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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.  

Hypertension is now a global problem because its prevalence continues to increase in line with lifestyle changes. Blood pressure that continues to increase causes the heart's workload to become excessive, triggering damage to blood vessels, heart failure, kidney failure, and blindness. Hypertension can be treated with non-pharmacological techniques, one of which is with morning walks. Purpose: to determine the effect of implementing morning walks on blood pressure in elderly people with hypertension in Bendungan Village, Sragen Regency. Method: This research method is a case study and descriptive research using pretest and posttest observation sheets. In this case study, the researcher used a tensimeter to measure the respondent's blood pressure, carried out for 30 minutes a week (frequency 4 times). Results: The results of the implementation showed that there was a different decrease in blood pressure between respondent 1 and respondent 2 after implementing morning walks for 30 minutes 4 times a week. Both respondents were categorized as grade 2 hypertension decreasing to degree 1 hypertension. Conclusion: The conclusion from the application results is that the rate of decrease in blood pressure in Mrs. M is greater, namely systolic pressure of 24 mmHg diastolic 1 mmHg while Ny. W decreased systolic pressure 15 mmHg diastolic 6 mmHg.

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.    

Background; Blood pressure can be said to be normal depending on a person's age and daily activities. Based on data from the World Health Organization (WHO) in 2019 shows around 1.13 million people in the world have hypertension. Non-pharmacological methods of reduction are by exercise, one of which is hypertensive gymnastics. Tera gymnastics is a physical and mental exercise combined with motion. Tera gymnastics has many benefits, one of which is improving heart conditions and blood circulation and can control blood pressure. Purpose; Knowing the results of the application of tera gymnastics on blood pressure in the elderly in Sragen Wetan District. Method; This research design uses a case study method with a descriptive research method on hypertensive elderly using a spygmomanometer. Result; Blood pressure before the application of tera gymnastics in respondents was included in the category of Grade I hypertension. There were differences in the development of blood pressure in the elderly with hypertension before and after the tera gymnastics intervention became Grade I hypertension. Conclusion; There are differences in development before and after tera gymnastics in the elderly with hypertension.  

Background : The elderly will experience various declines that have an impact on one of the problems in the endocrine system, namely diabetes mellitus. One of the reasons for lack of physical exercise. Data from Riskesdas 2018, the prevalence of diabetes mellitus diagnosed aged 65 to 74 years is 6.03%. Based on data from PKD Mliwis cadres, there were 76 cases of elderly people with DM. One of the recommended physical exercises for diabetic patients is walking. Walking can help muscles absorb blood sugar in the body. Purpose: To find out the results of implementing walking in the elderly on blood sugar levels in Mliwis Village. Method: This type of case study research uses descriptive research methods. Prior to the research, interviews and observations were carried out through observation sheets (pre-test) and after the intervention, results were observed (post-test). Management of diabetes mellitus by walking is given 3 times in 1 week. This therapy is given for 3 days in 30 minutes at one meeting. Results: Obtained an average reduction in sugar levels in the first respondent by 11,6 mg/dl while the second respondent obtained an average decrease of 16 mg/dl. Conclusion: This walking therapy can reduce blood sugar levels in 2 respondents.

Hypertension is a condition that experiences an abnormal increase in blood pressure, the elderly are said to be hypertensive if their blodd pressure reaches ≥130/80 mmHg and is a non-communicable disease. A study has been carried out regarding the Evaluation of Prescribing in Outpatient Geriatric Hypertension Based on the Beers Criteria for Internal Medicine at RSUD dr. Soekardjo City of Tasikmalaya using a descriptive method of retrospective medical record data of hypertensive geriatric patients. This study aims to determine the treatment profile and the percentage of drug use included in the 2019 beers criteria list. The results showed that the most commonly prescribed treatment combination in this study was the combination of the ACE Inhibitor drug class (Ramipril) and the CCB drug group (Amlodipine), and Inappropriate drug prescribing in geriatric patients with hypertension in the outpatient installation of RSUD dr. Soekardjo City of Tasikmalaya in the 2020 period is still high with the number of inappropriate prescriptions as many as 47 (67,1%) prescriptions classified as PIMs (Potentially Inappropriate Medication). So it can be concluded that the high mismatch of therapy can be caused becaused because patients receive more than one drug that is not suitable for geriatric when getting drug prescriptions and to reduce these incidents it can be done by increasing the selection os safe drugs in geriatric using the 2019 beers criteria

Background: Age 60 years and over is the final stage of the aging process which has a biological impact, one of which is susceptibility to disease, for example hypertension, which is a chronic increase in blood pressure of more than 140/90 mmHg. Cases of elderly people with hypertension in Susukan Village, according to the elderly posyandu cadres, were 53 people. Hypertension can be treated pharmacologically by using drugs and non-pharmacologically by therapy with warm water foot soaks. Purpose: Knowing the difference in blood pressure before and after soaking feet in warm water. Methods: This case study is intended to obtain the results of applying warm water foot soaks to elderly people with hypertension with two elderly people living in Susukan Village, Semarang Regency as subjects. Results: After soaking the feet, it was found that the average decrease in systolic blood pressure in Mrs. H 6 mm Hg and Mrs. N 5 mmHg while the average diastolic blood pressure in Mrs. H 5 mm Hg and on Mrs. N 4 mmHg every day. Conclusion: Researchers concluded that there was a decrease in blood pressure after a 5-day study as indicated by a decrease in systolic pressure in Mrs. H 28 mm Hg and Mrs. N 24 mmHg while there was a decrease in diastolic in Ny. H 23 mmHg and Mrs. N 18 mmHg.

Background; Hypertension in the elderly increases every year, in Pacitan Regency there are 6,211 people, in Nawangan District there are 1,290 people with hypertension and in Sempu Village there are 87 elderly people with hypertension. The cause of high hypertension is influenced by lifestyle, scale factors and environmental factors, and if not immediately overcome it will cause premature death and disability rates for sufferers.Purpose; Knowing changes in blood pressure in elderly people with hypertension before and after the application of ergonomic gymnastics. Method; This application is with descriptive research methods and observing an event. Descriptive research is research conducted to describe or describe an event that occurs in society. Result; The results of blood pressure measurements before ergonomic exercise were carried out on the two respondents, namely Mrs.T with a blood pressure of 165/90 mmHg and Mrs. W with a blood pressure of 160/100 mmHg, both classified as having stage 2 hypertension or moderate hypertension.. The results of blood pressure measurements after ergonomic exercise on Mrs. T 150/80 mmHg and Mrs. W to 140/90 mmHg classified as stage 1 or mild hypertension.. Conclusion; This ergonomic exercise can lower blood pressure in elderly people with hypertension

Background; Hypertension is a "sillent killer" disease that is mostly experienced by the elderly. According to data from the World Health Organization (WHO) in 2021, the prevalence is 1.28 billion people with hypertension aged 30-79 years. The prevalence of the elderly in the world and Indonesia continues to increase because the elderly experience a decline in physical conditions, including the cardiovascular system, which increases the risk of degenerative diseases such as hypertension. Therefore, progressive muscle relaxation can be used as an alternative therapy for the elderly with hypertension. The Objectives of the research; Knowing the results of the implementation of progressive muscle relaxation on blood pressure in the elderly with hypertension. Method; This application uses a case study method by observing blood pressure in two elderly respondents. The instruments used are observation sheets, sphygmomanometer, and stopwatch. Results; After application for 20 minutes with a frequency of four times a week for two consecutive weeks showed a decrease in blood pressure in both respondents to prehypertension. Summary; Progressive muscle relaxation therapy can potentially reduce blood pressure in the elderly with hypertension.

Background: Poor sleep quality is a disorder that often occurs in the elderly. The impact of sleep disturbances in the elderly can result in the body's inability to restore its original state, causing weakness, headaches, drowsiness, and fatigue. Treatment of sleep quality disorders is carried out with non-pharmacological treatment, one of the non-pharmacological therapies that can be done is Al-Qur'an Murottal Therapy. Purpose: To find out changes in the level of sleep quality in the elderly before and after carrying out murottal Al-Qur'an therapy. Method: This application uses a descriptive method on 2 respondents, done 1 time in 7 consecutive days. The instrument used is the Pittsburgh Sleep Quality Index (PSQI) to measure sleep quality. Results: Treatment of sleep quality disorders with Al-Qur'an murottal therapy which is given 1 time for 7 days in 15 minutes can affect the level of sleep quality of respondents, so that there is a change in the sleep quality score of the elderly. Conclusion: The application shows that after the Al-Qur'an murottal therapy there was an increase in the quality of sleep in both respondents from poor sleep quality to light sleep quality.      

Background: rheumatoid arthritis (reumatic) is the body's immune system that fails to distinguish its own tissue from foreign bodies, especially synovial tissue. Diet is the amount of food consumed by a person or group of people, while physical activity is body movement caused by the work of skeletal muscles and results in energy expenditure and energy (calorie burning). Purpose: to determine the relationship between diet and the incidence of rheumatoid arthritis (reumatic) in the elderly, to determine the relationship between physical activity and the incidence of rheumatoid arthritis (reumatic) in the elderly. .  Method: this type of research is quantitative with a cross-sectional research design. With a sample of 40 respondents. Results: There were 25 (62.5%) unhealthy eating habits and a p value of 0.002, so it could be concluded that there was a relationship between diet and the occurrence of rheumatoid arthritis (rheumatism), and 27 (67.5%) light physical activity and a p value of 0.002. then it can be decided that there is a relationship between physical activity and the occurrence of rheumatoid arthritis (reumatic). conclusion: there is a relationship between diet and physical activity with the occurrence of rheumatoid arthritis (reumatic) in the elderly in the working area of ​​the Cijagang Health Center with a p value of 0.002.

Elderly (elderly) is someone who has entered the final stages of the phase of life. This cycle can be seen from the symptoms of physical, psychological, and psychosocial changes. These changes will result anxiety. Anxiety is a feeling of fear that is not clear or even has no known cause. Knitting therapy is one method of lowering anxiety. The goal of this study was to examine how knitting therapy affected older people's anxiety levels. This research method uses a Pre-Experimental approach with aone group pre-post test.The population is 33 respondents and uses a simple random sampling technique. The research sample is 30 respondents. The instrument used is an anxiety questionnaire sheet withHamilton Anxiety Rating Scale (HARS) Indonesian version, then the data is collected through a process Editing, Coding, Scoring,andTabulating. The data obtained were analyzed using the testpaired T-Test. The results showed the average value of anxiety before knitting therapy was 16.63 while after knitting therapy the average value of anxiety was 6.50. The results of the data analysis test showed that there was an effect of knitting therapy on reducing anxiety in the elderly with -valeu = 0.000 <α = 0.05. Knitting therapy can be used to improve focus, and develop patience. knitting activities can train the left and right brain when doing the same movement, besides sitting quietly and focusing on knitting can reduce heart rate and blood pressure, so we feel relaxed and calm, this situation acts as a pain reliever. This also makes the feeling happy so that it can provide positive energy in a person, this is what makes the mood happy so that feelings of anxiety decrease easily. It is hoped that knitting therapy can be applied to fill the spare time of the elderly and future researchers canmake modifications to the therapeutic media that will be used, one of which can be equipped with making video media.    

The risk of falling can be a serious complication in the elderly because falls in the elderly can cause serious injury and disability. Handling that can be applied to reduce the risk of falling is by otago  and ankle exercises. The purpose of this study was to analyze the effectiveness of otago  and ankle exercises on reducing the risk of falling in the elderly in Tegalsiwalan Village, Tegalsiwalan, Probolinggo.This type of research is a pre experimental design with a pre post design approach. The population of 40 people with 36 respondents who met the inclusion requirements of the study, were selected by purposive sampling technique. The berg balance scale obsevatio sheet is the tool employed, and the data is subsequently gathered using the editing, coding, scoring and tabulating processes. The data obtained were analyzed using the Chi square and the Wilcoxon hypothesis test in both groups. The results showed that the p value was 0.002 in the group given the otago exercise and the p value was 0.014 in the group given the ankle exercise. For the comparison test, the value of sig(2-tailed) was 0.245 > 0.05. So there is no difference between otago exercise and ankle exercise in reducing the risk of falling in the elderly.The next researcher gave the same intervention both for group one and group two. So that further researchers can combine these two interventions, so that the result are maximized.    

uric acid is the result of purine metabolism, it will cause pain and rheumatic pain in the joints. Handling to reduce pain is with warm ginger compresses and rgonomic exercises. The purpose of this study was to analyze the effectiveness of ginger warm compresses and ergonomic exercises on reducing gout arthritis pain in the elderly in Mojolegi Village, Gading District, Probolinggo Regency.This type of research is quasi-experimental with a cross over group design approach. The population of 51 people was selected by purposive sampling technique and obtained 36 respondents who met the inclusion and exclusion requirements of the study. The instrument used is the numerical pain scale observation sheet (NRS). The results showed that the pain scale of ginger warm compresses for period I pre-test was 5.17 post-test 3.00, period II pre-test was 3.94 post-test 2.39. In the ergonomic exercise group, period I pre-test was 5.39 post-test 3.67, period II pre-test was 3.89 post-test 2.61. The results of data analysis obtained valuesρV 0.000 in the warm ginger compress group and the ergonomic exercise group so that it can be concluded that both therapies were equally effective, there was no difference between warm ginger compress and ergonomic exercise in reducing gout arthritis pain in the elderly.Ginger warm compresses and ergonomic exercises are non-pharmacological measures that can be applied to relieve pain and provide a sense of comfort. Thus, implementing these two therapies requires sufficient recovery time (wash out) so that the effects of the first intervention are not carried over to the second intervention.    

Hypertension is a condition in which blood vessels have high blood pressure (systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥ 90 mmHg). Hypertension is often referred to as the silent killer because it can attack anyone suddenly and it is a disease that can result in death. This community service aims to invite the public to understand the emergency management of the elderly with hypertension. This community service was carried out for 30 people with hypertension at RT 013 RW 007 Kel. Kedaung Kec. Cengkareng, West Jakarta. This activity was carried out on July 8 2022, including; checking blood pressure and education on emergency management of elderly people with hypertension. The knowledge evaluation instrument uses a hypertension knowledge questionnaire and blood pressure assessment using a sphygmomanometer. Providing emergency education for the elderly with hypertension increases the knowledge score, the score before is 42 and the score after is 83 so that the post-test score increases 98% from the pre-test score. The results of blood pressure examinations for elderly people with BP > 140/90 mmHg were 21 people (70%) and elderly people with BP < 140/90 mmHg were 9 people (30%). Providing emergency education for the elderly with hypertension can increase the knowledge of the elderly regarding hypertension so that their quality of life is maintained.

Osteoarthritis of the knee in the elderly can cause pain due to the degradation of joint cartilage in which the joint cartilage is damaged which is characterized by changes in the joint capsule and damage to the cartilage located at the bone joints. Knee Pain Exercise and warm compresses are two methods that can be used to manage knee osteoarthritis pain.. The purpose of this study was to analyze the effectiveness of knee pain exercise and warm compresses on reducing knee osteoarthritis pain in the elderly. Using a purposive sampling technique, a sample of 40 respondents was drawn from the population of up to 125 people. A cross-over group design technique and a quasi-experimental approach were used in the research design. The instrument used was a Numeric Rating Scale (NRS) observation sheet. The normality of the data was tested using the Kolmogorov-Smirnov. The hypotheses were tested and analyzed using paired samples T test with p-value 0.000 on each variable which means that there is an effect of knee pain exercise and warm compresses on knee osteoarthritis pain. The effectiveness test used independent samples test and it was found that warm compresses had the smallest mean value (2.55), which means that warm compresses were more effective in reducing knee osteoarthritis pain than knee pain exercise. It is expected that the elderly who experience knee osteoarthritis pain do regular exercise which is a physical exercise to reduce knee osteoarthritis pain.    

Based on population projection data, it is estimated that in 2017 there will be 23.66 million elderly people in Indonesia (9.03%). The number of elderly people is predicted in 2020 (27.08 million), 2025 (33.69 million), 2030 (40.95 million) and 2035 (48.19 million) (Ministry of Health RI, 2017). The prevalence of dementia (per 1000 people) in Indonesia in 2005 was 191.4 incidents, in 2020 it is estimated to be 314.1 incidents, and will increase in 2050 to around 932 incidents. The data obtained in the work area of ​​the Telaga District Public Health Center were 134 elderly, of which 38 had dementia. From the results of interviews obtained from health workers at the puskesmas and families, they said that often the elderly forgot many activities such as bathing, taking medicine and others, so the family had to remind them to take a bath, take medicine and so on. Further interviews conducted by researchers on the elderly, some said that they rarely consume vitamins, especially vitamin D, are lazy to exercise, do light activities or sunbathe every morning which can increase the risk of developing dementia.