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According to WHO (2019), in the Southeast Asia region the elderly population is 8% or around 142 million people. In 2050 it is estimated that the elderly population will increase 3 times from 2013. In 2000 the number of elderly is around 5,300,000 (7.4%) of the total population, while in 2010 the number of elderly is 24,000,000 (9.77%) of the total elderly reached 28,800,000 (11.34%) of the total population. Data from the Central Bureau of Statistics shows that the elderly population in Indonesia in 2007 amounted to 18.7 million people, then in 2010 it increased to 23.9 million people (9.77%). In 2020 it is predicted that the number of elderly people will reach 28.8 million (11.34%). Based on data from the Republic of Indonesia Ministry of Health (2019), Indonesia is entering a period of aging population, where there is an increase in life expectancy followed by an increase in the number of elderly people. Indonesia has experienced an increase in the number of elderly people from 18 million people (7.56%) in 2010, to 25.9 million people (9.7%) in 2019, and is expected to continue to increase in 2035 to 48.2 million people (15.77%).

Background:  Elderly is a condition where a person is 60 years old. Hypertension is a condition of a person who has mixture of salt and lemongrass that can facilitate blood circulation in the body. systolic blood pressure of 140 mmHg and diastolic 80 mmHg. Data from the Kaliwungu Health Center (2023) shows that the number of hypertensive elderly is 18 elderly people. Non-pharmacological therapy that can be done by soaking warm water feet with aObjective: to determine the effect of the application of foot soak therapy using warm water with salt and lemongrass on blood pressure in elderly people with hypertension in Kaliwungu Village, Semarang Regency. Method: this application uses a case study research design with prestest and post-test design. Samples were 2 elderly people who had 2nd degree hypertension. Results: the application of  there was a decrease in blood pressure that was different between respondent 1 and respondent 2 after the application of warm water foot soak with salt and lemongrass for 3 consecutive days for 20 minutes. Both respondents were categorized as grade 2 hypertension decreased to normal-high based on the PDHI classification (2019). Conclusion: Application of warm water foot soak with a mixture of salt and lemongrass can lower blood pressure in elderly people with hypertension.  

Hypertension is  a health problem that is commonly found in the elderly. The number of people with  hypertension  continues to increase every year, it is estimated that by 2025 there will be 1.5 billion people affected by hypertension. Hypertension can occur due to various factors,  namely: unhealthy diet / diet, smoking lifestyle and alcohol consumption, obesity or excessive weight, lack of  exercise / physical activity, excessive salt intake, consumption of saturated fat, use of estrogen, lack of fruit and vegetable intake. Efforts to overcome hypertension can be done with pharmacological  and non-pharmacological therapies  .  Non-pharmacological therapies  can be done by modifying lifestyle, complementary therapies  such as; hydrotherapy (foot bath) and physical exercise. In the Nursing Interventions Classification (NIC) warm water foot soak is one of the interventions of nursing diagnosis, namely peripheral tissue perfusion disorders. Descriptive research using case study design. There was a decrease in  blood pressure in  hypertensive elderly after  hydrotherapy soaked feet warm water. There are differences in  the development of lowering blood  pressure in  hypertensive elderly before and after  hydrotherapy soak feet warm water.    

Old age is one of the risk factors that affect hypertension because the higher the age, the higher the risk of getting hypertension, this is caused by natural changes in the body that affect blood vessels, hormones, heart. by using non-pharmacological treatment, namely the administration of cucumber infused water and acupressure therapy at the point of LI 4 (Hegu) can reduce blood pressure for people with hypertension.  Purpose : This study aims to determine the effectiveness of cucumber infused water and acupressure therapy at the point of LI 4 (hegu) on reducing hypertension in the elderly. Methods: The population in this study was the elderly affected by hypertension with a total of 240 patients. In this study, the sample number was 30 respondents with each intervention group of 15 respondents. The type of this study is quantitative research that uses a two-group pretest-postest experimental model and is analyzed using statistical tests. Results: Based on the results of the study, it can be concluded that the results of the Wilcoxon test data there is an effectiveness between the administration of cucumber infused water and acupressure therapy at the LI4 (Hegu) point against reducing hypertension. With the results of v – palue 0.003 for the results of cucumber infused water against reducing hypertension and p-value 0.002 for the results of giving acupressure therapy at the LI4 point (Hegu) against reducing hypertension. In this study, there was a significant influence before and after intervention and blood pressure measurement was given in the working area of the Karangtengah Health Center. Conclusion : the effectiveness of cucumber infused water intervention and acupressure therapy at the LI4 (Hegu) point for the elderly affected by hypertension in the working area of the Karangtengah Health Center.

Background : The number of elderly in RSUD dr. Soediran Mangun Soemarso in April there were 48 people, while in the Anyelir ward itself there were 37 people. Over time, complaints that appear in elderly people who have had a stroke are sudden facial weakness, sudden feeling of confusion, difficulty speaking, nausea, sudden vomiting and numbness or tingling. Objective : To find out the results of implementing rubber ball handheld therapy on muscle strength in stroke patients. Method : This type of research uses a descriptive method with a case study approach. Findings: The muscle scale before hand-held rubber ball therapy in stroke patients was 3, and the muscle scale after hand-held therapy in stroke patients was 4. Implication There are differences in development before and after being given hand-held rubber-ball therapy in the elderly who have had a stroke, namely experienced an increase in motor muscle strength in elderly patients.

Background: Most hypertensive patients do not exhibit symptoms, although some symptoms occur unintentionally and are believed to be related to hypertension. This results in an increase in blood pressure with advancing age. Aging causes physiological changes in the body, such as the thickening of arterial walls due to the accumulation of collagen in the muscle layer, leading to the narrowing and stiffening of blood vessels starting at the age of 45 years. Objective: Aims to determine the results of implementing Isometric handgrip exercise in elderly hypertension patients. Method: A descriptive research design with a case study approach was conducted on two respondents. Results: Before the implementation of Isometric handgrip exercise, both respondents were at moderate risk of hypertension, however after performing the Isometric handgrip exercise with two contractions lasting 45 seconds each and a 15-second rest between the contractions, their blood pressure decreased. Conclusion: Isometric handgrip exercise shows a good influence on elderly hypertension patients.

Background: Hypertension or high blood pressure is when the systolic pressure is more than 140 mmHg and the diastolic blood pressure is more than 90 mmHg. WHO data (2015) shows that around 1.13 billion people in the world have hypertension. The number of people with hypertension continues to increase every year, it is estimated that every year 20.44 million people die from hypertension and its complications. Non-pharmacological management to lower blood pressure can be done independently and naturally, namely foot hydrotherapy (warm foot bath). Foot soaks can be combined with other herbal ingredients, one of which is ginger. Objective: To determine the effect of soaking feet with warm ginger water in lowering blood pressure in hypertensive patients. Method: The application was carried out using a descriptive method in the form of a case study to 2 respondents with hypertension in the form of a pretest-posttest. The application is carried out within two days for 15 minutes by sitting on a bed or chair and then soaking the feet in a basin containing warm red ginger water with a water temperature of 37°C. Findings: Based on the results of the application of warm red ginger water foot soak therapy is decrease in blood pressure in elderly patients with hypertension, namely 160/100 mmhg and 150/100 mmhg. Implications: warm red ginger water foot soak therapy can be used as a non-pharmacological technique or independent intervention in elderly patients with hypertension

The Hopeful Family Program (PKH) is a poverty alleviation program. This study aims to find out what forms of Family Hope Program (PKH) assistance are available, as well as the positive and negative impacts felt from the Family Hope Program (PKH) in Balangtanaya Village, Takalar Regency. As for the qualitative descriptive research method and the type of field research. The research subjects were carried out using purposive sampling techniques and the informants in this study were 5 categories, such as pregnant women, the elderly, elementary, junior high, high school. The data collected consists of primary data and secondary data. The data collection techniques and procedures used were through in-depth interviews with a number of PKH beneficiaries, observation, documentation and data recording related to the problems of this study. The results of the study describe: 1) The forms of assistance received by PKH beneficiary communities and beneficiary families include; a. Health assistance for pregnant women and children aged 0 to 6 years, b. Educational assistance for children enrolled in SD, SMP, SMA/SMK equivalent, c. Social welfare assistance for the elderly over 60 years. 2) The positive impacts felt by beneficiaries of the Family Hope Program (PKH) assistance include; a. Pregnant women, namely getting services every month such as checking the content, giving vitamins and nutrition, b. Children aged 0 to 6 years, namely the nutritional and body health of toddlers are monitored, c. Children enrolled in elementary, junior high and high school, namely fulfilling school needs, and helping to reduce the generation of children who drop out of school, d.. Elderly (Elderly), namely social protection programs, namely health services in ensuring their welfare. 3) The negative impact arising from the Family Hope Program (PKH) is that it makes some people become dependent and do not have a business to help working families to earn other income.

Elderly is a process of experiencing anatomical, physiological and biochemical aging in organ tissues which can affect the state of function and ability of the body as a whole (Fatmah, 2019). In Indonesia, fracture cases are the third largest cause of death under coronary heart disease and tuberculosis. According to data compiled by Wrong Diagnosis (Ropyanto, et al, 2013), Indonesia is the largest country in Southeast Asia that experiences the most fractures of 1.3 million each year out of a population of around 238 million. In postoperative fracture patients, they experience delays in making movements due to muscle weakness and perceived pain (Ningsih, 2019). In an elderly person, it will bring about a complete change in his physique related to a decrease in the ability of the body's tissues, especially in physiological functions in the musculoskeletal system and the neurological system. One of the changes that occur in the elderly is a change in decreased muscle strength, the impact of decreased muscle strength is an increased risk of falling and causes walking to be less stable (Padila, 2020). Purpose: ROM is an exercise used to improve normal joint movement to increase muscle tone. Doing ROM exercises early can increase muscle strength so that it can stimulate more motor units involved, there will be an increase in muscle strength (Anggriani et al., 2020) Method: Using a muscle strength scale instrument. Conclusion: That Range Of Motion has benefits and is

Elderly is an age group in humans who have entered the final stages of their life phase. The group that is categorized as elderly will experience a process called the aging process. Indonesia is entering a period of aging population, where there is an increase in life expectancy followed by an increase in the number of elderly people. In Indonesia, there has been an increase in the number of elderly people from 18 million people (7.56%) in 2010 to 25.9 million people (9.7%) in 2019, and can be expected to continue to increase where in 2035 it will be 48.2 million people (15.77%). On the other hand, an increase in the number of elderly people will be a problem if the elderly have health problems. The elderly are a group of people who are susceptible to disease and have different physiological functions from young people, so their treatment pattern becomes more careful. The purpose of this community service activity is to provide outreach and information to the public about the proper and correct use of drugs in Tanjung Pura District, Langkat Regency regarding Provision of Drug and Wise Information on the proper and correct use of drugs. The method of this activity involved the community in Tanjung Pura District, Langkat Regency, namely lectures, distribution of leaflets, and questions and answers. Lectures are presented in the form of power point presentations, distribution of leaflets in the form of brochures followed by a discussion or question and answer session about Wisdom in taking medicine in the elderly. The result of this activity is that in Tanjung Pura District, Langkat Regency understand and are wise in taking drugs, especially in the elderly.

Hypertension or high blood disease is actually a disorder of blood vessels that results in the supply of oxygen and nutrients carried by the blood is hampered to the body tissues in need.hypertension is often called the silent killer dark killer, because it includes diseases that women are declared hypertensive if their blood pressure is 160/95 mmHg. (Nurhaidar, 2010).In addition to hypertension, gout is now also a topic that is very much discussed by women, because most uric acid attacks women, especially the elderly. However, in this day and age it is not only the elderly who can get gout, adults can also get this gout. Irianto in his book entitled Public Health Science said that gout is referred to as a degenerative disease because the incidence rate is related to the degeneration process in old age that takes place according to time and age. (Simamora and Saragih 2019).  Research conducted in the scientific journal Permas shows the results that of the 13 causes of gout, most of the causes are diet and lifestyle. So that those who should be more susceptible to gout are men because their serum uric acid levels are higher than women.(Sulistyoningtyas and Khusnul Dwihestie 2022).Community service activity entitled  "Socialization on the Application of Ergonomic Gymnastics to Reduce Blood Pressure in Kabil Village, Kavling Baru, RT 003 RW 013, Danau Indah Punggur" The activity was welcomed by RW 013 Kavling Baru, Punggur with the hope of getting information about handling hypertension and gout, so as to control and prevent various kinds of disorders of the cardiovascular system in the form of hypertension,  heart, or stroke that can interfere with public health.

MS, a 15-year-old boy, ethnic Acehnese, address Paya Bakong with number RM 024395, was taken by his parents to the skin and genital polyclinic at Cut Meutia Hospital on Monday, 10 October 2022. Autoanamnesis was carried out with the elderly, the patient found that the main complaint was reddish spots, scaly, well defined with active lesion edges and central healing, accompanied by itching in the abdominal area, since 2 months ago. A reddish spot appears with white scales the size of a coin on the stomach, the spot gradually grows wider and grows to the size of a palm. Then the spots also appeared on the hands, left leg and left groin. The red spots feel very itchy, especially when sweating and hot air and get better after bathing. According to the patient, itching is not affected by the food consumed every day. The patient only noticed a reddish spot 2 months ago, which prompted him to see a doctor. The patient lives in a dormitory because he attends a boarding school. History of bathing and changing clothes 2 times a day, towels are used alone and the clothes that the patient often uses are shirts and frequent outdoor activities. The patient said that he often sweats profusely, but does not immediately change his clothes. Dermatological status in the lateral abdominal region dextra et sinistra et manus sinistra et inferior extremitas sinistra et cruris sinistra shows hyperpigmented erythematous macule-patches, firm boundaries, multiple, irregular with active edges and central healing, nummular-plaque size, partly covered with medium scale with a white layer. Based on history, physical examination, dermatology, the working diagnosis in this patient is tinea corporis et cruris. Treatment was given oral drug itraconazole 2x100 mg and miconazole cream 15gr 2x1 applied in a thin layer. As well as being given an explanation of the disease, its causes, treatment options, prevention and education for body hygiene, not using clothes towels with other family members.

The increasing number of elderly people will have an impact on all arrangements in the community or family. Problems that often occur in the elderly will be a burden on the elderly, one of the problems that occur is insomnia. So this study aims to find out the relationship between insomnia and blood pressure in the elderly. Research method with quantitative survey analysis design, crossectional. The research was conducted in a nursing home with a sample size of 30 active elderly respondents with insomnia disorders. The results showed that there was no relationship between the level of insomnia and blood pressure with a significance value of 0.757> p value 0.05. These results indicate that statistically there is no relationship between the elderly with insomnia and blood pressure. Suggestions for home managers to provide interventions for elderly people who experience insomnia disorders with light therapy that is fun and has a positive impact on the elderly..

Elderly is someone who is over 60 years old. Older people will experience physical, psychological and cognitive decline, this can trigger anxiety / anxiety. Elderly who have entered old age often tell about their death, where the elderly begin to think about how much time is left in their life. it will cause aging to become depressed to affect its activities. This study aims to look at the description of anxiety in the elderly when approaching the process of dying. This study uses a quantitative method using the frequency distribution of each variable. This study found several findings including, of the 34 respondents the majority of the elderly had a moderate level of anxiety as much as 67.6%, the majority of elderly aged 60 to 74 years as much as 70.6%. the majority of the elderly are female as much as 52%, the majority have divorced marital status as much as 73.5%, and 52.9% of the elderly have elementary school education (SD). This finding can be interpreted that the level of anxiety/anxiety has a close relationship with the age of the elderly, gender, marital status and education of the elderly.  

Obesity is one of commonly found problem, with the numbers rising globally. Obesity also often associated with other conditions, such as heart disease, stroke, diabetes, and osteoarthritis. This study aims to find out the correlation between obesity and incidence of knee pain for elderly. The study is an analytic observational study with cross-sectional design, that’s done at Sasana Tresna Werda RIA Pembangunan in January 2019. The population for this study is the elderly with minimum 60 years of age. Data were obtained through interview for knee pain variable, height and weight were measured by health workers using calibrated tools. Body mass index (BMI) over 25 kg/m2 is categorized as obese. Descriptive data will be presented as proportion (%). Statistical test used in the study are Pearson Chi Square with Yates Correction and Fisher Exact as alternative. The expected significance value in this study is 5%. The study found that there was significant relationship between obesity and knee pain in the elderly at Sasana Tresna Werda RIA Pembangunan (p-value=0.022). Elderly group with obesity is clinically known have 2.684 times higher riks of experiencing knee pain compared to the other group. Obesity is a major risk factor for knee pain including osteoarthritis and has an impact on morbidity in the elderly population. Holistic evaluation and treatment is needed in dealing with knee pain and obesity, considering that these two variables have a complex and multi-factorial pathogenesis.

The health services between urban and rural areas are quite interesting because they have many differences that can be seen, especially the gap between the two areas. One of the characteristics of urban and rural areas is accessibility development, urban areas tend to develop faster than rural areas. This article was created with the aim of knowing the condition of health service facilities in rural areas in Indonesia and their access, especially for the elderly. The search strategy used in this research is a systematic literature review. The disparity in the elderly's use of health facilities are impacted by their education level, socioeconomic status, ownership of insurance, distance traveled, and cost of transportation. In conclusion, access to healthcare is crucial in Indonesia, particularly for elderly people living in rural areas. The Indonesian government must evenly distribute medical facilities in rural areas and guarantee universal coverage with National Health Insurance. To improve elderly health care, the government needs to develop sufficient expertise with health and social care workers with the necessary training in integrated care services.

Aging is an inevitable and complex process. Cognitive impairment and depression are often seen as comorbid conditions and major mental health problems affecting the elderly. Both of these have become global issues and place a heavy burden on the health care system and society. This cross-sectional study aims to determine the relationship between depression and the incidence of cognitive impairment in the elderly group (³60 years) who meet the criteria by total sampling at the Sasana Tresna Werda RIA Development Center in January 2019. Depressive disorder was measured using the Geriatric Depression Scale (GDS). The Mini-Mental State Examination (MMSE) is used to measure and identify cognitive impairments. Statistical analysis using the Fisher Exact test. Of the 56 respondents, the average age was 78.13 years with 69.6% of the respondents being women. From all respondents, it was found that 10 respondents experienced depression and 23.2% of the elderly had cognitive disorders. The results of the Fisher Exact statistical test stated that there was a significant relationship between the incidence of depression and the onset of cognitive impairment in the elderly group at Sasana Tresna Werda RIA Development (p-value: 0.041). Clinically, the elderly with depressive disorders have a 2.875 times higher risk of experiencing cognitive impairment compared to the elderly without depression. Treating depression can reduce the number of cognitive impairments in the elderly.    

Elderly is someone who is over 65 years old and the elderly are also a risk group whose population is increasing. Elderly is not a disease, but an advanced stage of a life process which is marked by a decrease in the body's ability to adapt to environmental stress. The purpose of doing perceptual stimulation group activity therapy is that the client can reduce the depression he is experiencing and follow the treatment program optimally. Health counseling was held on Wednesday, June 7 2023. The population in this counseling were officers and the elderly in the Wisma Durian Room Tresna Werdha Budi Mulia 2 Social Institution. After carrying out group activity therapy "ball relay" the results (100%) were officers and the elderly understand, understand and be able to exemplify how to play the ball relay.  

Elderly is a group of people over 60 years old which is one of the phases that all humans go through. In this phase there will also be various complex problems, especially falls. Falls are the main cause and often cause morbidity and mortality, especially in the elderly over 65 years. The purpose of this study was to see the effectiveness of reducing the risk of falling by implementing the Otago Exercise Program in the elderly. The method used is a case study conducted in February 2023. The duration of the Otago Exercise intervention is 3x a week for 2 weeks. Based on the results of the EOP implementation, it was found that there was a decrease in the Morse Fall Scale value from 90 to 75 (high risk category of falling). There was also a decrease in the TUG value before and after the exercise was carried out. In conclusion, the application of the Otago Exercise Program can reduce the risk of falling in the elderly.    

Hypertension is one of the cardiovascular disease, defined by World Health Organization as blood pressure ≥140/90 mmHg. The high prevalence of hypertension has always been a problem globally. This disease could cause many complications, including cerebrovascular disease, and often associated with cognitive impairment. This study is done to find out the relation between uncontrolled blood pressure and cognitive impairment in geriatric people. This study is an observational analytic study with cross-sectional design. Samples are geriatric people with minimum of 60 years of age in Sasana Tresna Werda RIA Pembangunan in January 2019. Sample was taken with total sampling method. The hypertension criteria in study is previous history of hypertension or blood pressure ≥140/90 mmHg. MMSE score interpretations are: (1) score of 25-30: normal cognitive function; (2) score of <21: indication of mild to severe cognitive impairment. Statistical analysis used in the study are Pearson Chi Square with Yates Correction, with alternative of Fischer Exact, with parameter of expected count of 5%. Significant relation expected in the study is 5%. The study found that there are no significant relation between history of hypertension with cognitive impairment in geriatric people in Sasana Tresna Werda RIA Pembangunan (p-value=0.098), but it is predicted that the group of geriatric people with history of hypertension has 27.7% more risk of getting cognitive impairment. However, the elderly group who have a history of hypertension has a proportion of 27.7% experiencing cognitive impairment.