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Ostheoporosis is a systemic bone disease characterized by a decrease in bone microarchitecture so that bones become brittle and break easily.The purpose of this outreach is specifically to increase awareness among the elderly about the importance of maintaining bone health, apart from that, it also increases knowledge that osteoporosis can be prevented in various ways and by reducing the pain that arises. The method for the presentation of material about the elderly and ostheoporosis accompanied by the practice of osteoporosis exercises with midwives and the elderly in Pucangan Baru II Village, Rt02/Rw07, Pucangan, Kartasura, Sukoharjo. The results of the counseling in Pucangan Baru II Village, Rt02/Rw07, Pucangan, Kartasura, Sukoharjo showed extraordinary participation, marked by the elderly/audience being very enthusiastic about taking part in Osteoporosis exercises and the audience also felt comfortable when learning the Breathing Relaxation Method provided.

Insomnia is one of the main disorders in initiating and maintaining sleep among the elderly. Insomnia is defined as a complaint about a lack of quality sleep caused by one of the reasons why it is difficult to get into sleep, frequent awakenings at night and then difficulty getting back to sleep, waking up too early, and not sleeping well. The poor quality of sleep in the elderly is caused by increased sleep latency, reduced sleep efficiency and early awakening due to the aging process. The purpose of this study was to determine the effect of progressive muscle relaxation therapy on insomnia in the elderly in posbindu, patikraja village. This type of research is one group pretest-posttest with pre-experimental. The sample size used in this study was 19 respondents. The sampling technique used is purposive sampling. Methods of data collection using a questionnaire. The statistical test used in this study was the Wilcoxon Sign Rank Test with 0.05. The results of this study note that there are differences before and after being given progressive muscle relaxation therapy. The results of the analysis of the Wilcoxon Sign Rank Test obtained a p value of 0.000 <0.05, meaning that there is an effect of progressive muscle relaxation therapy on changes in insomnia in the elderly in Posbindu, Patikraja Village.

The prevalence of gout in Indonesia is the fourth largest country in the world whose population suffers from gout. 35% of gout occurs in men over the age of 45 years. Joint disease in those aged 55-64 years is 45%. Age 65-74 years 51.9%. Age ≥ 75 years 54.8%. The incidence of joint disease based on diagnosis by health workers in Indonesia is 7.3 and based on diagnosis or symptoms 24.7% (RISKESDAS, 2018). This type of research is quantitative using a quasi-experimental research method with pre-test and post-test with control methods. The population of all elderly people suffering from gout who underwent examination and treatment in the Batu Aji Health Center UPT area, namely 140 people as of April 2021. The number of samples in this study was 30 people, divided into 15 elderly people in the experimental group and 15 elderly people in the experimental group. Control. Based on the results of research and data processing that has been carried out by researchers, regarding the effect of boiling bay leaf water on reducing uric acid levels in the elderly in the Batu Aji Health Center UPT area, Batam City in 2021 with a total of 30 respondents, consisting of 15 intervention groups and 15 control groups . The research carried out not only provides conclusions but also provides suggestions to various parties to help improve health and prevent complications in gout patients.

Uric acid is a metabolic waste in the form of purine crystals that are naturally present in the blood. Normal uric acid levels in the blood of adult men are 3.5 – 7.2 mm/dl and in women 2.6 – 6.0 mg/dl. Purine substances are natural substances which are one of a group of chemical structures that make up DNA and RNA derived from the body's own production and from food. This study aims to determine the relationship of knowledge and behavior of the elderly to the prevention of increased gout at the Tampahan Health Center, Tampahan District, Toba Regency. This research was conducted from  Oktober to Desember 2023. Behavioral relationships. This research is a quantitative study using a Cross-sectional Design. The population in this study were all gout sufferers who came for treatment at the Tampahan Health Center, Tampahan  District, Toba Regency. The sample size was 35 respondents using a questionnaire. Data analysis used Chi-square test with significance level = 0.05. From the results of research on 35 respondents showed that the majority were knowledgeable enough as many as 20 people (57.1%), the majority of behavior was in the good category as many as 17 people (48.6%). While the majority for prevention in the good category were 27 people (80.0%). There is no relationship between the knowledge of the elderly about gout and the prevention of increased gout where X2 count < X2 table and there is a relationship between the behavior of the elderly with gout on the prevention of increased gout where the chi-square test X2 count > X2 table. For the elderly with gout to further increase their knowledge about preventing an increase in uric acid and pay attention to their health, especially in reducing consumption of high-protein foods and diligently self-examination to the health center.

Non-Communicable Diseases (NCDs) such as hypertension, diabetes mellitus and heart disease are the main causes of morbidity and mortality in the elderly (elderly). The elderly need early detection and health promotion to reduce the risk of NCD complications and improve quality of life. This activity aims to increase awareness and understanding of elderly people in Barusari Village regarding the importance of early detection and control of NCDs, as well as providing health education through community-based health promotion. Implementation Method: Free Health Check: Carry out a health check to detect early signs of NCDs, such as measuring blood pressure, blood sugar levels, and checking cholesterol. Community-Based Health Promotion: Holding a health promotion campaign involving community leaders, elderly families, and health workers to create an environment that supports a healthy lifestyle for the elderly. Results: Increased public awareness about the importance of early detection and prevention of NCD complications. Elderly people who take part in health checks gain knowledge about their health conditions and are given referrals to health facilities if necessary. Conclusion: This activity was successful in increasing elderly participation in early detection and health promotion, as well as forming a community that is more concerned about controlling NCDs in the elderly group.

The background of this literature review study is the many people still suffer from mental illnesses, and the number of people who suffer from them is growing every year. Types of mental disorders such as depression, anxiety, stress, hallucinations, and others. The purpose of this literature is to see how efficient Classical Music Therapy is at lowering the rate of mental problems in people of all ages, from children to the elderly. The method of literature review review was obtained using the keywords "efficacy of classical music treatment," "impact of classical music therapy," and "mental problems" in the Google Scholar, Garuda, and Mendeley databases. The results of the literature review study based on fifteen journals that have been presented that classical music therapy is effective in reducing the rate of mental disorders in children to the elderly. The journal review found that: 1) Depression is reduced; 2) Anxiety is reduced; 3) Stress is reduced; 4) Hallucinations are reduced; and 5) The psychological improvement. Conclusions from the study of literature, that classical music therapy reduces the risk of mental problems in people of all ages, from children to the elderly This literature review study suggests that classical music therapy can be utilized as a non-pharmacological treatment for those suffering from mental illnesses.    

The importance of physical activity for the elderly in an effort to support indicators of healthy Indonesia, namely increasing the Life Expectancy of the Indonesian people. The purpose of this socialization is to find out the elderly's routine in daily activities to support Activity Daily Living (ADL). The method used in this outreach was the lecture and question and answer method, then questionnaires were distributed before and after the counseling to determine the elderly's understanding regarding physical activity. Suggestions for this activity are the elderly in Cot Yang Village, Aceh Besar District. This socialization activity was carried out for 1 hour. The results obtained from this socialization activity were that there was a change in the understanding of the elderly regarding physical activities carried out in daily activities. At this activity Mr. Geusyik, Village Secretary and Cot Yang Village Cadres along with 18 elderly people were present. Held on Friday 12 January 2024 at the Cot Yang Village multipurpose hall, at 09:00 WIB. This socialization activity was carried out by lecturers and Diploma Three Nursing students.

The risk of falling is an incident reported by the sufferer or family who saw the incident, which resulted in a person suddenly falling down, sitting on the floor or a lower place with or without loss of consciousness or injury. Based on an initial survey at the Posyandu Lansia Akbar (Elderly Center) in the working area of ​​the Puskesmas Jembatan Kecil (Community Health Center), it was found that some health problems which are still often experienced by the elderly are degenerative diseases such as hypertension, diabetes mellitus, and perceptual and sensory disorders that leads in decreasing balance, muscle strength and flexibility. These problems put elderly at high risk of falls. To reduce the risk of falls in the elderly, it is necessary to provide preventive, curative and collaborative health services in the form of health education and assistance with balance exercises. So the Community Service Team provides health education on preventing the risk of falls in the elderly.

Sleep is an altered state of consciousness when an individual's perception and reaction to the environment decreases. Sleep disorders often occur in the elderly, decreased sleep quality. Bathing therapy with warm water can cause blood vessels, where the warm water makes blood circulation smooth and creates a feeling of relaxation, thereby improving the quality of sleep. The aim of this research  to identify the effect of iveness soaking feet therapy with warm water on meeting sleep quality in the elderly at the Peace Christian Brotherhood Foundation, Social Welfare Institution for the Elderly in Ranomuut, Manado City. This research method use One Group Pre Test – Post Test Design approach. The population in the study was 15 using using a total sampling technique, the research used a questionnaire sheet and SOP 0.05. The results of research using the paired T test obtained a P value (0.000) where p value ≤ a=(0.05) which means there is an effect of soaking foat with warm water on meeting sleep qualityesin the elderly. The conclusion in this research  there is an effect iveness of soaking feet in warm water on meeting sleep qualikes in the elderly. At the Peaceful Christian Brotherhood Foundation, Social Welfare Institution for the Ederly in Ranomuut, Manado City. It is recommended that the results of this research provide knowledge to the public about soaking feet in warm water.

Diabetes mellitus (DM) is a disease caused by excessive levels of sugar in the blood due to a lack of the hormone insulin. DM screening is done because there are some residents who have the disease. This examination is specifically for the elderly because they also have the potential to be infected without being detected. The activity was carried out using two methods, namely socialization and followed by blood pressure and random blood sugar checks which were carried out in two hamlets, namely Slangak and Semek hamlets. The results of the screening showed that 14.29% of the participants had sugar levels > 200 mg/dl, which means that there is a DM factor, so it is necessary to do short-term prevention to control DM disease.

Osteoarthritis is a cartilage disorder in the joints of bones that often affects elderly people. As many as 24 million people in the Southeast Asia region and 151 million people worldwide suffer from osteoarthritis. The community service practice aims to provide education to elderly people with osteoarthritis. The sampling technique was purposive sampling with 85 elderly respondents. The level of knowledge of the elderly about osteoarthritis disease is obtained through pretest and posttest. Providing education to the elderly about osteoarthritis disease by counseling and exposure to material using posters and leaflets and demonstrations related to the handling of osteoarthritis. Analysis of research data using chi square and fisher exact tests. The results obtained in the age factor (p = 0.021), gender (p = 0.015), BMI (p = 0.002) and physical activity (p = 0.584). There is a relationship between age, gender and body mass index with the incidence of osteoarthritis in the elderly and there is no relationship between physical activity and the incidence of osteoarthritis in the elderly.

The elderly is a process of the final stage of human life that will be lived by everyone. Cognitive function indicates the process of receiving, organizing and interpreting stimulus sensors to think and solve problems. The purpose of this study was to determine the relationship between cognitive ability and the level of independence of Activity Of Daily Living (ADL) in the elderly in Singkil 1 sub-district 6 Manado city This research uses a correlational analytical method with the approach used is a time series, which is a type of data consisting of variables collected according to time sequence in a certain time span. The sample of this study amounted to 42 respondents using the Purposive Sampling technique. Data collection was taken using questionnaire sheets. Furthermore, the data that has been collected is then analyzed using the Chi-square statistical test with a significant level (α) of 0.05 The results showed that the most respondents' gender was women, namely 35 respondents with a percentage (83.3%), the most respondents did not attend school, namely 28 respondents with a percentage (66.7%), the most respondents' jobs as IRT were 35 respondents with a percentage (83.3%), and the results of statistical tests found a significant relationship between cognitive function and the level of independence of the elderly with p-value = 0.002

Penyakit Stroke merupakan penyakit serebrovaskuler ditunjukkan dengan kerusakan fungsional dan struktural yang bersifat sementara maupun permanen akibat kurangnya aliran darah ke otak. Depresi merupakan penyakit yang melibatkan tubuh, suasana hati dan pikiran, depresi pada penyakit kronis yang telah dikaitkan dengan kurangnya kepatuhan dalam program pengobatan, kecenderungan bunuh diri dan tingkat kelangsungan hidup. Tujuan dari penelitian ini adalah untuk mengetahui hubungan efikasi diri dengan tingkat depresi pada lansia dengan penderita  stroke  di  RSI  Sultan  Agung  Semarang.  Jenis penelitian  yang digunakan  yaitu kuantitatif dengan desain cross sectional. Jumlah sampel penelitian sebanyak 66 responden dengan teknik pengambilan sampel menggunakan  Purposive sampling. Uji statistik  yang digunakan adalah uji Spearman Rank. Hasil yang diperoleh yaitu taraf signifikasi p-value (0,001 <0,05) dengan nilai correlation coefficient sebesar (-0,395) yang menunjukkan terdapat hubungan antara efikasi diri dengan tingkat depresi dalam kategori hubungan rendah dengan arah  korelasi negatif. Sehingga  dapat  disimpulkan bahwa efikasi  diri yang rendah  dapat menyebabkan tingkat depresi sedang pada pasien lansia dengan penderita stroke. Diharapkan peneliti selanjutnya perlu melakukan penelitian lebih lanjut mengenai faktor- faktor apa saja yang dapat mempengaruhi tingkat depresi pada pasien lansia dengan penderita stroke.

Abstract: Osteoarthritis is a cause of disability in the elderly where its prevalence will increase along with the increasing life expectancy of the global population (Sacitharan, 2019). According to the World Health Organization in 2013, it is estimated that by 2050 people aged over 60 years will account for more than 20% of the world's population, of which 15% have symptoms of Osteoarthritis, while a third experience severe disability, namely being unable to carry out daily activities (Nos et al. , 2020). Impairments that arise include (1) pain felt around the knee joint and pain when bending the knee, (2) weakness of the muscles that drive the knee joint, (3) limited range of motion (LGS) of the knee. The purpose of this study was to determine the effect of adding TENS on Quadricep exercise settings to reduce pain and increase functional activity in elderly people with osteoarthritis genu. The data collection method used a quasi-experimental design with a pre and post design with a control group design. The data collected was tested for normality with Shapiro Wilk. Normal distribution, effect test using paired t-test. The results of the paired t-test obtained a value of p = 0.0001 (p <0.05) in pain and obtained a value of p = 0.0002 (p <0.005) an increase in functional activity in the treatment group I. The treatment group II obtained a value of p = 0.0004 (p <0 .05) in pain and 0.0003 (p<0.05) increased functional activity. The conclusions obtained from this study are 1) Quadricep setting exercise can reduce pain and increase functional activity in elderly people with osteoarthritis genu. 2) The addition of TENS to Quadricep exercise settings can reduce pain and increase functional activity in elderly people with osteoarthritis genu. Keywords: Osteoarthritis knee/knee, Quadricep setting exercise, pain, functional activity

Non-communicable diseases (NCDs) are currently the biggest cause of death. According to WHO, NCDs are the leading cause of death in the world, where in 2016 as many as 71% of deaths were caused by non-communicable diseases. Based on the type of disease causes of death include cardiovascular disease (31%), cancer (16%), chronic respiratory disease (7%) and diabetes mellitus (3%).WHO data also shows that the mortality rate due to non-communicable diseases in the Southeast Asian region is quite high, which is around 23% when compared to European countries (17%) and America (15%), proper control of diit can reduce the incidence of NCDs. Method: This method of community service is carried out in the form of providing education about the right diit for non-communicable disease control by means of lectures and distributing leflets followed by questions and answers and discussion. Conclusion: from the results of the service, it can be concluded that the education provided can increase public knowledge about non-communicable diseases, so that the community is expected to be able to prevent and handle NCDs themselves with the right diit arrangements

Joint pain is a disease that is familiar in everyday life. and mostly in elderly people who are close to joint pain disorders which is a degenerative disease. Apart from the age factor, there are many things that influence the rate at which joint pain occurs due to the fact that many elderly people do not control their lifestyle such as regular exercise, diet and so on. Pain often occurs in the hands or fingers, knees, hips and spine. This disease generally develops gradually and gets worse over time, disrupting the sufferer's ability to do physical activity. Methods of exercise therapy for osteoarthritis are therapy in the form of active movement exercises and in the form of exercises using resistance/weights which aim to train the muscles so that the muscles become relaxed, preventing limitations. movement, maintain muscle elasticity and increase muscle strength. Exercise therapy will minimize injury by strengthening the muscles supporting the joints, restoring strength and range of motion so that activities can be carried out as before. Activities that are beneficial for health should meet the FITT criteria (frequency, intensity, time, type). Frequency is how often the activity is done, intensity is how hard the activity is done, usually divided into low, medium and high intensity. Time refers to the duration of the activity and the type of physical activity carried out. Community service activities are aimed at all elderly people in order to increase knowledge and alternatives about non-pharmacological therapies that are relatively safe from side effects.  

Osteoarthritis is the most common type of arthritis that affects the knee. Osteoarthritis is a degenerative process in which joint cartilage is gradually eroded. This disease often attacks middle-aged and elderly people. Osteoarthritis can be caused by excessive stress on the joints such as repeated injuries or being overweight. The aim of this activity is to provide acupressure therapy to reduce the level of pain experienced by elderly people with knee osteoarthritis. The target of this activity is elderly people who experience knee osteoarthritis in Bangun Rejo Village, Tanjung Morawa District with a total of 16 people. This activity is carried out by providing acupressure therapy. The results of the activity showed a decrease in pain levels in elderly people with knee osteoarthritis in Bangu Rejo village, Tanjung Morawa district. It is hoped that the elderly can manage pain with knee osteoarthritis by providing acupressure therapy

Hypertension is a condition where there is an increase in systolic blood pressure of 140 mmHg or more and diastolic blood pressure of 90 mmHg or more. Hypertension can be caused by poor diet and lack of physical activity, The purpose of this study was to determine whether there is an influence of low impact aerobic gymnastics on changes in blood pressure in the elderly at Damai Ranomuut Nursing Home in Manado. This study was conducted with a pre post test design where the sample was observed first before being given treatment (pre test) and after being given treatment (post test) the sample was observed again. Respondents were 12 people, data collection was carried out using observation sheets. Furthermore, the data was analysed with the Wilcoxon test with a significance level (α) of 0,05. The results of the study using the T-test statistical test obtained pre-post results with a ρ value = 0,000 where the ρ value < α = 0,05. The results of this study indicate that there is an influence of low impact aerobic gymnastics on changes in blood pressure in the elderly at Damai Ranomuut Nursing Home. The conclusion of this study is that there is an influence of low impact aerobic gymnastics on changes in blood pressure in the elderly at Damai Ranomuut Nursing Home in Manado. Suggestions for the elderly at Damai Ranomuut Nursing Home to increase knowledge and awareness about the importance of maintaining health in order to avoid high blood pressure disease.

Background:The high number of cases of death due to cervical cancer in Indonesia is exacerbated by the arrival of sufferers to health services at an advanced stage of > 70%. Efforts can be made to reduce risk factors for cervical cancer through primary prevention efforts. Purpose:The aim of community service is to increase teenagers' knowledge and attitudes about cervical cancer, with educational methods through audiovisual media. Method: This community service is carried out through audiovisual method counseling. This activity begins with identifying knowledge and attitudes or a pre-test about cervical cancer. The activity continued with counseling using video media about preventing cervical cancer and a post test after the counseling was carried out in one room in the School. Result: The level of knowledge before education was mostly sufficient 72 people (72%) and the attitude category was sufficient 70 (70%). After education there was a good increase in knowledge from 28 (26%) to 91 people (91.0%), while attitudes also existed an increase from 5 people with good attitudes to 87 people (87%). Conclusion:It is hoped that health workers will increase educational activities using audio-visual methods about cervical cancer. The public, especially young women, are expected to seek information from print and electronic media about cervical cancer.  

Pemerintah saat ini sudah berupaya untuk memperhatikan Kesehatan para lansia, yaitu melalui program- programnya  dari Puskesmas seperti posyandu lansia, namun hal ini masih kurang luas dapat menjangkau para lansia. Hal itu disebabkan karena dengan intensitas kegiatan posyandu yang hanya dilakukan satu kali dalam beberapa minggu oleh karena banyaknya lingkungan dalam cakupan wilayah kerja yang harus dijangkau Puskesmas yang ada di Ds Besani Kec Blado Kab. Batang. Akibatnya para lansia yang mengalami keluhan kembali akan sulit memeriksakan diri ke puskesmas karena masalah kemampuan fisik dan transportasi. Guna mengatasi hal tersebut maka kebutuhan para lansia dalam peningkatan kesehatan diri mereka utamanya melalui Pola Hidup bersih dan sehat (PHBS) sangatlah penting disampaikan, agar para lansia senantiasa sehat dan tidak mudah terserang penyakit.  Dalam mendukung kegiatan ini menggunakan media visual berupa tayangan Power Point dilayar proyektor. Sebelum program ini dimulai peneliti melakukan pemeriksaan kesehatan gratis berupa pemeriksaan gula darah sewaktu (GDS). Metode yang digunakan antara lain: Pengisian pre-test, Ceramah dan presentasi,Pengisian post-test. Pengisian pre-test lansia yang datang ke posyandu setelah dilakukan pemeriksaan kesehatan langsung dipersilakan duduk kemudian diarahkan mengisi kuesioner yang sudah diberikan. Ceramah dan presentasi bertujuan untuk meningkatkan pengetahuan para lansia mengenai PHBS dan gizi seimbang. Kegiatan ini melibatkan dosen dan mahasiswa Program Studi Hukum Program Magister  Universitas 17 Agustus 1945 Semarang.