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Allergic rhinitis (AR) is an atopic disease characterized by symptoms of nasal congestion, clear rhinorrhea, sneezing, postnasal drop, and nasal pruritis. The disease affects one in six people and is associated with significant morbidity, loss of productivity, and health care costs. Historically, AR was considered a disease process in the nasal airways only, although it is not serious, allergic rhinitis should be considered as a quite serious condition because it can affect the sufferer's quality of life due to the severity of the symptoms experienced and can also cause various complications. However, the development of integrated airway theory has classified AR as a component of the systemic allergic response, with other related conditions, such as asthma and atopic dermatitis, having an underlying systemic pathology. Even though it is not serious, allergic rhinitis should be considered as a quite serious condition because it can affect the sufferer's quality of life due to the severity of the symptoms experienced and can also cause various complications. In addition to nasal symptoms, patients with AR may also experience allergic conjunctivitis, non-productive cough, Eustachian tube dysfunction, and chronic sinusitis. Once diagnosed, AR can be treated in a variety of ways, with intranasal glucocorticoids being the first line of therapy.

Dermatitis is an inflammatory skin disease that is accompanied by itchy skin. It occurs in infants, and gets better in adolescence, but some cases can persist for a long time or even develop the disease in adulthood. In general, if you have this skin disease, you should see a skin specialist for a consultation. However, skin specialists are not always at the hospital, making it difficult for patients to arrange appointments to meet or consult. Therefore, the hospital needs to have an additional system that can help facilitate the medical team to detect the type of dermatitis disease based on symptoms (blistering skin, redness of the skin, scaly and dry skin, dark skin, blistering skin, cracked skin that is present in the disease, atopic dermatitis, contact dermatitis, seberoic dermatitis, nummular dermatitis, and intertriginous dermatitis and get handling and understanding of dermatitis disease using the certainty factor method. From the analysis carried out, the results of the diagnosis of the selected symptoms are obtained, the most accurate diagnosis is Atopic Dermatitis 98% with the treatment given, namely Corticosteroids and Antihistamines to patients.  

Pruritus, or itching, is a common symptom in seniors that has a significant impact on their quality of life. Primary skin disorders such as xerosis, atopic dermatitis, and scabies, as well as systemic diseases such as cancer, chronic renal failure, cholestasis, hyperthyroidism, diabetes mellitus, iron deficiency anemia, and certain medications, can cause this condition. Chronic pruritus, which is common in individuals over 60 years of age, can cause discomfort, sleep disturbances, and psychological stress. This activity uses the PDCA (Plan-Do-Check-Act) methodology to screen for pruritus intensity in the elderly in St. Anna. One individual (2.4%) reported mild pruritus, while 12 individuals (29.3%) reported severe pruritus. Routine assessment using the 12-PSS provides important information for managing pruritus in the elderly, meeting clinical and research needs, and improving patient care and quality of life.