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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

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

Stroke is one of several priority health problems that is often reported by the Gemolong Community, Sragen. Strokes do not only attack the elderly, but people of productive age can experience strokes. Stroke events can be prevented by reducing risk factors for stroke, and proper management of stroke attacks can prevent morbidity and mortality. This community service activity aims to increase the knowledge and skills of Aisyiyah administrators in promoting stroke prevention and handling stroke attacks appropriately. The methods used in service activities are training and simulation which includes program outreach, providing education about stroke prevention and treatment. The output of the service, namely the participants' knowledge and skills regarding stroke prevention and treatment, increases. This can be seen from the increasing pre-test and post-test results. Likewise, regarding the cadre's skills in how to treat stroke sequelae with bed transfer and ROM, the cadre is able to demonstrate bed transfer and ROM correctly according to what has been taught.

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.

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.  

Background: Gout arthritis (gout) is a disease that arises due to excessive blood uric acid levels, which causes excessive blood uric acid levels, namely the production of uric acid in the body more than its disposal, besides that the cause of excessive uric acid production in the body can occur due to genetic factors (congenital), food factors. Complaints of gout arthritis pain vary from mild, moderate to severe. One of the non-pharmacological therapies that can be used to relieve gout arthritis pain is warm ginger compresses. This study aims to see the effect of warm ginger compresses on the gout arthritis pain scale. Methods: This research is a type of pre-experimental research, namely experimental research without a control group. The research was conducted with a one group pre-posttest design. Sampling using total sampling technique. Results: The results of the Friedman test showed a P value (0.000). The results of this study indicate that warm ginger compresses can reduce gout arthritis pain. Conclusion: There is a significant effect on the level of gout arthritis pain before and after the warm ginger compress intervention

High blood pressure is a serious health problem because it is a major risk factor for cardiovascular disease. Results of an interview with the head of Posyandu Sakura 9 RW. 01 Manang, Grogol,   Sukoharjo  shows that more than 70% of people suffer from hypertension. Therefore, socialization through health counseling programs is needed to increase the role of the community in the context of preventing hypertension. At Posyandu Sakura 9 RW. 01 Manang, Grogol,   Sukoharjo, community service activities are expected to be able to improve health degrees optimally. Through understanding ways to prevent hypertension, for example in the consumption of healthy foods and physical activity correctly, and can improve people's knowledge, behavior, and attitudes about hypertension.  The solutions offered to partners are ways to prevent hypertension through health counseling activities on hypertension, healthy cooking demonstrations in order to reduce excessive consumption of sugar, salt and fat, and healthy heart gymnastics activities to increase physical activity. The conclusion of this community service activity is that the elderly at the Sakura 9 Posyandu are very enthusiastic and give appreciation regarding very useful activities.  

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.  

The purpose of this article is to determine the forms of leadership in the elderly. The elderly group is the last stage of maturity in a person's life, which requires some kind of Christian education or church teachings, but not everyone reaches that age, so this age is often called the golden age. Most people think they don't need special education as they get older. What is meant by elderly is a person who has reached the age of 60 years and whose physical strength has weakened to such an extent that they are no longer able to earn a living. their strength or endurance and work are already limited. Spiritual formation for the elderly is very necessary to strengthen the faith of the elderly in their old age, whose physical abilities are increasingly decreasing, causing many problems for the elderly. Therefore, by using qualitative methods and a literary approach it can be concluded that the forms of spiritual education given to the elderly are: visits to nursing homes, counseling, worship/fellowship for the elderly, catechism before death, visits to nursing homes. leading prayer and meditation, involving the elderly in services and helping the elderly when they are sick. That's what coaches really need to give to seniors.    

World Health Organization (WHO) approximates 1.28 billion individual suffers hypertension, with 46% of them does not realize it, and only 1 of 5 hypertensive individual has their blood pressure controlled. Hypertension prevalence is still relatively high in the elderly population who live in nursing home. This is one of the main health adversities that often happens and should not be underestimated due to its risk of complications. Uncontrolled blood pressure is one of the main risk factor to the global disease burden and total of global death, contributing up to 9,4 millions of deaths (8,5% of the global total) annually. This activity aims to increase the knowledge of the community about hypertension in elderly who lives in nursing home to increase the quality of life and reducing the cost burden of therapies and treatments. We use PDCA activity method to ensure the program could run smoothly and efficiently. This activity included 34 elderly respondents of the St Fransiscus Community with the mean age of 4 (11,8%) years. We found that 4 (11,8%) of the respondents have uncontrolled blood pressure. With the implementation of this program, it is hoped that the public awareness of elderly hypertension and its prevention is increased, so that there will be increase of quality of life for the elderly in the future and relieving the economical burden.

The process of growing old is a phase in a person's life cycle with characteristics found to decrease every function of body organs, such as physical, emotional, psychological conditions and social abilities. Decreased physical function that also occurs in the musculoskeletal system is calcification and decreased production of synovial fluid in the joints. This is the cause of the elderly lazy to move because of pain and stiffness. Lack of movement will cause other health problems such as atrophy or contacture in the muscles.  Lack of physical activity and sedentary behavior, resulting in decreased physical fitness and subsequent impact on physical health, well-being, sleep patterns and quality of life. In the elderly, physical fitness can be maintained with regular physical exercise from an early age, and carrying out a healthy lifestyle. Physical exercise refers more to planned, structured, and repetitive physical activity to improve or maintain body fitness. Older or elderly people are advised to take advantage of physical exercise. Some physical exercises that can be taught to the elderly. Activities in this community service are blood pressure measurement and physical exercise in the form of elderly gymnastics, which is carried out at the Mulyoharjo Health Center by involving professional students. When gymnastics, the elderly seem enthusiastic and can participate in activities and look fit.  

The Nutrition Care Center (NCC) is a teaching factory (TEFA) at the Jember State Polytechnic (Polije) which provides assessment and diagnostic services for nutritional problems, comprehensive nutritional assessments, diagnostic services, nutritional counseling, and customized diet plans for clients. Health services, including nutrition, require accurate medical records that include patient identification, examination, treatment, interventions, and other relevant information. However, NCC faces challenges, namely that the medical recording system is still manual paper-based. Medical record numbers do not comply with numbering regulations, age is still used instead of date of birth, the nutritional assessment section is not yet standardized and disease code classification does not yet exist. This manual system is susceptible to damage, loss, and requires dedicated storage time and space. Since it was inaugurated in November 2021, the number of NCC visits has continued to increase both from internal clients and external clients of Polije with initiations with several educational institutions, offices and elderly groups. The use of EMR which is made easier with QR Codes and the application of Whatsapp Bot is the main alternative to build or improve the management of assessment and diagnostic services for nutritional problems according to client needs. Socialization of assistance in implementing Electronic Medical Records (EMR) with QR Code and WhatsApp Bot at NCC aims to make things easier for experts. nutrition to access the client's examination history, allergy history and previous therapy in one view and make it easier for clients to access medical record numbers without a card. This initiative is in line with the Department of Health Research Masterplan 2022 and the development of TEFA services. NCC recognized the need for a more efficient system and proposed implementing EMR with QR Codes and WhatsApp Bots to optimize patient care. This socialization was carried out at the Jember State Polytechnic NCC with the presence of participants from nutritionists, students, the community and administrators from NCC. This socialization obtained results in the form of increasing public understanding of nutritional care, especially in relation to the existence of NCC as a teaching factory at the Jember State Polytechnic, the use of EMR via QR codes and WhatsApp Bot as a solution implemented by NCC in optimizing patient care and increasing the empowerment of partners in using it. and implementation of EMR with QR codes and WhatsApp Bot in patient nutrition care at NCC.

Aging of the skin that occurs in the elderly has an impact on skin moisture. There are various factors that can influence skin moisture, both unchangeable and changeable. Disturbed skin moisture can cause various skin problems and reduce the sufferer's quality of life. This makes it important to provide education and skin hydration screening to the public, especially the elderly. Education is carried out by conveying information about skin moisture, influencing factors, as well as ways to prevent and care for the skin. The increasing number of elderly people in Indonesia makes it important for us to pay attention to their health. Skin care that can be done to maintain skin hydration includes using moisturizers, humidifiers in rooms with low humidity, using soft soap without fragrance, avoiding long showers, using sunscreen, and clothing that is not too tight. It is hoped that education and screening can increase public awareness regarding the importance of maintaining skin hydration, especially for the elderly, with the ultimate goal of improving the quality of public health in Indonesia.

This community service project aims to raise awareness and knowledge about health among the elderly through the GERKASA-LASAKIT program (Movement for Healthy and Disease-Aware Seniors) in Dusun 1, Tanjung Anom Village, Deli Serdang Regency. This initiative is driven by the high prevalence of degenerative diseases and the lack of accurate information regarding the prevention and management of these diseases among seniors. Through comprehensive health education, it is hoped that the elderly can improve their quality of life by adopting a healthy lifestyle and gaining a better understanding of common illnesses they may face. The methods used in this project include health education sessions, practical training on early disease detection, and physical activities tailored to the physical condition of the elderly. Health education is provided by medical professionals and public health experts. Additionally, individual consultation sessions are held to offer more personalized care for each participant. The results of this activity show an increase in health knowledge and awareness among the elderly, as evidenced by high participation and enthusiasm in each session. Seniors involved in this program have also begun adopting healthier lifestyles, such as engaging in regular light exercise and having routine health check-ups. This project has successfully built a support network among the elderly, their families, and the local community, creating a more caring and health-conscious environment. Thus, the GERKASA-LASAKIT program makes a significant contribution to improving the quality of life for the elderly in Dusun 1, Tanjung Anom Village. The sustainability of this program is expected to serve as a model for other villages in efforts to enhance the welfare and health of the elderly at the local level.

Family support is a form that should be given to the family that is included in the implementation of stress on the elderly because through the family health problems can arise and can be overcome.This study aims to find out if there is a relationship between family support and the stress level of the elderly in the poor environment v poor environment The objective of the research employed in this study is to describe the nature or qualities of a symptom, event, or occurrence that is currently taking place. The methodology used is quantitative research with a descriptive analytical research design. Cross tabulation statistical tests showed that there was no relationship between family support and stress levels in the elderly in the Bailang district of Bunaken. The study used the spearman rank test, with the result of the correlation coefficient analysis obtained a value (P) = 0.905 ≥ α. Based on the results of the research, analysis of data, and discussion, it can be concluded that: Family support for the elderly in the Environment V Kelurahan Bailang District Bunaken majority is good. Stress level in the Elderly In the Environments V kelurahan bailang district Bunaken is severe majority. There is no significant relationship of family support with the stress level in older persons in the neighborhoods V Kelorahan Bailang Districts Bunaken (p≥0,05) with a weak non-significance of 0.905

The lack of oral hygiene become a problem for elderly. The main aims of this research is to analyze the related factors due to oral hygiene consists of age, sex, education degree, occupation, marital status, knowledge, motivation, physical dependence, culture, anxiety, economic of family and elderly. The design of this research were descriptive analytic and cross sectional. UPTD Puskesmas I Penebel was the location where this research was conducted. Purposes sampling technique was used with the total samples where 80 respondents. The results showed the significant correlation between oral hygiene and knowledge (p value 0,013, r = 0,277), motivation (p value 0,005, r = 0,311), physical dependence (p value 0,011, r = 0,285), economic of family and elderly (p value 0,0000, r = 0,400), anxiety (p value 0,0185, r = -0,265). There was no correlation between culture and oral hygiene (p value 0,187, r = -0,149). Based on this research, it is recomended that oral hygiene supposed to be clearly informed to elderly by elderly posyandu (integrated treatment) activities, and regularly oral hygiene checkup which is integrated in puskesmas (civic health Centre).    

The covid-19 outbreak has an impact on all aspects of the lives of the elderly, including their psychosocial conditions. These psychosocial problems have an impact on increasing stress and decreasing fitness. The specific aim of research is to know and implement trekking based Tri Mandala decrease stress and increase fitness of elderly. The specific aim of research is to know and implement trekking based Tri Mandala decrease stress and increase fitness of elderly. Through a quasi experimental with the same subject design (treatment by subject design) and randomized posttest only group design assessed trekking based Tri Mandala training to reducing stress was recorded by Stress Questionnaire and improve fitness was recorded by rockspot method. The data obtained were analyzed by paired t-test at a significance level of 5%. The result showed that, trekking based Tri Mandala training reducing stress of eldery to 13,54% and increase fitness of eldery to 42,08%. It concluded that trekking based Tri Mandala training reduce stress and improve the fitness of elderly.

Indonesia is included in the aging society, which is the category of a country that has an elderly population above 7%. Along with the increasing life expectancy of the population in Indonesia, the Province of Bali is included in the fourth category of society with an old structure. This proves that with such a large number of elderly, there should be a contribution of more effective elderly services, because the higher the problem of the elderly can be helped and handled, the better the elderly will be and will extend their life expectancy. To answer the problems of the elderly, several activities were carried out including: health checks for the elderly and other activities that support the improvement of the health quality of the elderly. Furthermore, providing training and guidance to the elderly to be able to do fitness exercises to stay healthy physically and psychologically, as well as socializing PHBS for the elderly. Therefore, this activity needs to work with partners so that it can be useful for the elderly at the Tresna Wreda Wana Seraya Social Institution, Denpasar.

The aim of education and screening for type 2 diabetes mellitus in the elderly group is to provide early detection of type 2 diabetes mellitus and increase knowledge of type 2 diabetes mellitus using seminars, workshops, counseling, and leaflet media. This activity involves checking blood sugar levels as a screening for type 2 diabetes mellitus and providing education regarding signs and symptoms, risk factors, treatment, and complications that occur in type 2 diabetes mellitus. This activity is important to increase insight and create behavior that is willing to carry out self-care so that complications of type 2 diabetes mellitus can be avoided.