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This research is entitled Application of the Family Hope Program and Dilemmas for Poverty Alleviation in Teluk Nilau Village. The research method used by researchers is a qualitative approach. The results of this study were: (1) the mechanism for implementing the PKH program in Teluk Nilau subdistrict was carried out in several stages, namely, regional selection and selection of PKH participants, initial meeting and validation of prospective PKH participants, verification of eligibility, data updating and initial disbursement of funds. PKH in Teluk Nilau Village is aimed at improving the health quality of children under five, pregnant women and the elderly. For the education level of elementary, middle and high school children, the distribution of PKH funds is carried out once a month in 4 stages, namely in January, April, September and December through banks (BNI, BRI and Bank Mandiri). (2) The PKH program in Teluk Nilau sub-district plays an important role in increasing community economic poverty alleviation or KPM PKH including: First, reducing the poverty rate, from the data on the number of PKH beneficiaries from the data the number of recipients is 251 down to 224 in 2021. Second, in the field of education with the PKH program assistance is able to provide an increase in the level of education. Third, in the health sector, the existence of PKH program assistance is able to play a role in increasing poverty alleviation towards improving the level of public health. (3) Regarding the obstacles that were often faced before, it was often the case that recipient cards for the Family Hope program were blocked, but for now this obstacle has almost never happened. Again, this is because the PKH beneficiaries themselves collect the assistance at the post office or bank that has been determined. So for the constraints of the family program, hope has more or less been able to top it.

.Degenerative diseases in the elderly, if not handled properly, will add to the state’s financial burden, which is not small. This study’s general purpose was to determine ergonomic gymnastics’s effectiveness in lowering blood pressure in the elderly. This research method uses a pre-experiment with a group pre-test and post-test design. The sample in this study amounted to 20 people, using the purposive sampling technique. The results of this study indicate that respondents before being given the intervention had blood pressure in the Stage 1 hypertension category, as many as 12 respondents (60%), and in the Stage 2 hypertension category, as many as eight respondents (40%). After being given the intervention, blood pressure in the Stage 1 hypertension category, as many as two respondents (10%), and pre-hypertension, as many as 18 respondents (90%). The chi-square statistical test showed a p-value = 0.018 (p < 0.05). These results indicate that H0 is rejected Ha is accepted, so it can be concluded that ergonomic exercises effectively reduce blood pressure in the elderly. It is recommended that health center officers socialize with the elderly by providing ergonomic exercises to reduce changes in blood pressure in elderly patients.      

As older people age, their muscle strength typically declines, including the weakening of the thenar muscles over time which can lead to a blockage of the median nerve often known as carpal tunnel syndrome. This blockage causes pain that can radiate from the shoulder to the fingertips. This counseling is designed to provide older adults with knowledge and training on hand pain, including its symptoms and triggering factors. The counseling method uses presentations to explain information to the elderly with the aim of health promotion. In addition, there was a question and answer session and education on exercises that can be done at home. The counseling process went smoothly, the elderly could follow and understand the exercises taught to be done at home. This counseling has the potential to reduce pain in the elderly after they do the exercises at home. Counseling activities at the Children and Elderly Posyandu Rw.3 Rampal Celaket, Klojen District, Malang City helped increase the understanding of the elderly about pain in the hands caused by median nerve blockage.

According to the American Heart Association or AHA, hypertension is a silent killer, with symptoms that can vary from individual to individual and are almost the same as symptoms of other diseases. Hypertension is a risk factor for various cardiovascular diseases and stroke. According to the AHA, hypertension is a disease that occurs due to an increase in systolic blood pressure> 140 mmHg or diastolic blood pressure> 90 mmHg. This type of research uses a descriptive analytic survey with a cross sectional design. The population in this study were all elderly (≥60 years) hypertensive patients at the Internal Medicine Polyclinic totaling 156 people, while the sample numbered 156 people by means of total sampling. Data analysis was performed using univariate, bivariate and multivariate analysis. Based on the results of the chi-square test it is known that the incidence of hypertension affects smoking, obesity, low-fiber diet, excessive salt consumption and lack of physical activity p = 0.000, meaning that there is an effect of smoking, obesity, low-fiber diet, excessive salt consumption and lack of physical activity on hypertension incident. From the results of multivariate analysis it is known that the most influential variable in this study is obesity with an OR value of 62,850. The conclusion in this study is that obesity is the dominant factor influencing the incidence of hypertension in the Internal Medicine Polyclinic at Dr.R.M.Djoelham Binjai Hospital. In order to reduce the prevalence of hypertension, it is hoped that the Patients of the Internal Medicine Polyclinic at Dr, R.M.Djoelham Binjai Hospital will apply hypertension management with a healthy lifestyle so that diabetics can have controlled blood pressure levels.

Based on data from World Population Prospects (2020), it is clear that there are 871 million people aged 60 years or more, which consists of 15% of the world's population. The number of people aged 60 years or older is projected to grow by around 56% from 901 million to 1.4 billion. The aim of the research was to determine the factors related to the utilization of posyandu for the elderly at the Sibagindar Community Health Center, Pagindar District, Pakpak Bharat Regency. The research design uses an analytical survey research method using a cross sectional research design. The population in this study was all 716 elderly people. The sample was 88 with stratified random sampling. Data analysis uses univariate, bivariate and multivariate analysis. The results of the study showed that there was a relationship between knowledge p = 0.000, attitude p = 0.00, distance p = 0.000, family support p = 0.000 and support from health workers p = 0.005 with the utilization of posyandu for the elderly in the Sibagindar Health Center Working Area, Pagindar District, Pakpak Bharat Regency, whereas The dominant factor is family support, p = 0.002 < 0.025 and 95% CI = 3.154-214.028 with an OR value = 25.983. The conclusion of this research is that there is a relationship between elderly knowledge, elderly attitudes, distance, family support, support from health workers with the use of elderly posyandu in the Sibagindar Community Health Center Working Area, Pagindar District, Pakpak Bharat Regency. It is recommended that the Sibagindar Community Health Center increase its role in providing training to health workers and be able to promote the use of posbindu for the elderly and it would be better for door to door health workers to provide education on the use of posbindu for the elderly.

The elderly who are cared for in an elderly care home require spiritual needs to be met, and there are times when the elderly use the resources available either from the family, people who are religious experts either in the hospital or others in the elderly community. Therefore, the fulfillment of the spiritual needs of the elderly must be done so that the elderly on the eve of death can die in a calm and peaceful state. The purpose of this study was to determine the description of the fulfillment of spiritual needs in the elderly near death from the perspective of the caregiver at the Kendal elderly Social Service Center (PPSLU). This study uses descriptive survey research design. The sample in this study amounted to 36 respondents. Sampling using total sampling. The results showed that the majority of hospitalists were aged based on a median value of 41 years, male gender as much as 53%, high school education as much as 53%, have long worked >3 years as much as 89% and meet the fulfillment of spiritual needs in the elderly near death as much as 44%. The caregiver is only limited to fulfilling the spiritual needs of meaning, purpose and hope in life but in the spiritual needs of relationship with God; spiritual practice has not been fulfilled. This is because the caregiver's understanding of spiritual needs is only limited to religion or belief.

Data from the World Health Organization (WHO) estimates that currently the global prevalence of hypertension is 22% of the total world population. Based on data on hypertension in the elderly in the Tangan-Tangan Community Health Center, Southwest Aceh Regency in 2021, there were 517 people, in 2022 there were 668 people, while in 2023, starting from January-August, there were 712 people. The aim of the research is to determine the factors that influence the quality of life of elderly people with hypertension in the Tangan-Tangan Community Health Center Area, Southwest Aceh Regency. The research design uses the Analytical Survey method with a Cross Sectional approach. The population in this study were all elderly people who experienced hypertension in the Tangan-Tangan Health Center Working Area, Southwest Aceh Regency, totaling 712 people. The sample consisted of 88 people using Quota sampling technique. Data analysis uses univariate, bivariate and multivariate analysis. The results of the research show that there is an influence of physical activity, diet, medication adherence, motivation and family support on the quality of life of elderly people with hypertension in the Tangan-Tangan Health Center Area, Southwest Aceh Regency, while the dominant factor is family support. The conclusion of this research is that there is an influence of physical activity, diet, medication adherence, motivation and family support on the quality of life of elderly people with hypertension in the Tangan-Tangan Health Center Area, Southwest Aceh Regency. It is recommended that the Tangan-Tangan Health Center create a program as a forum for hypertensive patients to always carry out efforts to control blood pressure as a form of monitoring and maintaining the patient's quality of life.

Hypertension is a chronic disease which is one of the causes of death. Based on data from the Indonesian Ministry of Health in 2022, the prevalence of hypertension in Indonesia was 32.7%, an increase compared to the prevalence of hypertension in 2021 which was 25.8%. Old age is the final stage of development in which humans experience various health problems and are at high risk of dangerous diseases, one of which is hypertension. The Batam City Health Service noted that hypertension occurs more often in elderly people aged 60-70 years. Meanwhile, the number of elderly people suffering from hypertension aged over 60 years at the Tiban Baru Community Health Center is 402 cases. Many non-pharmacological therapies are used to lower blood pressure, one of which is laughter therapy. Laughter lowers blood pressure by calming the body and reducing stress hormones. The aim of this community service activity is to increase knowledge about hypertension and treating hypertension with non-pharmacological methods using laughter therapy. The methods used are lectures, discussions, questions and answers and demonstrations. The results of 20 elderly people showed an average blood pressure of 159.75/92.55 mmHg before laughing therapy, while after therapy the average blood pressure was 123.55/80.25mmHg.

Hyperlipidemia is a metabolic disorder that indicates an increase in lipid levels in the body. Obesity, particularly central obesity, is correlated with hyperlipidemia and metabolic syndrome. Complications of hyperlipidemia such as coronary artery disease, type 2 diabetes, and high blood pressure can be fatal if left untreated. Education and early detection of hyperlipidemia are crucial to prevent serious complications and maintain good health. This community service involved 50 elderly at Santa Anna Elderly Care Facility. All respondents participated in a series of activities, including education through posters, physical examinations, and diagnostic tests. Results of the diagnostic tests indicated 2 respondents had LDL levels ? 135 mg/dL, 6 respondents had HDL levels < 40 mg/dL, and 12 respondents had total cholesterol levels ? 200 mg/dL. The results of the education activities are expected to increase public awareness, all of which can reduce the overall healthcare burden when applied correctly and properly.

Puskesmas Banyuanyar is a health facility located in Banjarsari District which has dua target areas, namely Banyuanyar Village and Sumber Village. With the boundaries of the Banyuanyar Puskesmas target area, in the north it is bordered by the working area of Boyolali Regency, in the south it is bordered by the working area of the Manahan Health Center, in the east it is bordered by the working area of the Gambirsari Health Center, and in the west it is bordered by the working area of Karanganyar Regency. Based on data from visits to the Banyuanyar Health Center physiotherapy poly, the incidence of Low Back Pain cases is found annually as many as 122 cases from 468 physiotherapy cases, this is caused by age, injury, and work factors. Pain is the main complaint that is often felt by patients in the condition of low back pain. The purpose of this program is to provide education and understanding on how to maintain low back health, prevention of low back pain and exercises that can be done at home. The method used is by providing counseling in the form of health promotion about low back pain and using leaflets as a medium of counseling, targeting the community who attend the Seruni RW 08 Sumber Elderly Posyandu. The author uses pre test and post test to determine the level of understanding of the people present. The results of the questionnaire showed an increase in participants' understanding as seen from the average pre-test score of 1.52, while the post test score obtained an average value of 8.43. This means that there is an increase in understanding of 6.91 from the average score of the questionnaire filled out by the community who attended the Seruni RW 08 Sumber Elderly Posyandu.

Setabelan is one of the sub-districts in Banjarsari District, Surakarta. Based on the recapitulation of disease distribution at the Setabelan Community Health Center during visits in the last 3 months, Diabetes Mellitus was in third place with 205 patients. Diabetes mellitus is a complaint that is often found, especially in the elderly. The outreach program aims to increase public knowledge and understanding regarding the management and prevention of diabetes mellitus through understanding the meaning, risk factors, prevention and management, so as to reduce cases of diabetes mellitus in the community. The method used was education in the form of counseling using leaflets as a medium for the Prolanis group of diabetes mellitus sufferers located at Monument Park 45 Banjarsari. Evaluation of activities uses pre-test and post-test methods to determine the level of understanding and knowledge regarding the material presented. The results show an average pre-test score of 3.80 and an average post-test score of 4.76 with a maximum score of 5.00.

Setabelan, a neighbourhood in the Banjarsari sub-district, houses a popular healthcare centre called Puskesmas Setabelan. Recent data shows that hypertension is the second most common reason for visits to the centre, with a total of 273 visits and eight patients daily. To address this issue, educational activities were organized to increase awareness and knowledge of physical exercise, particularly brisk walking, and the control of salt consumption among individuals with hypertension. These activities included distributing leaflets, presenting material, demonstrating exercises, and engaging in question and answer sessions with prolanis participants in Taman Banjarsari, Surakarta. The programme led to a significant increase in understanding, as evidenced by the pre-test average score of 2.18 and the post-test average score of 4.48, indicating an improvement of 2.30. The hope is that this community service initiative will empower participants with hypertension to independently manage their blood pressure effectively, ensuring the sustainability of the programme.  

As elderly people age, their body's physiological functions will decrease. Decreased dynamic balance in the elderly can cause a high risk of falls. If this is not addressed, the risk of injury to the elderly will be greater. The aim of this research is to provide education and training to the elderly about dynamic balance and the risk of falls and how to do exercises to reduce these symptoms. This research method was carried out using a community service approach at the elderly posyandu by providing counseling material about "dynamic balance and the risk of falls in the elderly", after that balance measurements were carried out to find out how big the risk of falls was in the elderly and carrying out balance training practices to improve dynamic balance and reduce risk of falling. Counseling and practice regarding dynamic balance and the risk of falls went smoothly, all the elderly who took part in the activity were very enthusiastic and enthusiastic. The education carried out aims to provide knowledge to the elderly about dynamic balance and the risk of falls as well as the benefits of dynamic balance training to prevent the risk of falls in the elderly.

An elderly person is someone who has reached the age of 60 years and over. One of the health problems that often occurs in the elderly is a decline in memory, learning and cognitive abilities in the elderly which causes them to have difficulty interacting and being difficult to understand. Conditions that affect cognitive abilities in the elderly are called dementia. Dementia is a chronic and progressive decline in memory and thinking function, causing disruption of functional activities. Nursing interventions that can be given to the elderly to improve cognitive function in the occurrence of dementia include brain gymnastics. The case study design used is descriptive research. The method used to collect data is using the Android-based MMSE (Mini Mental State Examination), namely MEFuKo (MMSE for Cognitive Function) to determine the level of dementia in the elderly. Brain exercise therapy (brain gym) is carried out for 7 consecutive days, 1 meeting per day with a duration of 15 minutes. Subject I's MMSE score before brain exercise therapy was 16 (presence of definite cognitive impairment) increased to 19 (presence of probable cognitive impairment) and there was an increase of 3 in total MMSE scores. The MMSE score in subject II before brain exercise therapy was 19 (possible cognitive impairment), after therapy the MMSE score became 23 (probable cognitive impairment) and there was an increase of 4 in total MMSE scores. The more activities you do, the less likely it is that seniors will experience a decline in cognitive function. The conclusion is that there was an increase in cognitive function in the two case study subjects which illustrate the application of brain gym therapy to cognitive function in elderly people with dementia. Brain exercise therapy is recommended to improve working memory function which can improve the quality of life of the elderly.  

STIKES Kesdam IV/Diponegoro as one of the health universities has great potential in the form of human resources (HR) to play a role in the development of the target area in the health sector. The results of an interview with the Head of the Sekaran Community Health Center revealed that of the 5 sub-districts managed by the Sekaran Community Health Center, Sukorejo Sub-District is an area that has complex health problems. Health problems related to the elderly need attention that is no less important. The health of the elderly under the management of the elderly posyandu in the Sukerejo Deliksari sub-district area has been going well. It's just that this area related to handling the cognitive health problems of the elderly still needs more attention. One of the cognitive function disorders in the elderly is dementia. There is no health care related to dementia in this area, this is because elderly posyandu cadres consider the problem of dementia or senile dementia to be natural and normal for the elderly. So promotive and preventive efforts are needed by holding community service related to cadre training in early detection of elderly people with dementia health problems.

Hypertension is a measurement of systolic blood pressure of more than 140 mmHg or diastolic blood pressure of 90 mmHg and the measurement is more than 2 times. The purpose of this literature review is to determine the relationship between elderly sleep quality and high blood pressure in hypertensive patients based on the literature review. Writing this journal uses a literature study approach from several search databases from pubmed and proquest with the last 5 years of publication (2017-2022). Keywords used are sleep quality, elderly, and hypertension. The literature study showed that from 10 journals studied, there was a relationship between sleep quality and hypertension from several factors, including sleep duration <6 hours, frequent awakenings at night, illnesses suffered and the elderly experienced nocturia. Where nocturia is someone who often urinates excessively at night. In conclusion, from 10 articles that show a significant relationship, it has been analyzed that sleep quality is related to hypertension, but poor sleep quality can be caused by several triggering factors including sleep duration > 6 hours, illnesses such as diabetes mellitus, and hyperlipidemia, and sleep quality. in women aged > 60 years and over more often experience nocturia so that the quality of sleep decreases.

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.

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.  

The spread of psychotropics is starting to become widespread among teenagers, the abuse of psychotropics is an action that is not permitted both from a health and legal perspective. This research aims to find out how widespread psychotropic abuse is in Pulo village and how efforts are made to prevent psychotropic abuse. This research uses a qualitative approach and an interactive qualitative research type. The data collection techniques used were observation, interviews and documentation. Based on research on psychotropic abuse education for teenagers in Pulo village, the distribution of psychotropic pills type Y is widespread and often abused, from teenagers to the elderly. The distribution of these pills can come from friends in the school environment, home environment and work environment. In order to create a healthy environment and free from psychotropic abuse. They should hold positive activities that involve village youth, such as more sporting and religious events, and regularly provide education or socialization about the dangers and ongoing impacts of psychotropic abuse.

The development of home care in Indonesia has progressed to the point that many people use home care services. The epidemiological transition has resulted in an increase in the number of cases of chronic disease compared to acute disease, resulting in an increase in the number of cases of terminal disease that are not treated effectively and efficiently in hospitals. Bakti Timah Karimun Hospital has a home care service that provides several forms of services, namely wound care visits, elderly care services, baby care services, services for terminal patients, and other special needs. There are complaints from patients being managed regarding the responsiveness of the staff, friendliness and skills of the staff which are subject to evaluation. This study aims to determine the relationship between the quality of homecare services and patient satisfaction with wound care at Bakti Timah Karimun Hospital. This research is quantitative with a cross sectional study approach with a sample size of 80 people selected using total sampling techniques. The results of the study showed that the description of the quality of homecare services from the 5 components assessed (Reliability, responsiveness, assurance, empathy, and physical evidence) was in the sufficient category (73.8%), and the description of wound care patient satisfaction was in the very satisfied category. (62.5%). In this way, it is hoped that homecare nurses can improve the quality of services more optimally so that satisfaction can be achieved and maintained.