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Elderly people living in nursing homes often experience various challenges, such as physical limitations, loneliness, and decreased cognitive and psychosocial functions. One approach that can be applied to improve the welfare and independence of the elderly is Group Activity Therapy (GAT). The purpose of community service is to help the elderly increase their independence in fulfilling Daily Living (ADL) activities with Group Activity Therapy. The method of implementing the activity is carried out with a pre-test - post-test using a questionnaire. The elderly are given counseling then Group Activity Therapy. This activity was carried out on Saturday, December 14, 2024 at PPSLU Mappakasunggu Pare-pare. This activity was attended by 32 elderly people. The results of the pre-test elderly independence level were 62.5% elderly with dependence and 37.5% elderly with independence while the post-test independence level was 43.75% elderly with dependence and 56.25% with independence. To PPLSU Mappakasunggu Pare-pare to facilitate group activity therapy (TAK) continuously to create a feeling of joy so that the quality of life of the elderly remains healthy, independent, useful and productive.

Background: Leadership is one of the crucial aspects in managing a health care unit, especially in nursing. A leadership style that focuses on attention and empathy, or known as Caring Leadership, has been shown to improve the quality of service and patient satisfaction. This community service aims to improve the understanding and ability of the head of the room in implementing the Caring Leadership style. Methods: This activity is carried out through a series of training and interactive discussions involving the head of the room in various hospitals. Educational materials include an introduction to the concept of Caring Leadership, effective communication techniques, and strategies in supporting the nursing team. Results: The results of this activity show an increase in participants' knowledge and skills in applying Caring Leadership in their work environment. The impact is expected to create a more harmonious work atmosphere and support the improvement of the quality of health services. Conclusion: This activity also contributes to improving the welfare of the nursing team and patient satisfaction.

Osteoarthritis is a degenerative disease and a significant contributor to life years with an imbalance between multifactorial musculoskeletal conditions that is often found in the elderly population, especially those aged over 65 years.  The purpose of this writing is to be able to carry out nursing care for osteoarthritis patients with chronic pain nursing problems to reduce pain.  The method used is to carry out Rheumatic Gymnastics for 10 days in 5 visits, namely on April 22-30 2024. The place where this activity is carried out is in the Mabar Hilir Environment. Based on the evaluation results, it was found that there is an effect of rheumatic gymnastics to help reduce chronic pain  In osteoarthritis patients, the pain scale goes from 7 to 3. The conclusion of this paper shows that the patient is able to do rheumatic exercises and can reduce pain in the knee and waist joints.  It is hoped that the results of this research can be used as a medical intervention to reduce chronic pain in osteoarthritis patients in the community.

Hypertension is a condition where blood pressure increases beyond normal limits, with various variations according to age. Various trigger factors cause hypertension, although most (90%) of the causes of hypertension are unknown. The aim of this writing is to be able to understand the concept of hypertension and study nursing care for hypertensive patients as well as to provide the author with an understanding so that he can think logically and scientifically in accordance with the existing reality. The method used was to carry out progressive muscle relaxation therapy for 10 days in 5 visits, namely on 29-07 January 2024. The place for this activity was carried out at the Amplas Community Health Center. Based on the evaluation results, it was found that there was an influence of Progressive Muscle Relaxation therapy to help lowers blood pressure in hypertension patients whose pain scale goes from 6 down to pain scale 3. The conclusion of this paper shows that patients are able to carry out progressive muscle relaxation therapy and can reduce pain in the head and nape of the neck. It is hoped that the results of this research can be used as a medical intervention to reduce acute pain in hypertensive patients in the community.

Hyperemesis gravidarum is a condition in which pregnant women experience excessive nausea and vomiting which interferes with daily activities and even results in dehydration. The aim of this research was to determine the factors that influence the incidence of Hyperemesis Gravidarum in 1st trimester pregnant women in the Lawe Sumur Nursing Community Health Center Area, Southeast Aceh Regency in 2023. This type of research is an analytical survey with the population being all pregnant women who visited Antenatal Care at the Lawe Sumur Care Community Health Center, Southeast Aceh Regency in October 2022-March 2023. The sampling technique used was probability sampling and the sampling technique used was accidental sampling. In conclusion, it was found that there was a relationship between maternal age and hyperemesis gravidarum, p value 0.007. There was a relationship between parity and hyperemesis gravidarum with a p value of 0.002 and a relationship between work and hyperemesis gravidarum, p value 0.000 at the Lawe Sumur Care Health Center, Southeast Aceh Regency. Suggestions from the results of this research can be used as input in order to improve services, especially in providing information about hyperemesis gravidarum in pregnant women and also in developing knowledge about factors related to hyperemesis gravidarum.

Community service by the D-III Nursing Study Program in Central Tapanuli, Medan Ministry of Health Polytechnic, was carried out in the form of material presentations and demonstrations to students of SMA Negeri 3 Sibolga about Basic Life Support as first aid. Basic Life Support (BHD) is a series of first aid that is carried out to help anyone who experiences respiratory or cardiac arrest. One solution for first aid is to educate the public about Basic Life Support so that the possibility of brain cell damage will be smaller and give the victim enough time to be taken to the hospital on time. The target of service activities is 100 students of SMA Negeri 3 Sibolga. The aim of this Community Service is to realize community service as one of the Tri Darma activities of Higher Education, increasing the knowledge and skills of students in providing basic life support as emergency first aid. The methods used are counseling, training and question and answer/discussion and evaluation. After the counseling and demonstration of Basic Life Support was carried out, the results showed that the majority of respondents had sufficient knowledge at 58%, 35% had good knowledge and 7% had less knowledge. Competency evaluation is carried out by giving participants the opportunity to demonstrate directly the implementation of BHD using a phantom. The results obtained were that 63% had capable category skills and 37% had less capable skills, meaning that students still received assistance.

Anemia in pregnancy is known to occur in pregnant women when iron levels in their blood are low. Pregnant women are said to have anemia if their hemoglobin (Hb) level is <11 grams/dl in the first and third trimesters of pregnancy, in contrast to the second trimester hemoglobin (HB) level <10.5 grams/dl. The aim of the research was to determine the relationship between third trimester pregnant women's knowledge about anemia and compliance with consuming Fe tablets at the Namrole Care Health Center in 2023. This research was quantitative in nature with an analytical survey with a cross sectional research design, which was conducted in the Namrole Maluku Health Center Work Area. The population in this study were all 32 pregnant women in the third trimester. The sampling technique used is Total Sampling. Bivariate analysis uses the Chi Square test with a confidence level of 95%. shows that the p value = 0.000 which means less than A = 0.005, so it can be concluded that there is a significant relationship between the knowledge of third trimester pregnant women about anemia and compliance with consuming Fe tablets at the Namrole Nursing Community Health Center, Kec. Medan Johor in 2023.

One of the critical elements affecting nurse performance and impacting the quality of nursing services is the implementation of the head nurse's functions. This role must be effectively integrated into the healthcare system to motivate nurses to provide optimal patient care, thereby improving community health quality. This study aims to analyze the relationship between the head nurse's functions and the performance of bedside nurses in the inpatient wards at RSUD Palangka Raya. Method: This study employed a quantitative method with a correlational research type and a cross-sectional approach. The sampling technique used was total sampling, involving 34 respondents. Data collection was performed using a questionnaire, and statistical analysis was conducted using the Spearman Rank Correlation test. Results:The results of the Spearman Rank statistical test showed a significance value (2-tailed) of p = 0.00 with a level of significance of p < 0.05, indicating a relationship between the head nurse's functions and the performance of bedside nurses. The correlation coefficient was 0.685, reflecting a high or strong correlation. This positive relationship indicates that as the function of the head nurse improves, the performance of bedside nurses also increases. Therefore, the alternative hypothesis (Ha) is accepted, meaning there is a relationship between the head nurse's functions and the performance of bedside nurses. Conclusion: There is a significant relationship between the head nurse's functions and the performance of bedside nurses. It is recommended that the hospital provide training for head nurses on management functions.

Rheumatism is a disease in which the body attacks its own joints. As a result, the joints become swollen, painful and mayy change shape. This disease not only attacks the joints, but also important organ such as the hearth and lungs. The purpose of this paper is to provide nursing care to the family of Mr. M who has members with rheumatism. Mr.M’s family who has a member with rheumatism. The author will conduct assesment, diagnosis, implementation and evaluation of the health problems faced by the family. The methods used are interviews, observation and dokumentation. The results of this writing are expected to be a new innovation in providing effective family nursing care for people with rheumatism in the community.    

Health is a state of complete physical, mental and social well-being, not just freedom from disease or weakness (Maulina et al., 2024). According to WHO, (2022) Mental health is a state of mental well-being that allows a person to overcome the stresses of life, realize their abilities, contribute to their community, learn and work well. Someone who looks physically healthy does not mean they are mentally healthy. In general, mental health is a person's ability to process stress so that they function normally in carrying out their life to avoid symptoms of mental disorders. According to Sarmini, (2023) with a healthy mentality a person can carry out activities as a living creature, so it is said that mental health has an important role in a person's life.

Stroke is a type of cerebrovascular disease in which blockage, narrowing or rupture of blood arteries supplying the brain results in brain infarction or loss of brain tissue. This writing aims to analyze the process of family nursing care given to Mr. A, a stroke patient in Kalibuntu Village, Brebes Regency. A, a stroke patient in Kalibuntu Village, Brebes Regency, starting from assessment, nursing diagnosis, planning, implementation to evaluation. This writing uses a qualitative descriptive approach with a case study as the writing design. Data collection was done through in-depth interviews with the patient and family, as well as direct observation of the interaction between the nurse and the patient's family. The results of the writing are expected to contribute to the improvement of an effective family nursing care model for stroke patients in the community.    

Gouty arthritis or gout is a joint disease caused by high levels of purines in the blood. A person is said to be suffering from gout if the uric acid level in their body exceeds the normal limit, the normal limit is 7 mg/dL for men and less than 6 mg/dL for women. Excessive uric acid can cause a buildup of purines in the joints and other body organs, causing pain and inflammation in the joints. This condition can make the joints feel painful when moved and can also cause joint abnormalities and disabilities (Efendi et al., 2022). In Central Java, the prevalence of gout sufferers is approximately 2.6 - 47.2%, which varies in various populations (Zakiudin et al., 2024). Based on data from the Kecipir Community Health Center, the prevalence of gouty arthritis at the Kecipir Community Health Center in 2023 will reach 13.67%. The percentage of residents in Kalibuntu Village who suffer from gouty arthritis in 2023 will reach 24.3% in old age (Kecipir Community Health Center, 2023).

This research explores the experiences of nurses in carrying out their main duties and functions at the Panamas Community Health Center. Qualitative methods with a phenomenological approach are used to gain an in-depth understanding of this phenomenon. Data was collected through in-depth interviews with 12 nurses selected by purposive sampling. Data analysis using the Colaizzi method produced five main themes: (1) Nurses' activities in health services, (2) Tasks carried out by community health center nurses, (3) The importance of good health program management, (4) Management of duties and authority in health services, and (5) Shortage of health and non-health personnel and multifunctionality in health services. Research results show that nurses often have to take over the roles of doctors, administrative staff, and pharmacists due to limited human resources even though these tasks should not be their responsibility. This causes nurses to lose focus in carrying out their main duties, nurses feel that their main role as care providers is disturbed. Nurses also run various health programs and serve as physician assistants, although these roles often exceed their duties. The importance of good health program management was emphasized, as many participants experienced difficulties in achieving targets, reporting and patient monitoring. Management of tasks and authority includes handover of tasks, delegation of daily tasks, and delegation of authority, however socialization to staff has not been comprehensive. Lack of human resources causes nurses to carry out multiple roles which hinders their professional development. This research recommends strengthening competency and further training for nurses, increasing legal awareness regarding the delegation of authority, integrating health management education in the nursing curriculum, as well as increasing the number and qualifications of human resources in community health centers.

Elderly is an integral part of the human life cycle. Basically, every individual will experience the stage of old age after going through childhood, adolescence and adulthood. In the elderly phase, the human body slowly experiences a decline in function, which is an early sign of the aging process. The plan for this nursing home aims to be a place for the elderly to gather with their community, preventing them from feeling lonely or neglected. The implementation of the Healing Environment concept also influences the elderly's experience of enjoying old age, involving architecture that integrates healing systems from nature, the five senses and psychological aspects.

This community service aims to increase family knowledge about circumcision with the long skin short mucosa methods and good and proper post-circumcision wound care so that the healing process occurs quickly. The counselling method provided by lecture and question and answer and using power point media as a tool used a projector. This community service was carried out in collaboration with the Diploma III Nursing Study Program, Faculty of Health Sciences, Abulyatama University in collaboration with the Yaditama Holistic Care clinic. This activity was attended by 15 parents whose children were circumcised. Activities include filling in data on children who will be circumcised at the Yaditama Holistic clinic. The results of this service are that participants understand and understand the latest circumcision methods and the correct way of circumcision and good post-circumcision wound care. The conclusion is that education on long skin sort mucosa circumcision and post-circumcision wound care is very important and can increase participants' understanding.

One way to raise awareness of love for the environment and prevent dengue hemorrhagic fever is through outreach to school children. Socialization is one way to increase knowledge about preventing dengue hemorrhagic fever. The outreach aims to control the increasing incidence of dengue hemorrhagic fever cases. The method used begins with observation and giving a questionnaire to be filled in regarding questions regarding dengue hemorrhagic fever. After the data is found, a nursing diagnosis is then formulated, followed by implementation activities in the form of edugames and community service. Pre post analysis of knowledge using the Wilcoxon test showed that the p value (0.000) showed that there was an increase in knowledge between before and after socialization. 

Local food is often fresher and has a higher nutritional content. Local foods have usually adapted to local soil and climate conditions, which makes them easier to grow and process by local people. Local food consumption is often in harmony with the culture and traditions of local communities, which usually have recipes and processing methods that support nutritional balance. The purpose of writing the article is to understand the growth and development of babies and toddlers to grow into healthy children by providing a balanced diet. Community service activities are carried out by professional nurse lecturers who teach community and family nursing courses. Community service together with professional nursing students who are practicing community and family nursing. The counseling and simulation will be held on Friday 12 June 2024 at 09.00 – 12.00 WIB in the Madrasah Marga Jaya room RT 02 RW 05 Kertamaya Village, Bogor City. Local plant ingredients are very useful for maintaining nutritional balance in babies and toddlers. Increasing public interest in using local food ingredients as a source of nutrition requires a multifaceted and integrated approach.

Diabetes Mellitus (DM) or what is commonly called diabetes is a chronic metabolic disorder caused by the insulin hormone in the body which cannot be used effectively to regulate blood sugar balance, thereby increasing the concentration of sugar levels in the blood. The aim of this community service is to increase community knowledge regarding diabetes mellitus. The benefits of community service activities are providing education about diabetes. The location of the community service activities is at BTN Bukit Permai in the Kerka Community Health Center Unit 1 Sumbawa area. This community service activity has been carried out well involving public health students and nursing students, in carrying out outreach activities to the community with the title "Productive Healthy Living Free of Diabetes with Health Education about Diabetes Mellitus in the Pkm Unit 1 Sumbawa Working Area" on Saturday 29 June 2024

Along with getting older, women will experience a developmental process so that there will be changes experienced by every woman. These changes can occur due to the aging process and of course every woman will experience a menopause phase. One of the Evidence Based Practices of Nursing that has been implemented and is popular among the community, especially women, is aerobic gymnastics. The aim of this application is to reduce menopausal symtoms in menopausal women. This method of application uses one group pretest and posttest on 3 menopausal female clients. The results of the application were obtained in clients 1 and 2 experienced a decrease in MRS scores but still remained in the interpretation of moderate symptoms and client 3 experienced a decrease in MRS scores from interpretation of severe symptoms to moderate symptoms. The application of aerobic gymnastics can reduce menopausal symptoms in 1 menopausal woman in RT 27 Sukarami Village because through gymnastics there are increased metabolic changes but physical activity will generally be more effective if done for 3 months to get more effective results. This application is expected to help menopausal women to reduce menopausal symptoms.

Metabolic syndrome is a symptom of metabolic disorders suffered in conditions of prosperity, if you are obese (overweight) accompanied by hypertension and increased blood sugar levels as well as hypercholesterolemia and increased uric acid. PT Tirta Investama employees with increased welfare from 450 employees through medical check-ups at Siloam Hospital as a referral hospital, 200 of them experienced symptoms of hypertension and obesity. Of the 200 people, due to company policy, HRD decided to take 100 people. It is on this basis that community service is carried out which aims to provide knowledge about how to treat metabolic syndrome, carry out blood pressure checks, examine abdominal circumference and provide Tapping educational services. Tapping is a holistic, complementary nursing action to reduce emotions and stress. Complementary acupressure nursing services are also provided. The method of activity carried out is blood pressure screening, measuring body weight, height and measuring abdominal circumference. Then Tapping education is carried out and the application practice is carried out step by step until the participants can actually carry it out independently. After 2 weeks of activity, 100 participants were evaluated by repeating the Tapping procedure independently. The community service participants were able to do it correctly, and said that the symptoms of headaches, ringing in the ears had decreased and they felt calmer and emotionally stable, and awareness emerged to change their lifestyle to be healthy. So that community service activities are still needed by employees, the follow-up from this community service is explained to employees who have participated in this activity to be able to pass on knowledge about Tapping to other employees and this activity is carried out independently as well as for their families.