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An elderly person is someone who reaches the age of > 60 years. This increase in age will result in a decrease in the ability of the body's functions, one of which is the nervous system, namely a mild, moderate decline in cognitive function and even dementia. Severe dementia will result in elderly people being unable to carry out activities so that they will experience elderly people who are not prosperous and happy. To overcome this, puzzle therapy is needed. Puzzle therapy is a game of arranging certain shapes until they become a complete image or form a certain pattern. This is to stimulate and improve the cognitive function of the brain. It is known that nursing care for elderly people with decreased cognitive function is provided by providing puzzle therapy. This case study uses a descriptive method with a nursing process approach carried out on 3 clients using a One Group Pretest Posttest puzzle therapy research design on cognitive function in the elderly. The implementation results showed that there was a change in the MMSE score after being given puzzle therapy for 5 consecutive days, namely Mrs. F from 21 to 23, Mrs. L from 22 to 24 while Mrs. E of 16 and still has a score of 16. The average MMSE score which increased after being given puzzle therapy was 2 scores. It is hoped that the results of this case study can become an application for implementing puzzle therapy to improve cognitive function in the elderly where caregivers or nursing home staff can also make puzzle therapy a routine activity that can be carried out every week at the Dharma Bhakti KM 7 Palembang Nursing Home.

Adolescence or adolescence comes from the Latin adolescere which means to grow or develop to reach maturity, where children are considered adults if they are able to reproduce. Teenagers are people aged 10-19 years, where this period is a special and important period because during this period the maturation process occurs. reproductive organs. This period is a unique transition period because physical, emotional and psychological changes occur. Adolescence is also called the transition period from childhood to adulthood where children do not want to be considered children but cannot physically be called adults. According to the World Health Organization (WHO), in 2016 globally there were 35 million people experiencing depression, 60 million people with bipolar disorder, 21 million people with schizophrenia and 47.5 million people with dementia. Depression is also a cause of death due to suicide with 850,000 cases a year. The average number of cases of depression suffered between teenagers and adults, namely in the age range 15-29 years. Data from the National Survey on Drug Use and Health in the United States, the rate of major depression in teenagers rose more than 50%, namely from 8.7% to 13.2%.

Demensia merupakan kelainan yang menyebabkan seseorang mengalami kehilangan kognitif yang meliputi daya ingat, IQ, dan aktivitas sehari-hari. Fungsi kognitif menurun akibat kerusakan morfologi dan biokimia pada saraf. Aktivitas fisik akan lebih efektif jika dipadukan dengan berbagai rangsangan lainnya. (Nur Sukma, et al, 2020). Tujuannya untuk mengetahui pengaruh Brain Gym dan Multi-Exercise (Square Stepping exsercise dan Pazzel) dalam meningkatkan fungsi kognitif pada Kondisi Demensia. Metode penelitian pra-eksperimental. Sampel yang memenuhi kriteria inklusi dan eksklusi berjumlah 15 orang. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Desain penelitiannya adalah one-group pretest-posttest. Dilaksanakan selama 4 minggu dan 3 kali pertemuan. Hasil : Uji hipotesis menggunakan uji Unpaired t test dengan nilai p=0,0017 artinya p<0,05 (lebih kecil dari 0,05) yang berarti Ha diterima dan Ho ditolak yang berarti terdapat pengaruh Brain Gym dan Multi-Exercise terhadap peningkatan kognitif pada siswa. ukuran. Kesimpulan Terdapat pengaruh pemberian Brain Gym dan Multi-Exercise dari kombinasi latihan dan terdapat peningkatan kognitif pada demensia.

An elderly person is someone who has reached the age of 60 years and over. One of the health problems that often occurs in the elderly is a decline in memory, learning and cognitive abilities in the elderly which causes them to have difficulty interacting and being difficult to understand. Conditions that affect cognitive abilities in the elderly are called dementia. Dementia is a chronic and progressive decline in memory and thinking function, causing disruption of functional activities. Nursing interventions that can be given to the elderly to improve cognitive function in the occurrence of dementia include brain gymnastics. The case study design used is descriptive research. The method used to collect data is using the Android-based MMSE (Mini Mental State Examination), namely MEFuKo (MMSE for Cognitive Function) to determine the level of dementia in the elderly. Brain exercise therapy (brain gym) is carried out for 7 consecutive days, 1 meeting per day with a duration of 15 minutes. Subject I's MMSE score before brain exercise therapy was 16 (presence of definite cognitive impairment) increased to 19 (presence of probable cognitive impairment) and there was an increase of 3 in total MMSE scores. The MMSE score in subject II before brain exercise therapy was 19 (possible cognitive impairment), after therapy the MMSE score became 23 (probable cognitive impairment) and there was an increase of 4 in total MMSE scores. The more activities you do, the less likely it is that seniors will experience a decline in cognitive function. The conclusion is that there was an increase in cognitive function in the two case study subjects which illustrate the application of brain gym therapy to cognitive function in elderly people with dementia. Brain exercise therapy is recommended to improve working memory function which can improve the quality of life of the elderly.  

Elderly people are those who have reached the age of 60 years or more who need activities to avoid experiencing dementia, the elderly have socio-psychological problems related to stress, loneliness and mental problems. So the PKM-PM team at Slamet Riyadi University, Surakarta, provided an activity to make the elderly productive through skills activities at the Widhi Asih Nursing Home, Surakarta. The methods applied in this activity include: (1) providing information related to the skills activities carried out (2) preparing the main materials and skills framework, (3) making craft skills from plastic spoons, used cardboard and flannel, (4) process final completion of skills and monitoring with the elderly. The result of the service is that seniors are able to participate in craft skills activities from start to finish with enthusiasm. Skills activities can fill the elderly's free time thereby suppressing dementia. Activities can be developed with creativity, new skills according to the abilities and desires of the elderly. This service has achieved the expected results and the sustainability of this program continues to be carried out through monitoring pattern.  

Background: The prevalence of elderly people continues to increase every year. This is directly proportional to the problems that continue to occur. One of them is a decrease in cognitive abilities which results in dementia. One of the risk factors for dementia is the level of physical activity. Decreased physical activity is believed to be one of the causes of dementia in the elderly, along with other risk factors. Objective: To determine the relationship between physical activity levels and risk factors for dementia in elderly posyandu participants in RW 03, Dinoyo Village. Research Method: This research uses descriptive analytical methods with a cross-sectional design. The method with sampling of both variables is carried out in the same time period. The total sample was 51 elderly posyandu participants in RW 03 Dinoyo Village who met the inclusion criteria. The measurement instrument uses the IPAQ-SF questionnaire to measure physical activity levels and the MMSE questionnaire to measure cognitive abilities. The correlation test used the Spearman Rho test with IBM SPSS 25. Results: Based on the Spearman Rho correlation test, the result was p = 0.339 (p > 0.05). The results showed that there was no relationship between the level of physical activity and the risk of dementia. Conclusion: There is no significant relationship between the level of physical activity and the risk of dementia in respondents. The lack of results in this study was caused by several factors, namely the limited research design and other supporting factors that were not studied.