood pressure that is too high can increase the risk of stroke, aneurysm, heart failure, heart attack, and kidney damage. This study aims to analyze the effects of giving boiled celery water to elderly people with hypertension in Bintungan Bejangkar Village, Batahan District, Mandailing Natal Regency in 2022. This study is an experimental type with a one group pre-post test design. In this design, researchers use one group of subjects who will be observed before and after being given treatment. The study was conducted in Bintungan Bejangkar Village, Batahan District, Mandailing Natal Regency in 2022. The study population was 51 people, with a sample of 20 people selected using the Simple Random Sampling technique. The results of the study analyzed using the Wilcoxon test showed that the calculated Z value for systolic blood pressure was -2.911 with a p-value of 0.004. Based on these results, it can be concluded that giving boiled celery water has an effect on reducing blood pressure, both systolic and diastolic, in the elderly with hypertension in the Bintungan Bejangkar Village area, Batahan District, Mandailing Natal Regency in 2022.