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Geriatrics is a branch of gerontology that studies the level of health in the elderly from various aspects, including: promotive, preventive, curative and rehabilitative which includes physical, mental and social health. In principle, geriatrics strives for a happy and useful old age. Throughout the world today, the number of elderly people is estimated to be more than 629 million people, and in 2025 it is projected that the number of elderly people will reach 1.2 billion. Indonesia is a country that has a fairly high number of elderly people. In 2010 the number of elderly aged 65 years and over was 11 million, and it is projected that in 2020 the number of elderly will increase by 7.2%. Even the United States Census Bureau estimates that Indonesia will experience the largest increase in elderly citizens in the world in 2025, namely 414%. The increasing number of elderly will affect the welfare of the elderly (Ministry of Welfare of the Republic of Indonesia. 2012). The increase in the elderly population is of course accompanied by the risk of various degenerative diseases such as diabetes mellitus, coronary heart disease, osteoarthritis, neuromuscular disease and lung disease. Around 50-80% of elderly people aged more than 65 years will experience more than one chronic disease. This is related to the fact that the older you get, the more health problems you experience. One way to improve the quality of life for the elderly is to do physical exercise. Physical exercise can maintain or improve flexibility, cardiopulmonary endurance, agility, strength and balance. Several studies show that physical exercise has a consistent effect in reducing the risk of falls in healthy older adults. Kuptniratsaikul's research in 2009-2010 showed that simple balance exercises carried out by elderly people with a history of falls could reduce the incidence of falls in the elderly and significantly improve body balance. A 2017 Cuevas meta-analysis study showed that balance training programs showed the greatest effect in reducing the risk of falls in the elderly. For elderly people who are not yet able to do balance exercises independently, they need professional assistance.

Banyuanyar is a village in Banjarsari district, Surakarta. This district has Puskesmas as its role in public health of the first level with two buildings namely Banyuanyar and Source. The second-largest visit data available at Puskesmas Banyuanyar Physiotherapy Poli in 2023 was obtained from 104 patients and 11 patients in the last 1 month, which is knee osteoarthritis characterized by pain, stiffness in the knee joints so impaired day-to-day activity. The aim of this program is to help provide education and treatment as well as training in the case of knee osteoarthritis in order to reduce and prevent complaints felt worse. The method used for educational purposes is dissemination as well as providing leaflets to the Lansia Post Community at RW 14 Kelurahan Source City of Surakarta. To see the improvement in understanding, the authors using pre-test and post-test questionnaires obtained results that are significant improvements in the understanding of the physical therapy material with an average pre test score of 4,55 and an average post test rating of 95.45.

Elderly people are those who have reached the age of 60 years or more who need activities to avoid experiencing dementia, the elderly have socio-psychological problems related to stress, loneliness and mental problems. So the PKM-PM team at Slamet Riyadi University, Surakarta, provided an activity to make the elderly productive through skills activities at the Widhi Asih Nursing Home, Surakarta. The methods applied in this activity include: (1) providing information related to the skills activities carried out (2) preparing the main materials and skills framework, (3) making craft skills from plastic spoons, used cardboard and flannel, (4) process final completion of skills and monitoring with the elderly. The result of the service is that seniors are able to participate in craft skills activities from start to finish with enthusiasm. Skills activities can fill the elderly's free time thereby suppressing dementia. Activities can be developed with creativity, new skills according to the abilities and desires of the elderly. This service has achieved the expected results and the sustainability of this program continues to be carried out through monitoring pattern.  

Hypertension is a disease that often attacks the elderly. Health promotion that has been carried out so far has only been through outreach media, and creative media is needed to be able to convey the message of preventing worsening of hypertension sufferers. The aim of the research was to determine the influence of health promotion using film media on knowledge of hypertension prevention in the elderly at the Tanjung Unggat Community Health Center UPTD. This research used a pre-experimental design with a one-group pre-test-post-test design, with a population of 150 people and a sample of 33 respondents selected using purposive sampling. This research data collection tool uses a knowledge questionnaire. The results of this research are that the majority of respondents' knowledge before being given health promotion, 28 respondents (84.8%) were in the poor category. Meanwhile, after being given health promotion, 26 respondents (78.8%) were in the high category. The bivariate test results in this study used the Wilcoxon test with a p value of 0.000 (p value < 0.05). In conclusion, it is stated that health promotion using film media on knowledge of hypertension prevention in the elderly has a significant influence. Suggestions for future researchers to use other creative methods so that optimal health can be achieved.

Old age is said to be the final stage of development in the human life cycle which experiences various health problems and is at high risk of dangerous diseases. Health problems that occur in the elderly in general are a decrease in organ function, changes in lifestyle, diet and physical activity which are often the main factors in degenerative diseases including hypertension which disrupts blood flow. This hypertension often occurs in the elderly where the blood pressure is at the upper limit ( Systole) is more than 140 mmHg and lower limit blood pressure (diastole) is more than 90 mmHg. One non-pharmacological treatment that can improve the flow of oxygen in the blood is laughter therapy. The aim of this research is to analyze the effect of laughter therapy using comedy videos on reducing blood pressure in elderly people with hypertension at the Tiban Baru Community Health Center, Batam City. The Batam City Health Service noted that hypertension occurs more frequently in elderly people aged 60-70 years and over with the highest number being 9,282 people at the Tiban Baru Community Health Center, Batam City. This research uses a quasi-experimental method with a pre-test and post-test design without control. The sample provided used the purpose sampling method with a total research sample of 20 respondents. Therefore, it can be concluded that there is an effect of laughter therapy on reducing blood pressure in elderly people with hypertension.

Background: The prevalence of elderly people continues to increase every year. This is directly proportional to the problems that continue to occur. One of them is a decrease in cognitive abilities which results in dementia. One of the risk factors for dementia is the level of physical activity. Decreased physical activity is believed to be one of the causes of dementia in the elderly, along with other risk factors. Objective: To determine the relationship between physical activity levels and risk factors for dementia in elderly posyandu participants in RW 03, Dinoyo Village. Research Method: This research uses descriptive analytical methods with a cross-sectional design. The method with sampling of both variables is carried out in the same time period. The total sample was 51 elderly posyandu participants in RW 03 Dinoyo Village who met the inclusion criteria. The measurement instrument uses the IPAQ-SF questionnaire to measure physical activity levels and the MMSE questionnaire to measure cognitive abilities. The correlation test used the Spearman Rho test with IBM SPSS 25. Results: Based on the Spearman Rho correlation test, the result was p = 0.339 (p > 0.05). The results showed that there was no relationship between the level of physical activity and the risk of dementia. Conclusion: There is no significant relationship between the level of physical activity and the risk of dementia in respondents. The lack of results in this study was caused by several factors, namely the limited research design and other supporting factors that were not studied.

Background: Counseling and counseling is carried out aiming to provide education related to sleep quality disorders in the elderly regarding the causes of sleep disturbances to how to deal with sleep disorders themselves, debriefing is also carried out for the elderly so they can do independent exercises at home to reduce the effects of sleep disturbances experienced Objective: Relieve complaints of sleep disturbances in the elderly and educate about exercises that can be applied independently at home Method: Providing counseling and counseling related to sleep disorders in the elderly using leaflets and asking questions and answers to the elderly and families regarding things that are known about sleep quality. The Pittsburgh Sleep Quality Index (PSQI) questionnaire was also filled out to determine the quality of sleep in the elderly. Results: Counseling and outreach activities can increase the knowledge of both the elderly and their families about the importance of maintaining sleep quality and how to prevent sleep quality. There has been a significant change in which there has been an increase in sleeping hours in the elderly who have sleep disturbances and no longer wake up frequently at night.

Elderly is an age group that is susceptible to disease due to decreased function in the body due to the aging process. Uric acid is produced by every living thing as a result of the main metabolic process, namely a chemical process in the cell nucleus that functions to support survival. To overcome complaints of pain that appear in patients with gout, there are various pharmacological and non-pharmacological therapies. The usual pharmacological therapy is taking painkillers, namely the Nonstereoidal Antiinflammatory Drugs (NSAID) group. Complementary therapy is a natural therapy including herbal therapy in the form of bay leaves. The aim of the study was to describe a decrease in uric acid levels by giving bay leaf boiled water to the elderly at the Cilacap Dewanata Institution. The results of this study were obtained after therapy by giving boiled bay leaf water, the patient was more comfortable, the pain was reduced, the last day's observations of vital signs (TTV) showed Td: 110/80 mmHg, Respiration: 20 x/minute, Pulse: 96 x /minute pain scale 2. In conclusion, the application of giving bay leaf boiled water is proven to be able to overcome the problem of diagnosing acute pain associated with physical injury agents, the implementation of self-invasion care was carried out for 3 days, with extraction the results of reduced pain.

Introduction: Older adult with hypertension often experience several problems, one of which is disturbed sleep patterns. Disorders of sleep patterns experienced by the elderly have an impact on the recurrence of the disease, therefore the problem of sleep quality in the elderly must be addressed immediately One of them is providing foot massage reflexology Methods: This study uses a descriptive research design with a case study approach. This research is a study of the application of foot reflexology in the elderly with hypertension with nursing problems with sleep pattern disorders Result: The results of the study at the beginning of the study, on 3 Mey 2023 it was known that the respondent had problems with sleep patterns with a PSQI score of 18. Based on the evaluation results on 5 Mey 2023, it can be concluded that there was an increase in the quality of sleep of respondents with a PSQI score of 9 by giving intervention for 3 days starting from 3-5 Mey 2023 Discussion: Providing an effective foot massage reflexology intervention to overcome the problem of sleep pattern disorders in the elderly with hypertension, foot massage reflexology can relax the body so that sleep will feel more restful, foot massage reflexology intervention is recommended to be given every bedtime.

Lower back or waist pain is a disorder in musculoskeletal position due to incorrect ergonomics, characterized by pain in the muscle area between the costal border and the inferior gluteal fold. Risk factors that can influence the incidence of lower back pain are age, gender, body mass index, smoking habits, lack of exercise, years of work, work position, and heavy workload. This community service is a forum to improve and provide education to the elderly about prevention and how to deal with lower back pain using a home program. This service activity was carried out using the counseling method with approximately 20 respondents participating. After being given a presentation of material regarding low back pain and a demonstration regarding recommended home exercises/home programs, most respondents understood and were able to explain the definition, risk factors, symptoms and prevention of low back pain.

High blood pressure, marked by a sustained rise in arterial pressure, poses a complex medical challenge with diverse origins. Internal factors like gender, age, and heredity, combined with external elements such as obesity, unhealthy habits, and stress, contribute to its development. The aging process in elderly individuals often results in reduced adaptive capacity, making them more susceptible to various ailments, including hypertension. To address this issue, Therapeutic Touch is explored as a non-pharmacological intervention, utilizing touch energy to modulate the nervous system and hormonal responses, thereby restoring energy balance and reducing pain and blood pressure levels. This study investigates the impact of Therapeutic Touch on blood pressure reduction in hypertensive elderly individuals in Balung Village, Kendit District, Situbondo Regency, using an experimental design with a one-group pre- and post-test setup. The research involves the entire hypertensive elderly population of Balung Village (32 individuals), with 30 participants selected through purposive sampling for a six-session Therapeutic Touch intervention over two weeks. Data collection employs observation sheets with coded responses, revealing a significant post-intervention shift towards normal blood pressure. Statistical analysis, using the Wilcoxon signed test (p-value: 0.000 ? ? 0.005), supports the acceptance of the  hypothesis. In conclusion, Therapeutic Touch proves effective in reducing blood pressure among elderly individuals with hypertension, operating through mechanisms influencing nerves, hormones, and overall body relaxation.

Hypertension or high blood pressure is one of the main health problems in every country because it can cause heart disease and deadly brain stroke. Hypertension is seen as a serious health problem because we often don't realize it comes with few if any real symptoms. This disease can continue to get worse without realizing it to a level that threatens the life of the sufferer. Hypertension or high blood pressure is an increase in systolic blood pressure of more than 140 mmHg and diastolic blood pressure of more than 90 mmHg on two measurements with an interval of five minutes in a state of sufficient rest/calm. This study used a pre-experimental design method with the type of one group pretest-posttest design. The target in this study were the elderly in Jurong Binje Village, Jangka Buya District, Pidie Jaya Regency. The questionnaire in this study was used to examine the effect of counseling about hypertension on increasing the knowledge of the elderly in Jurong Binje Village, Jangka Buya District, Pidie Jaya Regency. The number of samples taken was 15 elderly people. It is known that most of the respondents were female as many as 10 respondents with a percentage of 66.7%, while most of them were aged 55-60 years as many as 9 respondents with a percentage of 60%. The highest level of knowledge of the elderly before being given counseling was in the moderate category, 5 people (33.3%). The highest level of knowledge of the elderly after being given counseling was in the high category, 15 people (100%). The average knowledge level of the elderly before being given counseling was 1.67 and after being given counseling was 1.00. From these results it can be concluded that there were positive results from the counseling process carried out.  

According to the Law of the Republic of Indonesia number 13 of 1998 concerning elderly welfare, an elderly person is someone who has reached the age of 60 years and above.  Indonesia alone ranks fourth in the world with 24 million elderly people who have not received much attention. The decline in various body functions in old age can cause elderly people to have difficulty eating due to various causes. For example, the appetite of the elderly tends to decrease because their sense of taste and smell is no longer as sharp as it used to be to inhale aromas and taste food. The elderly are also more prone to decreased saliva production, loose teeth, weakened intestinal and gastric functions, and decreased stomach acid production which makes it difficult for the body to absorb food. Weakness or paralysis of the face, also known as facial frown, will cause impairment in the ability of facial muscles. Miror Therapy exercises can help improve facial muscle strength in patients with stroke. Regular exercise for 2 times a week can help increase the muscle strength of stroke patients.

The elderly are an age group that is prone to falls. The purpose of this service is to detect the risk of falls in the elderly and provide assistance in balance training as an effort to prevent the risk of falls in the elderly. Falls occur due to unintentional loss of balance resulting in failure of postural stability, or unexpected and sudden changes resulting in a position landing on the floor. Associated risk factors include current health status (living in the community, nursing home, hospital, frail or active state), diseases suffered (diabetes, hip fracture, stroke) and general changes related to aging (decreased balance, coordination, muscle strength, visual impairment, etc.). The output targets to be achieved are in the form of publications in accredited national journals and copyright for videos of community service activities. The method used is a fall risk detection examination using the Time Up and Go Test and continued with the provision of balance training, so that the elderly who have a risk of falling can be recognized as early as possible so that the provision of balance training can maintain and improve the balance of the elderly body.

The elderly is a vulnerable group that has a very high dependency rate. The elderly  has various health problems such as degenerative diseases and decreased productivity so that it can cause a decrease in independence in carrying out daily activities (Activities Daily Living).This research strategy combines a cross-sectional approach with correlational analysis. Simple random sampling is the method used for sampling. employing the logistic regression test. examined respondents' perceptions of senior citizens' independence, using a sample size of 45 respondents.The results of this study found that there was a relationship between all factors that could be done both from family support, cognitive function, and anxiety with a p value of 0.05 while the dominant factor related to the independence of the elderly was the anxiety factor with a p value of 0.005 a 0.05 and OR value =248792879.8 Can guarantee that family support, cognitive function, and can increase the independence of the elderly, but the most dominant factor for independence is the anxiety factor.To ensure that body parts can move and there is no immobility disorder, it is expected of the aged to continue with everyday activities. They are also expected to maintain their health by visiting an integrated health center, a public health center, or other healthcare facilities.    

As the number of elderly people increases, this can cause various problems such as social, economic and health. The welfare of the elderly can be reflected through their health condition. Home Care as a form of assistance and social care for the elderly in the family or home environment can meet the needs of the elderly so that elderly exercise done regularly can prevent functional loss caused by cardiovascular disease and another benefit of this elderly exercise is that it can reduce weight and strengthens the heart muscles. Research Method: This research uses qualitative research with a pretest-posttest control design. This research was carried out in RW 005 Campurejo Village, Mojoroto District, Kediri City with a population of 20 elderly people with total sampling. Research Results: Blood pressure before and after elderly exercise also showed an average increase, namely 450.0, increasing to 750.0 with a p value of 0.004, which shows there is a significant relationship. Conclusion: there is a significant relationship between elderly exercise and physical fitness, namely blood pressure with a p value of 0.004.

GDA (Blood sugar), or monosaccharide, is the body's main metabolic that produces energy in the form of ATP (Adenosia triphosphate). Exercise gives it enough energy to produce glucose into ATP (Adenosia triphosphate). This study used the elderly group as the research target. The purpose of this study is to identify how to reduce GDA (blood sugar) levels in the elderly in the Surabaya area and to educate elderly people to pay more attention to their blood sugar so that they can avoid blood sugar disease. The method used in this research is a descriptive qualitative method. The data collection and processing technique applied during the research was the deep interview technique. The research sample was taken from a total of 30 elderly people who were interviewed about blood sugar levels. It is known that the behavior of respondents in the knowledge of GDA (blood sugar) can be classified at a fairly good level. The results showed that out of 30 elderly people (100%) showed an increase in knowledge after the delivery of material which initially 10% increased to 90%. From the results of the discussion, it can be concluded that the implementation of sugar level education with its application is in accordance with the objectives. Researchers hope that the results of the study can be developed so that they are useful and feasible to use.

Background: The increase in the elderly population can have an impact on many health problems in the elderly, one of which is sleep quality problems. Prevelence in Indonesia the incidence of sleep problems at the age of 60 years and more there is a very high number of cases around 67%. Where sleep quality problems in the elderly can lead to type 2 diabetes mellitus and obesity. Non-pharmacological handling in overcoming sleep quality problems can be through progressive muscle relaxation therapy techniques. Progressive muscle relaxation therapy is able to increase feelings of comfort, and psychological relaxation by improving sleep quality in the elderly.Objective: Knowing the effect of progressive muscle relaxation therapy on sleep quality in the elderly at the Medang Kamolan posyandu, Banyuanyar Village, Surakarta City. Method: This study used the Quasi Experiment Design method with the One Group Pre-Test Post-Test Design design. The sampling technique used was non probability sampling technique with a sample size of 20 elderly people and using the Wilxocon test. Results: The results using the Wilxocon test p-value 0.000. Conclusion: There is an effect of progressive muscle relaxation therapy on sleep quality at Posyandu Medang Kamolan, Banyuanyar Village, Surakarta City

Background: The elderly commonly undergo changes encompassing physical, psychological, and biological aspects. One such biological change is altered sleep patterns, resulting in poor sleep quality. Sleep quality disturbances among the elderly can be alleviated through the application of dhikr therapy. Objective: To determine the difference in sleep quality before and after the implementation of dhikr therapy for enhancing sleep quality. Method: This study employed a descriptive design involving 2 female participants, conducted from June 4th to June 10th, 2023, at the 'Aisyiyah Sumber Surakarta elderly care facility. Each participant received 7 consecutive days of intervention. The instrument used was the Pittsburgh Sleep Quality Index (PSQI) questionnaire to measure sleep quality levels before and after the therapy. Results: Prior to intervention, participant 1 had a sleep quality score of 16 (poor category), and participant 2 scored 11 (poor category). After dhikr therapy, participant 1's sleep quality improved to 10 (poor category), and participant 2 achieved a score of 7 (poor category). Both participants experienced decreased sleep quality scores. Conclusion: Dhikr therapy can enhance sleep quality among the elderly. Despite reduced sleep quality scores post-intervention for both participants, these changes suggest improved sleep quality due to dhikr therapy's application.  

Elderly sleep disorders in Indonesia are quite high, namely 67%. Non-pharmacological treatment of sleep disorders can use warm water. Sleep disturbances have a negative impact, such as the elderly not being able to sleep at all at night and having nightmares. Warm water is able to provide relaxation which creates a feeling of comfort so that it can improve sleep quality. Objective : To determine the effect of soaking feet using warm water on the sleep quality of the elderly. Methods: The method used is descriptive with a pretest and posttest to 2 respondents in Cantel Kulon Sragen, the duration of soaking feet in warm water for 15 minutes with a water temperature of 40°C for 5 consecutive days on 25 May 2023-29 May 2023. Results : The sleep quality scores of the two respondents before the therapy were 12 and 10. After the therapy they were 7 and 6. Conclusion: Soaking feet in warm water for 15 minutes can improve sleep quality.