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Introduction hypertension is a condition where blood pressure increases beyond normal limits. normal blood pressure limits vary according to age. Hypertension gymnastics is a sport whose one aim is to increase blood flow and oxygen supply to the active muscles and skeleton, especially to the heart muscle. The purpose of this hypertension exercise is to increase the knowledge of the elderly in the Tresna Werdha Budi Mulia 2 social institution regarding hypertension exercise to reduce blood pressure. The method used is by socializing and providing counseling and displaying posters containing the steps in hypertension exercise. The health counseling was held on Thursday, June 8 2023. The population in this counseling were the elderly in the Tresna Werdha Budi Mulia 2 Social Institution. After carrying out Health Education on hypertension exercises, the results (100%) were that the elderly in the Tresna Werdha Budi Mulia 2 Social Institution understood, understand and be able to give an example of how hypertension exercises to lower blood pressure.

Background: A non-communicable disease that mostly affects the elderly in Indonesia is cardiovascular disease, which is the biggest cause of death for people aged 65 years and over with a higher number of deaths in developing countries. One of the non-communicable diseases commonly experienced by the elderly in society is hypertension or high blood pressure. Hypertension that occurs in society often causes problems, one of which is sleep quality disturbances. Sleep quality is one of the risk factors for hypertension. Inadequate sleep quality results in physiological and psychological balance disorders. Hypertension can be prevented by controlling risk factors, most of which are behavioral factors in the form of life habits, one of which is sleep quality. The purpose of this study was to describe the quality of sleep in the elderly with hypertension Methods: This study used a descriptive method with a quantitative approach using a questionnaire and the sampling technique used was purposive sampling with a total sample of 61 respondents. Results: The most respondents were 60-74 years old with a total of 50.83%, the most sex was women with 57.4%. The most common sleep quality for the elderly was poor sleep quality at 64%. Conclusion: Most of the sleep quality of elderly with hypertension in Marga Village is poor, where hypertension affects the quality of sleep of the elderly so that it is hoped that the elderly will check their blood pressure regularly and carry out therapy to help stabilize blood pressure so that the quality of sleep can be improved.

Background: Arthritis, better known as rheumatism, is a disease that attacks the joints and surrounding structures. Society often perceives rheumatism as a trivial disease because it does not cause death, even though if it is not treated immediately, rheumatism can cause abnormal limb function, ranging from lumps, stiff joints, and walking difficulty, to lifelong disability. Based on data from the Tungoi Health Center in 2022 the number of patients affected by rheumatoid arthritis was 127 people which was among the 10 highest number of diseases in the Tungoi Health Center. The study aimed to analyze the relationship between rheumatoid pain and the level of independence of the elderly in the working area of the Tungoi Health Center. Methods: This study used a cross-sectional study approach. The location of the research was the Tungoi Health Center in October 2022. The study population consisted of patients seeking treatment in the working area of Tungoi Health Center with the number of study samples obtained was 92 patients using total sampling. Data analysis was carried out using the chi-square test. Results: the study showed that there was a relationship between rheumatoid pain and the level of independence in the elderly with a value of ? = 0.000. Conclusion: There was a relationship between rheumatoid pain and the level of independence of the elderly in the working area of the Tungoi Health Center. Suggestion: Health workers who are responsible for the Integrated coaching unit (POSBINDU) are to provide support to elderly families so that they participate regularly in the elderly programs provided by the Integrated coaching unit (POSBINDU) and Integrated Healthcare Center (POSYANDU).

Elderly exercise is a sport that is easy to do, has low impact, and is suitable for the physique of the elderly. Gymnastics is highly recommended for those from the pre-elderly to the elderly because it has many benefits for the body. Sleep quality is a measure of how easy it is for a person to start sleeping and maintain sleep. The aim of this research was to determine the effect of elderly exercise on sleep quality at the Tresna Wredha Krikilan Glenmore Banyuwangi Social Services UPT. This type of research uses qualitative analytical research with a cross sectional approach with the chi square test. The sample from this research was the elderly who were at the Tresna Wredha Krikilan Glenmore Banyuwangi Social Services UPT, namely 55 respondents. Process data using SPSS. The results of this study show that the p-value is 816 which indicates that there is no relationship between elderly exercise and sleep quality at the UPT social service Tresna Wredha Krikilan Glenmore Banyuwangi. The conclusion of this study is that there is no relationship between elderly exercise and elderly sleep quality at the UPT social service Tresna Wredha Krikilan Glenmore Banyuwangi.

Abstrak: Bimbingan spiritual merupakan proses pemberian bantuan kepada individu secara terarah, berkelnajutan dan sistematis agar dapat mengembangkan potensi atau fitrah beragama yang dimilikinya secara optimal, berpedoman pada nilai-nilai Al-Qur’an dan hadits sehingga dapat mencapai kebahagiaan hidup di dunia dan di akhirat. Hasil pelaksanaan kegiatan program kemitraan masyarakat khususnya kepada para lansia diperoleh bahwa sebelum dilakukan penyuluhan belum teridentifikasi pemahaman lansia tentang bimbingan spiritual setelah dilakukan penyuluhan, lansia mampu memahami tentang bimbingan spiritual dan berkomitmen untuk mengimplementasikan dalam kehidupan sehari-hari serta lebih mendekatkan diri kepada Tuhan Yang Maha Esa.. Hasil secara keseluruhan diperoleh bahwa dengan dilakukannya penyuluhan khususnya tentang upaya dalam memberikan bimbingan spiritual sangatlah berguna, karena setelah diberikan penyuluhan lansia mampu mengingat kembali memori tentang sang penciptanya dengan mengingat dan membaca sholawat, dzikir, do’a, dan tata cara wudlu’ yang selama ini dirasakan dan dengan penyuluhan yang sudah dilakukan, lansia berkomitmen untuk selalu  melaksanakan sholat 5 waktu baik bermajaah ataupun sholat sendirian, memperkuat iman dan lebih mendekatkan diri kepada Tuhan Yang Maha Esa dengan lebih baik lagi.      

Rheumatoid arthritis is an autoimmune disease that occurs when the body's immune system mistakenly attacks healthy joints. The disease can start at any age, but the likelihood of onset is highest in older adults. In Rheumatoid Arthritis the tissue lining the joints becomes thickened resulting in swelling and pain. Elderly is an age that has a greater possibility of having an autoimmune this is based on the statement that the older you are, the greater the chance of having an autoimmune. Early diagnosis and treatment isthe key to successful treatment of Rheumatoid Arthritis because joint damage cannot be restored once it occurs. Rhematoid Factor examination is largely used to help diagnose rheumatoid arthritis. Community service activities aim to determine the description of RF levels in the elderly with supply disorders, descriptive research type with a cross sectional approach. The sampling technique used purposive sampling as many as 62 elderly people in the Social Service of NTT Province. The results of RF examination in all elderly samples 6.45% have positive results and 93.55% negative results.

This service aims to provide socialization on the importance of health for older people to improve their quality of life. The method used in this service is descriptive quantitative with surveys, observations, and documentation. The subjects of this research were older adults located in Plamongan Hijau Housing, Pedurungan Kidul Village, Pedurungan District, Semarang City, with 20 elderly participants. The service results show that older people's knowledge about the health of the elderly has increased. Older people realize the importance of maintaining health through sports activities and a healthy lifestyle.

Gout is a type of arthritis that occurs due to the expansion of uric acid crystals that occur in several joints. The average level of uric acid in the blood depends on gender and age. Someone who is old is usually more susceptible to advanced uric acid. This is the background of this research. This study aims to describe uric acid levels in the elderly at Posyandu Melati, Cipayung District, East Jakarta. This type of research is descriptive with a cross sectional design. The sample selection was obtained by purposive sampling technique with a large sample of 30 people. The results showed that the average uric acid level of male respondents was higher, namely 6.8 mg/dl compared to the average uric acid level of female respondents, which was 5.3 mg/dl. From the results of this study, it can be concluded that uric acid levels in elderly men are higher than those in elderly women, although the levels are still relatively normal.

Hypercholesterolemia occurs due to high blood fat traction, namely in the form of increased total and LDL cholesterol levels and decreased HDL levels. If let for a long time, cholesterol will stick to the walls of blood vessels and cause the walls of blood vessels to become stiff. Purpose of the study to determine the effectiveness before and afteer thee application of phycal exercise and dzikir in reducing pain with hypercholesterolemia in the elderly. Researce using describes a particular process or problem situation observed. Based on the research in the table obtained cholesterol in the elderly after the application of physical eexercise is that on client 1 there is decrease in cholesterol pain from 5 to4. Client 2 there is a decrease in cholesterol pain from 5 to 4 and client 3 there is decreasee in cholesterol pain and 6 to 5. So in these three cases the client experienced reduction of cholesterol levels the conclusion of the application of physical exercise and dzikir to reduce pain in the elderly with hiypercholesterolemia at the Griya Lansia Jannati Hame in 2022 cholesterol pain in the elderly before the application of physical exercise and dzikir men 2 has a decline from 5 men to 4, and lan 3 has decline from 6 men to 5    

Elderly is a man or woman who has entered the age of 60 years accompanied by various declines in physical condition, decreased function of the body's organs, and decreased function of the brain. The elderly population is increasing globally. Service activities aim to empower the elderly through elderly gymnastics as an effort to improve physical health in supporting the Tangguh elderly. The method of activity in this service involves 5 students of midwifery Akbid Batari Toja. The service implementation adopts action research steps which consist of 4 (four) stages, namely: planning, action, observation and evaluation, and reflection. Evaluation of the results of the conclusion, namely the implementation of community service with a series of activities, namely checking blood pressure and exercising for the elderly. Before being given information regarding elderly exercise, all 28 elderly participants did not know about elderly exercise movements. After being given information on elderly gymnastic movements, as many as 25 elderly people followed the gymnastic movements and did them correctly. Based on the results of blood pressure checks, it was found that 7 elderly people had high blood pressure ≥ 140/100, the community service team recommended carrying out examinations at the nearest health center, advising them to consume lots of vegetables and fruit and routinely doing elderly exercises.

Background- Elderly is a transitional period in which a person experiences a decrease in the body's abilities physically and psychologically. One of changes that occurred significantly was the psychological condition of anxiety. Progressive muscle relaxation therapy can prevent anxiety by regulating the parasympathetic nervous system and the hypothalamus to increase positive attitudes so that stressor activation in the hypothalamus is minimized. Purpose: This case study aims to determine the effectiveness of progressive muscle relaxation therapy in reducing anxiety in the elderly. Method: This study used a method in the form of a case study on one patient. Previously, the patient's anxiety level was measured using the Hamilton Anxiety Rating Scale questionnaire and then given progressive muscle relaxation therapy intervention for 7 days on a regular basis and then observed on the 4th and 7th day to assess the effectiveness of the intervention. Results: The results of the study showed that after therapy, the anxiety level of the elderly decreased from moderate anxiety (score 24) to mild anxiety (score 16) within 7 days of the intervention. Conclusion: There is an effect of progressive muscle relaxation therapy on the level of anxiety in elderly.

The dominant problem that requires special attention in the elderly is a decrease in health and a problem of poor nutritional intake which can be caused by a lack of knowledge or due to decreased functions of the digestive organs due to the aging process. Bivariate data analysis was used to see the significance of the relationship between the independent variable and the dependent variable which was carried out using the Chi-square (x^2) statistical test. If Ρ=(0.05) > Chi-Square results then Ho is accepted and Ha is rejected, meaning there is no relationship between the research results and theory. If ρ=(0.05) < from the Chi-Square results then Ho is accepted and Ha is rejected, meaning there is a relationship between the research results and theory. The results of the analysis showed that of the 36 respondents the majority had insufficient knowledge about a healthy diet as many as 18 respondents (50.0%), respondents who had sufficient knowledge about a healthy diet as many as 17 respondents (47.2%) and respondents who had good knowledge about diet healthy as much as 1 respondent (2.8%). The research obtained in Sumber Mufakat Village, Kabanjahe District, shows that the majority are elderly (60-74) as many as 20 respondents (55.6%), the majority have basic education (SD-SMP) as many as 33 respondents (91.66%) , the majority worked as farmers as many as 31 respondents (86.11%), the majority received information from health workers as many as 22 respondents (61.1%), the majority had less knowledge as many as 18 respondents (50.0%) and the majority had a positive attitude as many as 20 respondents (55.6%), where the level of education greatly influences a person's level of knowledge. This shows that the higher a person's level of education, the higher their level of knowledge. The majority of elderly people have less knowledge about a healthy diet, as many as 18 respondents (50.0%). preventing diabetes mellitus where the better the knowledge of the elderly, the better the attitude of the elderly in preventing diabetes mellitus in Sumber Mufakat Village, Kabanjahe District, 2018 with a p value = 0.00.    

In the elderly there is a deterioration of cells due to the aging process which can result in organ weakness, physical deterioration, the onset of various diseases such as increased uric acid levels. Another treatment that can be used to overcome increased uric acid levels is with herbal remedies, one of which uses bay leaves, but there are still many elderly who have not used bay leaf decoction to lower uric acid. The purpose of this study was to identify the effect of bay leaf decoction on reducing uric acid in the elderly in the Griya Lansia Janati area, Gorontalo Province. Pre-experimental research method with one group pre post test design, samples of 5 people who meet the sample criteria, the instrument used is easy touch GCU to measure uric acid levels and the data analysis used is univariate analysis by describing differences in uric acid levels for three days. The research findings obtained before being given bay leaf decoction in the results of uric acid in the five clients were, in client 1 uric acid 7.3 mg / dl, in client 2 uric acid 7.1 mg / dl and client 3 uric acid 7.4 mg / dl, client 4 uric acid 8 mg / dl, client 5 uric acid 7.9 mg / dl. The average patient has gout. After the intervention of giving bay leaf water decoction for 4 consecutive days, the results were obtained in client 1 there was a decrease with uric acid 5.3 mg / dl, in client 2 there was a decrease with uric acid mg / dl, client 3 also had a decrease in uric acid 5.2 mg / dl, client 4 decreased uric acid 6 mg / dl, and client 5 decreased uric acid to 5.8 mg / dl. The implication of this research is that the institution can facilitate the use of bay leaf herbal medicine in the elderly in lowering uric acid levels so that this therapy can be continued.    

Data from the Gorontalo Provincial Health Office, show that the target data for the Gorontalo province in 2019 total elderly people reached 125,762, consisting of 22,384 total elderly people in the city of Gorontalo and 40,340 in the district of Gorontalo. And in 2020 the target for the Gorontalo province total elderly to reach 134,958 consisting of 23,678 total elderly living in the city of Gorontalo and 45,312 total elderly in Gorontalo district. Method: The type of research used in this research is an experimental design (one group pre-test post-test design). The object of this research is the elderly who have low self-esteem at Griya Lansia Jannati, Gorontalo City. Subjects in this case study were clients with low self-esteem as many as 3 respondents. Results: Low self-esteem before social group activity therapy was carried out on client 1, namely unable to control emotions and on clients 2 and 3, namely the lack of social interaction after social group activity therapy was carried out on client 1, they were able to control the emotions of clients 2 and 3, they were able to interact social. Conclusion: there is an effect of giving group activity therapy to patients with low self-

In the body is needed a balanced amount of stomach acid, excessive stomach acid causes erosion of the gastric mucosa causing pain in the epigastric area and causing gastritis. The elderly with gastritis are a vulnerable population and changes in the lifestyle of the elderly discomfort due to gastritis which often recurs due to peptic ulcers. The purpose of this study was to be able to provide and apply nursing care in the elderly with gastritis. Descriptive quantitative research method, a sample of 3 people who met the sample criteria, the instrument used is a nursing care sheet, the data analysis technique used was descriptive statistical analysis. The findings of the study were obtained from the assessment of complaints felt between client 1, client 2 and client 3 at the time of the assessment had similarities where there were complaints of pain in the heartburn, pain felt like being stabbed, pain was lost, pain caused by poor diet. Nursing diagnoses include acute pain, knowledge deficit, nausea and anxiety. Nursing action planning and nursing implementation are carried out based on observation, therapeutic, education and co-widening. Nursing evaluation found that the nursing problems experienced by 12 patients were resolved.    

Introduction : Hypertension is a non-communicable disease which is a serious health problem because its prevalence continues to increase. Hypertension often does not show signs and symptoms, so it is often called the silent killer of death and is one of the main triggers for diseases such as heart disease, stroke and kidney disease. Method: Research design is a strategy used in research to achieve the goals of the researcher. The research design of the Nursing Final Scientific Work is pre-experimental with the pretest-posttests one group design approach. Results: showed that before giving Progressive Muscle, the blood pressure of Client 1 was 160/100 mmHg, Client 2 was 150/100 mmHg, and Client 3 was 180/100 mmHg. And after being given juice for 3 consecutive days, the blood pressure of client 1 was 130/100 mmHg, Client 2 was 130/90 mmHg, and Client 3 was 140/100 mmHg. Conclusion: The overall evaluation results after nursing actions are carried out, namely observing that the patient's blood pressure decreases, the patient can feel pain independently, as well as health education for patients and their families. Families can care for patients suffering from hypertension                            

Introduction: Elderly is a life where from babies, toddlers, teenagers, adults and the elderly. In this process there are significant Bio-Psycho-Social changes in his life such as social changes, namely the breaking of relationships with colleagues, loss of status or role (tasks, authorities and responsibilities) in the workplace environment, changes in individual roles in the family and public. Method: The research method used in this study is a qualitative descriptive research method. The collection techniques for this research were interviews, observations, physical examinations and documentation. Results: The results showed that before giving dhikr and meditation therapy, 4 patients (80%) were in the moderate stress category, and 1 patient (20%) was in the severe stress category. After giving dhikr and meditation therapy, 4 patients (80%) were found with mild stress category, and 1 patient (20%) with moderate stress category. Conclusion: Prior to the remembrance therapy, the mental condition of the elderly at the Peni Griya Jannati experienced depression due to the pressures of daily life, experiencing loneliness due to living with family or loved ones, mental emotional disorders that were not yet stable, and anxiety disorders. So that the process of dhikr therapy must be carried out in the elderly.  

Dementia is a cognitive decline that is so severe that it interferes with activities of daily living and social activities. Cognitive decline in dementia usually begins with a decline in memory or memory (forgetfulness). Cognitive function is the main human capital in the activities of daily life. Brain gymnastics is a light exercise that is carried out with cross movements in order to harmonize and optimize the performance of the right and left brain so that it can improve cognitive function. This study aims to determine the results of the application of brain exercise on cognitive function in the elderly with dementia. Quantitative research with a cross sectional approach and sampling collection technique with purposive sampling with a sample of 34 respondents. The data collection tool used was the Mini Mental Status Examination (MMSE) questionnaire. It was found from this study that before brain exercise, normal cognitive function was 0, while moderate was 2 respondents (5.9%) and mild cognitive function was 32 respondents (94.1%). After brain exercise, normal cognitive function was 14 respondents (41.2%) while 20 respondents (58.8%) had moderate cognitive function and 0. mild cognitive function.

Factors that cause hypertension are age, gender, family history, genetics (risk factors that cannot be changed/controlled), smoking habits, obesity, lack of physical activity, stress, use of estrogen and one of the factors that can cause hypertension is salt consumption patterns. with excessive intake. The purpose of this study was to determine the description of family support with the incidence of hypertension in the elderly. The design used in this study is an analytic research design with a descriptive approach. The population in this study were 60 people. The sample in this study were 60 elderly people with hypertension. Data analysis using univariate analysis. And the data is presented in the form of tables and narratives. The results of the study showed that the family support of elderly respondents who was most commonly found in this study was in the negative category, totaling 46 people. In the degree of hypertension, the elderly respondents who were most commonly found in this study were in the category 1 hypertension category, namely 19 people. It was concluded that the most negative family support with the degree of hypertension found in this study was the category 1 hypertension.  

Latar Belakang penulis melakukan penelitian ini bertitik tolak dari permasalahan yang di temui dilokasi penelitian yaitu lansia yang tinggal sendiri dirumah, hidup mandiri tanpa bantuan keluarga. Lansia juga merasa terisolasi dari lingkungan sosial karena lansia sulit menyesuikan diri dengan cara berfikir dan gaya-gaya baru dari generasi yang lebih muda. Tujuannnya untuk mengetahui Ego Integrity pada lansia di Korong Punco Ruyung, Nagari Batu Kalang Kecamata Padang Sago. Penelitian yang penulis lakukan disini adalah penelitian lapangan (Field Research) dengan menggunakan pendekatan kualitatif dan Metode penelitian yang dipergunakan adalah metode deskriptif kualitatif kerena permasalahan yang dibahas dalam penelitian ini berupa kata-kata baik tertulis maupun lisan, tidak berkenaan dengan angka-angka. Penelitian ini bertujuan untuk mendeskripsikan, menguraikan dan menggambarkan bagaimana Ego Integrity pada lansia di Korong Punco Ruyung. Penelitian ini penulis lakukan pada lansia yang tinggal di Korong Punco Ruyung. Informan dalam penelitian ini adalah Lansia yang tinggal sendiri dirumah jauh dari orang tua dan Keluarga serta orang terdekat dari lansia, dengan jumlah informan kunci 7 orang dan informan pendukung 4 orang. Penulis menggunakan teknik observasi dan wawancara.  Sedangkan di dalam pembahasannya di gunakan metode deskriptif yaitu metode yang menggambarkan keadaan yang terjadi di lapangan secara sistematis. Dari Hasil penelitian yang penulis lakukan tentang bagaiamana Ego Integrity pada lansia yang hidup sendiri di Korong Punco Ruyung menunjukan sebagian dari lansia memiliki Ego Integrity yaitu lansia mampu menerima siklus kehidupan yang akan menyebab kepuasan terhadap hidup. hal ini terlihat dari bagaiaman lansia menerima keadaan saat ini dan di masa lalu. Sedangakan ada beberapa lansia di anatara nya mengalami Despair yaitu kesulitan dalam untuk mengintegritaskan masa lalu dan menerimanya sehingga menyesali hal-hal yang tidak sesuai dengan keinginan. Dilihat dari ada sebagian lansia mampu beradaptasi dengan lingkungan dan penyesuaian diri, spiritual, bebas dari perasaan takut akan kematian, integritas emosi, kepuasan hidup, menerima keadaan keluarga di masa lalu dan dimasa sekarang.