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Background: Stroke is a cardiovascular disease that is most commonly found in society, especially in Indonesia. Stroke sufferers need support from people around them, especially family, who are needed to serve sufferers so they don't lead to depression. Family support consists of information support, service support, instrumental support and emotional support so that it is hoped that the family can help the patient's needs so that the patient can lead to an independent direction. Method: This scientific paper uses a descriptive method with a quantitative approach using a measuring instrument in the form of a questionnaire. The population in this study was the elderly with stroke in the working area of ??the UPTD Kesmas I Gianyar with 36 samples. The sampling technique used in this study was purposive sampling. Results: 10 respondents or 27.8% had good family support, 14 respondents or 38.9% had sufficient family support and finally 12 respondents or 33.3% had less family support. Conclusion: Most of the respondents received family support in the adequate range and were asked to provide greater support to improve the quality of life of the elderly. It is hoped that further researchers will be able to develop research related to family support elderly people with stroke at the  UPTD  Kesmas Sukawati I districts Gianyar  

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.    

Difficulty swallowing is caused by impaired muscle coordination, muscular weakness of the tonus swallowing which is associated with impaired hemisphere function, nuclei of the brain nerve fibers that confer and muscles chew and swallow. The purpose of this case study is to describe the application of Shaker exercise and jelly in swallowing exercises in the stroke patients in the Hospital Sunan Kalijaga Demak. This method of research is descriptive using a case study approach. The subject in this study were two patients with stroke difficulty swallowing, patients in rehabilitation, not experiencing a loss of consciousness and a patient's vital signs of stable. Ingested ability is measured with The Royal Adelaide Prognostic Index For Dysphagic Stroke (RAPIDS). Results of the analysis showed that there was increased ability to swallow after intervention. In the subject I before the 81 scorecard intervention (low aspiration risk) experienced increased scorecard to 86 (low aspiration risk). Meanwhile, in the subject II before the intervention of Scorecard 82 (low aspiration risk) experienced a better namely 91 (low aspiration risk). This research recommends nurses can apply shaker exercise and jelly in swallowing exercises in stroke patients with difficulty swallowing

Hyper cholesterol is a risk factor for cardiovascular disease which is a major cause of death and illness worldwide. Chronic and non-infectious diseases are generally caused by bad lifestyle factors, which can actually be modified. Some of the factors that are at risk for heart disease and stroke are hypertension, cigarette consumption, diabetes, lack of physical activity, unhealthy diets, dyslipidemia, overweight and obesity. The purpose of this community service was to find out an overview of the prevalence of hypercholesterolemia in the area, this screening activity was also expected to be able to initiate cadres and the community to be more active in implementing post-natal activities. Method: This community service activity uses the Community Service approach, by carrying out screening activities forhypercholesterolemia through cholesterol checks on the people in Banjar Tulang Ampian and Banjar Kerta Sari Pemecutan Kaja Village, North Denpasar. Results: A total of 31 people netted had high cholesterol levels of 40240 mg / dL which was dominated by women (63.49%), the most age group was ?51 years (38.62%), most subjects were self-employed / traders (38 , 10%). Conclusion: Increased blood cholesterol levels with age increase are associated with a reduction in cholesterol elimination as bile salts and a decrease in receptors that mediate the clearance process of plasma LDL. Cholesterol levels increase with increasing age and the incidence of coronary heart disease.

Stroke is the sudden death of brain tissue caused by the lack of oxygen due to the impaired blood supply. Patients with stroke need to be given strengthen joints therapy, one of them is 300 lateral incline positions. The purpose of this case study is to analyze the position in stroke patients after the intervention of mobilization exercise every 2 hours for 6 days in Cempaka ward of RS Pantiwilasa Ciratum Semarang. The type of this research is descriptive case study approach method. The subjects of this study are two stroke patients with good functional outcomes, where the score for Modified Rankin Scale is between 0-2, willing to be respondents, never received a lateral 30? lateral incline therapy. The immobilization analysis is done descriptively and measured by Braden scale. Hence, the result of the study is the decrease of the risk shows by the changing of risk scale from 10 to 13. The recommendation of the research is the need of nurse consistency in mobilization to prevent decubitus in stroke patients.