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Herpes zoster is a skin infection caused by the reactivation of the varicella-zoster virus, characterized by unilateral skin lesions corresponding to dermatome distribution and complaints of pain or itching. This disease is more common in adults and the elderly, especially in individuals with reduced immunity due to stress or work overload. A case was reported of a 40-year-old woman who worked as a nurse and came to a primary health care facility complaining of itching and red spots on her right breast area that had spread to the surrounding area two weeks before the examination and had worsened in the last few days. Physical examination revealed unilateral red skin lesions in a dermatomal pattern without crossing the midline of the body, consistent with the early phase of herpes zoster. Management was comprehensive, including medication, patient education about the disease and skin care, prevention of complications, and family support. A holistic approach is necessary to improve the success of therapy and the patient's quality of life.

The increasing proportion of the elderly population in Indonesia has led to a rise in degenerative health problems, one of which is osteoporosis. Osteoporosis is a bone disease characterized by decreased bone density, increasing the risk of fractures, particularly among elderly women. Low calcium intake, lack of physical activity, and limited knowledge regarding osteoporosis prevention are major contributing factors. This community service activity aimed to improve the knowledge of Aisyiyah women in Cirebon Regency regarding osteoporosis in the elderly, including its definition, risk factors, impacts, and prevention strategies through proper nutrition and regular physical activity. The activity was conducted from October to December at the Aisyiyah Study Hall in Cirebon Regency, targeting pre-elderly and elderly women. The methods used included health education through lectures and interactive question-and-answer sessions, supported by laptops, LCD projectors, and PowerPoint presentations. Evaluation of participants’ knowledge was carried out using oral pre-tests and post-tests related to the delivered material. The results indicated an improvement in participants’ understanding of osteoporosis, the importance of adequate calcium intake, and the role of physical activity in maintaining bone health. This community service program is expected to contribute to increasing health awareness and reducing the risk and prevalence of osteoporosis among the elderly.

Knee osteoarthritis (OA) is one of the leading causes of disability among the elderly population. This degenerative joint disease is characterized by progressive damage to the articular cartilage and structural alterations of the knee joint, resulting in pain, reduced mobility, and diminished quality of life. This Community Service Program (PKM) aimed to promote early detection of knee OA through simple radiological screening as a preventive strategy to reduce the risk of musculoskeletal disability. The activity was conducted at Asisi Church, South Jakarta, involving 87 participants aged 54–87 years (mean 70.77 ± 7.32 years). Radiological examination was performed using standard anteroposterior knee X-rays, and results were classified according to the Kellgren–Lawrence grading system. Findings revealed that 98.9% of participants exhibited radiological signs of OA, predominantly grade II (60.9%), followed by grade III (21.8%), grade I (11.5%), and grade IV (4.6%), while only 1.1% showed normal results. Female participants (74.7%) predominated across all OA grades, indicating hormonal and biomechanical influences on disease progression. The mean age increased with OA severity, supporting the degenerative theory that aging leads to decreased chondrocyte function and cartilage elasticity. In addition to screening, participants received education on weight management, muscle strengthening exercises, and injury prevention. The results demonstrate that simple radiological screening is an effective, practical, and cost-efficient community-based approach for early detection of knee OA. Integrating such preventive strategies within primary care systems could significantly reduce the burden of disability among the elderly population.

Elderly people are individuals aged 60 and over who have equal rights in community life. The emotional state of the elderly is a psychological state that encompasses the ability to think, feel, and act, as manifested through behavior. To stabilize the emotions of the elderly, cadres and their families must have an adequate level of emotional intelligence. One non-pharmacological approach currently being studied is the Spiritual Emotional Freedom Technique (SEFT), an emotional healing method that combines spiritual elements, positive affirmations, and stimulation of the body's meridian points. SEFT is believed to reduce psychological stress that contributes to high blood pressure. This therapy is easy to learn, can be performed independently, and requires no special equipment, making it highly suitable for use in elderly communities with limited access to advanced medical services. At this event, counselors provided support in delivering material on Motivation and Prevention of Psychological Disorders in the Elderly using the SEFT. The purpose of this material is to provide motivation, reduce, and prevent psychological impacts. Participants benefited from the material, knowledge, and experience sharing, as well as solutions, resulting in a better understanding of motivation, reduction, and prevention of psychological impacts. This community service program was conducted with approximately 33 participants in the "Teratai" elderly group. It is hoped that this community service program will be beneficial and provide considerations for solutions and decisions, adding information and insight related to motivation, reduction, and prevention of psychological impacts.

Hypertension is one of the major health problems in the elderly and increases the risk of cardiovascular disease. The low level of knowledge among the elderly about risk factors and prevention of hypertension is one of the challenges in controlling this disease. This study aims to determine the effectiveness of health education in increasing the knowledge of the elderly about hypertension at the Meohai Center in Kendari City. The study design used a pre-experimental approach with pre-test and post-test without a control group, involving 22 elderly individuals. The education was conducted through interactive lectures and visual educational media. The results showed an increase in the average knowledge score from 8.04 to 9.09 after the intervention, with a paired t-test yielding a p-value of 0.007, indicating a significant difference. These findings indicate that counseling is effective in increasing the knowledge of the elderly about hypertension. The implications of this study emphasize the importance of continuous education programs to support hypertension prevention efforts in the elderly

Balance is a crucial component in maintaining independence in the elderly and preventing the risk of falls. Decreased balance function with aging can increase the incidence of falls, impacting the elderly's quality of life. This activity aims to screen balance in the elderly using the One Leg Standing Test (OLST) as a simple measurement tool to assess static balance. The activity was conducted in the elderly community in RT 05/RW 08, Karang Anyar Village, Central Jakarta. The test was conducted by asking participants to stand on one leg, and a time was determined until they lost their balance. The screening results showed variations in balance ability, with some elderly still in the good category, while others showed a decline in balance ability and were at risk of falls. These findings demonstrate the importance of balance training programs, muscle strengthening, and fall prevention education for the elderly. This screening activity is expected to form the basis for planning further health interventions to improve the safety and quality of life of the elderly in the community.

Balance disorders are among the most common functional problems experienced by older adults and significantly increase the risk of falls, disability, and reduced quality of life. Early screening and health promotion efforts are essential in preventing these complications. This community service program aimed to introduce and implement the Fukuda Stepping Test as a simple, low-cost, and effective method for promotive and preventive assessment of balance impairment among elderly individuals in the community. The activity involved health education on balance maintenance, demonstration of the test procedure, and direct assessment of participants, followed by individualized feedback and recommendations for balance exercises. The results showed that the Fukuda Stepping Test was well-received, easy to perform, and successfully identified elderly individuals with potential vestibular asymmetry or dynamic balance deficits. Furthermore, the program increased participants’ awareness regarding fall prevention and encouraged adoption of regular balance training. This initiative highlights the importance of accessible physiotherapy-based screening tools in community settings and underscores the role of physiotherapists in promoting healthy aging and reducing fall risk among older adults.

The activeness of the elderly in participating in posyandu (integrated health post) activities remains a problem in various regions across Indonesia. The low level of participation is often caused by a lack of family support and the physical limitations faced by elderly individuals. In fact, posyandu for the elderly plays a crucial role in health monitoring, disease prevention, and improving the overall quality of life in old age. Through posyandu, elderly people can receive regular health check-ups, nutritional education, and guidance to maintain both physical and mental well-being. This study employed a descriptive correlational design with a cross-sectional approach. The population consisted of all elderly residents of Gampong Lambro Bileu, totaling 58 participants, all of whom were included as a total sample. The research was carried out from May 28 to June 11, 2025, within the working area of Kuta Baro Health Center, Aceh Besar. Data collection instruments included a family support questionnaire with 10 positive statements and an elderly posyandu attendance sheet covering the last six months. Data were analyzed using univariate and bivariate analysis with the Chi-Square test to determine relationships between variables. The findings indicated that most elderly individuals who received strong family support were very active in attending posyandu activities. The p-value of 0.024 showed a significant relationship between family support and the activeness of the elderly in participating in posyandu (p < 0.05). Therefore, families are encouraged to be more involved in accompanying, motivating, and supporting the elderly to stay active in posyandu for better health and quality of life.

Myalgia is a muscle pain condition that can occur in a specific area of the body or spread to several regions. Its main symptoms include pain, soreness, or discomfort in the muscles, whether during movement or at rest. The pain may range from mild to severe and is sometimes accompanied by stiffness, muscle tension, or even cramps that interfere with daily activities. This condition is commonly experienced by the elderly due to aging, loss of muscle mass, improper physical activity, stress, lack of stretching, or an unhealthy lifestyle. This community service activity aimed to provide education and raise awareness about myalgia among 10 elderly participants in the Elderly Community of Kalirejo, Malang, to help them better understand prevention, pain management, and self-care strategies. The method used was service learning (SL) with achievement parameters measured through pre-test and post-test evaluations. The results showed an increase in participants’ knowledge regarding the definition, causes, and rehabilitation of myalgia from 10% to 90%, demonstrating that this program effectively improved the elderly’s understanding and awareness of myalgia.

Aging is often accompanied by sleep problems that have a negative impact on the well-being of older adults, such as reducing their quality of daily life and triggering a higher risk of chronic diseases, depression, and cognitive decline. To address this issue, the physiotherapy team held an educational program at the Arjosari Village ILP in Malang City, which aimed to equip older adults with knowledge about the value of quality sleep. The material was delivered through simple brochures, two-way discussion sessions, and assessments through initial and final tests. A total of 15 people participated, and from the opening discussion, about 80 percent of them admitted to having frequent sleep disturbances. Before the event, a survey showed that their understanding was still minimal, especially regarding what healthy sleep is, the triggers of sleep disturbances, the benefits of good sleep, the signs of sleep disturbances, and steps to overcome them. After the counseling, there was a significant increase, with the level of understanding reaching more than 86 percent on all topics. These results prove that community-based educational approaches such as this are very effective as a means of empowerment and early prevention. Activities such as this should be made a routine to support the overall health of the elderly.

Type 2 Diabetes Mellitus is a chronic metabolic disease with a continuously increasing global prevalence. Understanding the characteristics of patients is essential for early detection, clinical management, and prevention of complications. Objective: To identify the characteristics of patients with type 2 diabetes mellitus at Dukuh Kupang Primary Health Center, Surabaya, based on age, gender, routine check-ups, duration of illness, body mass index (BMI), and complications. Methods: This descriptive observational study employed a cross-sectional approach and was conducted from January to February 2025. A total of 30 respondents were selected using purposive sampling. Data were obtained from medical records and supplemented by questionnaires. Results: Most patients were aged >60 years (57%), female (60%), had a normal BMI (50%), and adhered to routine medical check-ups (97%). The majority had been diagnosed for more than 5 years (53%) and experienced complications (83%), with neuropathy being the most common type (73%). Conclusion: Patients with DM type 2 at Dukuh Kupang Health Center were predominantly elderly, female, had a normal BMI, and experienced neuropathic complications.

Hypertension is a growing health problem, especially among the elderly and low-educated communities. Hypertension continues to emerge as a critical public health challenge, with increasing incidence and uneven impact, particularly affecting the elderly population and low-educated communities. In response to this situation, a community-based study was conducted in Plumpung Hamlet, Galengdowo Village, with the main objective of increasing residents' knowledge and awareness of primary prevention strategies and self-management of hypertension. The intervention method applied was multimodal, including interactive health lectures, distribution of leaflets designed with easy-to-understand language and clear visuals, and provision of free blood pressure checks that served as a screening tool and immediate awareness. This research design used a participatory approach with pre-test and post-test instruments to measure quantitative changes in participants' understanding, accompanied by blood pressure monitoring activities to evaluate the impact of education on physical health indicators. The evaluation results showed the program's significant success, marked by a 57.69% increase in comprehension scores between the pre-test and post-test sessions, while also showing an improvement trend in the blood pressure values of most participants after completing the entire education series. These findings clearly affirm the fundamental role of sustainable and accessible health education as an effective community-based intervention to mitigate hypertension risk factors and ultimately improve holistic quality of life. The implications of this study highlight the urgency of implementing regular, structured, and targeted education programs, especially those targeting the most vulnerable demographic groups, as a long-term health investment to prevent morbidity and complications from hypertension.  

Diabetes Mellitus (DM) is a non-communicable disease that is currently a major public health problem in Indonesia. The prevalence of DM continues to increase from year to year, not only in urban areas but also increasingly found in rural areas. One factor contributing to the high number of DM cases is a lack of public awareness of the importance of a healthy lifestyle, as well as the continued presence of many undiagnosed cases, resulting in delayed treatment. Therefore, early detection efforts and health education that can reach the community at the community level are needed. This community service program was designed to conduct random blood sugar screenings while increasing the knowledge of residents of RW 15 Kalibaru regarding the prevention and control of DM. The activity was carried out on August 24, 2025, involving 21 participants, most of whom were from adults to the elderly. The activity method consisted of two main stages: checking blood sugar levels using a glucometer and a health education session on a healthy lifestyle, a balanced diet, and the importance of regular physical activity. The results of the activity showed that the indicators of success were well achieved. This was indicated by the orderly implementation of the examinations, a high level of participation from residents, and increased awareness of the dangers of DM among participants. From the examination results, most participants had normal blood sugar levels, but several people were found with blood sugar levels above the normal limit who required medical follow-up.

Hypertension is a Non-Communicable Disease (NCD) whose prevalence continues to increase from year to year, especially in the elderly. This condition is a serious challenge in the field of public health because hypertension can increase the risk of cardiovascular disease, stroke, and kidney failure if not properly managed. The high incidence of hypertension in the community, especially in Grujugan Hamlet, RT. 07–10, Bantul Village, has become a concern in community-based promotive and preventive efforts. Therefore, this community service activity aims to increase the knowledge and awareness of the elderly about hypertension through a direct screening and health education approach. The implementation method includes blood pressure checks (initial screening), counseling using educational media such as leaflets, posters, and interactive presentations, and evaluation of understanding through filling out pre- and post-tests. A total of 24 elderly people participated as respondents in this activity. The screening results showed that the majority of participants (62.5%) were in the Hypertension Level 2 category, while the other 8.3% were in the Hypertension Crisis category. Before the education, pre-test results showed that 58.3% of elderly people had low knowledge about hypertension. However, after the education, 75% experienced an increase to a high level of knowledge. Statistical analysis using the Wilcoxon Signed Rank test showed a significant difference between pre-test and post-test scores (p < 0.001), indicating that the health education provided was effective in improving participants' understanding. This activity has had a positive impact on improving health literacy and can serve as the basis for developing sustainable, community-based, participatory hypertension prevention programs.

Osteoporosis is a common health problem among the elderly, particularly in women, caused by decreased bone mass influenced by age, hormonal changes, lifestyle, nutritional intake, and physical activity. WHO data (2015) shows that the prevalence of osteoporosis in women increases significantly with age, and in Indonesia, the prevalence has reached an alarming level of 19.7% of the population. West Java has recorded an osteoporosis risk of 22.3% (Ministry of Health, 2015). Low calcium intake and lack of physical activity are modifiable factors that can help prevent bone density loss. This health education program aimed to increase the knowledge of Aisyiyah District Leaders in Cirebon Regency regarding osteoporosis in the elderly, its risk factors, prevention strategies, and its impact on joint health. The target participants were pre-elderly and elderly women, especially members of the Branch and District Leaders of Aisyiyah in Cirebon Regency. The method used included lectures and question-and-answer sessions supported by presentation media. Participants’ knowledge was evaluated using oral pre-tests and post-tests. The program outcomes are expected to raise awareness and understanding of the importance of consuming calcium-rich foods, getting adequate sunlight exposure, and engaging in regular physical activity as preventive measures against osteoporosis. Furthermore, this activity plays a role in reducing the incidence of osteoporosis among the elderly through continuous community-based health education.

Non-communicable diseases (NCDs), such as hypertension, diabetes mellitus, and obesity, pose significant health risks for the elderly in Indonesia, including those in Aneuk Paya Village, Lhoknga District, Aceh Besar. These conditions, if left unmanaged, can lead to severe complications, impacting the quality of life of older adults. This community service project aims to improve elderly individuals' understanding of NCDs, as well as their prevention and management, through educational initiatives carried out at the Integrated Health Post (Posbindu). The activities involved interactive counseling sessions, health assessments including blood pressure monitoring, and measurements of body weight, height, waist circumference, blood sugar, and cholesterol levels. The community service event, conducted on July 22, 2025, revealed a significant improvement in the elderly participants’ knowledge about NCDs. Notably, 83% of the participants gained a better understanding of the prevention of NCDs, while 70% reported improved knowledge regarding blood sugar and blood pressure management. Moreover, there was a noticeable increase in the number of elderly individuals attending regular Posbindu visits, which suggests a growing commitment to managing their health. Health education through Posbindu has proven to be an effective tool in raising awareness and changing health behaviors among the elderly, helping to prevent NCD complications. The project demonstrates the pivotal role of Posbindu not only in promoting NCD prevention but also in providing continuous support to the elderly in managing their health, ultimately enhancing their quality of life. This initiative highlights the importance of local health programs in addressing the growing prevalence of NCDs in elderly populations and emphasizes the need for further community-based health interventions.

Hypertension is a chronic condition characterized by blood pressure exceeding the normal range, specifically 140/90 mmHg. One of the primary contributors to hypertension is insufficient potassium intake. Studies suggest that foods rich in potassium, such as pumpkin, can help regulate blood pressure. Pumpkin is an excellent source of potassium and dietary fiber, which are beneficial in managing hypertension. This health education program aimed to provide the Cot Paya community with knowledge about how pumpkin pudding can be used as a natural remedy to lower blood pressure. The method employed in this activity included a lecture followed by a question-and-answer session, allowing for an interactive exchange of information. The intervention focused on educating families and elderly individuals about the causes of hypertension, its impact on health, and the potential benefits of incorporating pumpkin pudding into their diet. The response from the Cot Paya community was positive, with many participants showing keen interest in the topic. Several parents and elderly residents actively engaged by asking questions related to hypertension and its management. The educational session not only improved awareness about hypertension but also provided practical knowledge on using pumpkin pudding as a dietary tool for managing high blood pressure. By the end of the session, participants demonstrated a better understanding of hypertension, its prevention, and the role of potassium-rich foods like pumpkin in reducing blood pressure. The activity was well-received and laid the foundation for continued health education within the community, particularly in promoting natural dietary interventions to prevent and manage hypertension.

 Matra Health is a form of health service specifically designed to maintain and improve public health in dynamic, complex, and constantly changing environmental conditions. This service plays a very vital role, especially in facing and handling various types of disasters, both natural disasters such as earthquakes, floods, and landslides, as well as non-natural disasters such as residential fires. One form of non-natural disaster that often occurs in densely populated areas is residential fires. This is caused by various factors such as unsafe electrical installations, a lack of public awareness of the dangers of fire, and buildings that are not resistant to heat or fire. Residential fires not only cause physical damage to buildings and infrastructure, but also cause various health problems, ranging from burns, respiratory problems due to smoke exposure, to psychological trauma, especially in vulnerable groups such as children, the elderly, and pregnant women. In response to these conditions, a dimensional health intervention activity was carried out from June 23 to 26, 2025 in areas affected by the fires under the coordination of the South Sumatra Regional Crisis Center. This activity aims to reduce health risk factors that arise after the fires through a series of actions such as multi-sector health surveillance, public health education, and distribution of logistical assistance. The activity also includes conducting rapid assessments using the Rapid Health Assessment (RHA) method, providing education on fire impact prevention, and distributing supplementary food to vulnerable groups. The results of the activity showed a significant increase in public understanding of the dangers of fire and the importance of preparedness for its impacts. Furthermore, the need to strengthen cross-sectoral coordination, such as health, disaster management, and social sectors, in disaster management was identified. It is hoped that this activity can serve as a model for strengthening community-based emergency response systems.

Penyakit asam urat (gout) adalah gangguan metabolik yang sering dialami oleh lansia, yang dapat menyebabkan rasa sakit yang hebat, keterbatasan gerakan, serta penurunan kualitas hidup. Penyakit ini terjadi akibat penumpukan kristal asam urat di persendian, yang dapat menyebabkan peradangan dan nyeri yang parah. Faktor risiko utama termasuk pola makan yang kaya purin, obesitas, gangguan ginjal, serta penggunaan obat-obatan tertentu. Namun, banyak lansia yang kurang memahami penyebab, gejala, dan penanganan penyakit ini dengan baik, sehingga kondisi mereka seringkali memburuk. Untuk itu, kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan lansia dalam merawat penyakit asam urat secara mandiri. Program ini diselenggarakan melalui penyuluhan kesehatan yang interaktif, dengan materi yang mencakup etiologi penyakit asam urat, manifestasi klinis, komplikasi yang dapat ditimbulkan, serta berbagai strategi pengelolaan yang efektif. Salah satu aspek penting yang dibahas adalah modifikasi gaya hidup, yang meliputi diet rendah purin, hidrasi yang cukup, serta pentingnya aktivitas fisik. Selain itu, peserta juga diberikan pemahaman mengenai pentingnya kepatuhan terhadap terapi medis yang direkomendasikan oleh tenaga kesehatan. Metode pelaksanaan kegiatan ini meliputi ceramah yang interaktif, sesi tanya jawab, dan distribusi leaflet informatif untuk memperkuat pemahaman peserta. Kegiatan ini dilaksanakan di wilayah RW 05 Srengseng Sawah, Jagakarsa, Jakarta Selatan, yang diikuti oleh sejumlah lansia yang aktif berpartisipasi. Hasil evaluasi menunjukkan adanya peningkatan signifikan dalam pemahaman peserta tentang penyakit asam urat dan bagaimana cara merawatnya. Lansia menunjukkan antusiasme yang tinggi dan mampu mengidentifikasi langkah-langkah praktis yang dapat mereka terapkan dalam kehidupan sehari-hari untuk mengelola kondisi mereka. Melalui kegiatan ini, diharapkan lansia dapat lebih mandiri dalam mengelola asam urat, mengurangi frekuensi serangan, dan meningkatkan kualitas hidup mereka secara keseluruhan.

Successful development encompasses various aspects of community life and cannot be separated from progress in the health sector. Health is one of the key indicators in determining the quality of life of a population. Therefore, attention to health—especially for vulnerable groups such as the elderly—is of great importance. Regular health check-ups serve as a preventive measure to help the community detect illnesses early and encourage individuals to take an active role in maintaining their own health. Several types of examinations are commonly provided free of charge during community service activities, including blood pressure checks, random blood glucose tests, uric acid level tests, and cholesterol level screenings. These health checks are especially beneficial for the elderly, as they help monitor overall health conditions and enable early management of diseases to prevent further complications. In this activity, a total of 40 elderly individuals voluntarily participated in the health screening. The methods used included health education sessions and direct examinations of blood pressure, uric acid levels, and random blood glucose levels. The counseling was delivered using simple and clear language, and it included a question-and-answer session to help participants better understand the information provided. The results of the examinations showed that some of the elderly participants had high blood pressure and elevated blood glucose levels, which led to recommendations for follow-up visits to nearby healthcare facilities. Through this health screening initiative, the overall health quality of the elderly participants improved, and their awareness of the importance of early detection increased. This activity is expected to motivate the broader community to pay more attention to their health and to undergo regular health check-ups. By taking a proactive role in managing their well-being, individuals can reduce the risk of serious complications in the future and contribute to the creation of a healthier society overall.