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The elderly are a vulnerable group to experience decreased physical and cognitive function, such as hypertension and dementia, which can affect their quality of life. The Activity Therapy Program aims to improve the well-being of the elderly through laughter therapy, listening to music, and playing guess the word. The method used is group dynamics, which involves fun activities to stimulate the cognitive and social of the elderly. This activity is expected to increase social interaction, sensory stimulation, and improve the cognitive function of the elderly. The implementation of therapy was carried out involving 60 elderly people, with stages that included orientation, work, and termination. Evaluations showed that 60% of participants actively participated in laughter and guess therapy, as well as being able to express their feelings. This program has shown success in improving the quality of life of the elderly by encouraging them to be more active and social. In conclusion, TAK can be an effective solution to improve the quality of life of the elderly through physical and cognitive stimulation. It is recommended that this program be carried out regularly to maintain the memory and social health of the elderly.

Dementia is a progressive neurocognitive disorder often accompanied by behavioral and psychological symptoms such as agitation, anxiety, and depression. Pharmacological treatments provide only modest benefits while introducing significant risks, which highlights the need for safer, non-pharmacological alternatives. This literature review examines the role of virtual reality in dementia care, with a focus on its integration with therapies such as music, reminiscence, sensory stimulation, and cognitive training. Evidence from prior research suggests that virtual reality can enhance cognitive functions, reduce symptoms, and improve emotional well-being while also strengthening patient–caregiver interaction. However, challenges related to usability, accessibility, cost, and long-term effectiveness continue to limit adoption. Gaps in research, including limited cultural diversity, inconsistent reporting of intervention design, and a lack of large-scale longitudinal trials, emphasize the need for future work exploring cross-cultural feasibility and AI-driven personalization. Overall, virtual reality represents a promising and evolving non-pharmacological intervention that has the potential to transform dementia care by improving quality of life and reducing reliance on medication.

Individuals over the age of 60 are vulnerable to a decline in body functions, including nervous system functions that can lead to cognitive impairment and dementia. This condition can cause the elderly to be unable to perform activities, thereby impacting their well-being and happiness. One effort to overcome this is through crossword puzzle therapy to stimulate and improve cognitive function. To implement research-based nursing actions for the elderly with decreased cognitive function. The design used in this final nursing thesis is a case study with an intervention involving crossword puzzle therapy. The number of respondents was four, with the intervention conducted over one week at a frequency of twice daily, starting from June 22–28, 2025, and continuing from June 28–July 5, 2025, at the Dharma Bhakti Elderly Care Home KM 7 Palembang. After undergoing crossword puzzle therapy for one consecutive week, the four elderly participants showed changes in their MMSE scores at the final meeting: Mrs. L from 20 to 22, Mrs. M from 18 to 20, Mrs. A from 21 to 22, and Mrs. N from 22 to 23. Here was an improvement in cognitive function before and after crossword puzzle therapy was administered to the four participants. The application of this EBP is expected to add information about the provision of crossword puzzle therapy in the elderly with cognitive decline.

When someone enters old age, symptoms such as senility or difficulty remembering new information often appear. This condition is known as dementia, a syndrome characterized by decreased cognitive function, behavioral changes, memory impairment, disorientation, and difficulty communicating and making decisions. This community service program aims to provide information and understanding about how to handle dementia that can be done at home. Activities are carried out through a counseling method consisting of a pre-test, education, and post-test, using leaflets and questionnaires containing questions to measure the level of understanding of participants. The results of the counseling showed an increase in participant knowledge, as seen from the comparison of the graph between the pre-test and post-test results. Education accompanied by brain gymnastics practices has been shown to have a positive impact on increasing participants' understanding of dementia and how to handle it. It is hoped that this counseling will continue to provide benefits to participants and can be applied in everyday life.

Neurocognitive disorders, particularly dementia, affect various cognitive functions such as memory, attention, language, learning, and problem-solving, with the elderly population being the most impacted. The prevalence of dementia is projected to rise to 131 million cases by 2050, posing significant social and economic implications. This study employed a cross-sectional method to evaluate the role of Apolipoprotein A (APOA) and Apolipoprotein B (APOB) in the diagnosis and prevention of dementia in older adults. The results showed that Apolipoprotein A was not significantly correlated with MMSE scores, indicating no clear relationship between APOA and cognitive function. In contrast, Apolipoprotein B demonstrated a significant negative correlation with MMSE, suggesting that increased APOB levels are associated with cognitive decline. Elevated ApoB, linked to increased LDL and oxidative stress, correlated with reduced cognitive function, whereas ApoA, the main component of HDL, is associated with neuroprotective effects. These findings underscore the importance of monitoring lipid profiles, including ApoA and ApoB, in the prevention and management of dementia in the elderly.    

Hospital information systems are technologies used in hospital information management. Dr. Cipto Mangunkusumo Hospital has kept up with technological developments by using HIS which is used to simplify the service process in the medical record unit from incoming patients to outpatients. The purpose of this study is to find out the overview based on the Technology Acceptance Model (TAM) dementia, which is an information system theory of how users can accept and utilize technology. The RME evaluation considers five perceptions, namely perceived ease of use, perceived usefulness, attitude toward using, behavioral intention, and actual technology use. The method of this study is quantitative description research and the object of this study is 96 Hospital Information System (HIS) respondents. The results of this study show that as many as (61.5%) respondents who received HIS and (38.5%) who have not received HIS with details of the perceived ease of use HIS obtained (75%), perceived usefulnesss (70.8%), Attitude toward using was obtained (79.2%), behavioral intention was obtained (62.5%) and in terms of Actual Technology Use as many as 70.8% used every day with a duration of 3 hours per day. It can be concluded that the perception of HIS users has gone well and provided benefits for officers including increased productivity in doing work, but there are still several shortcomings so that there is a need for monitoring and socialization of users who are still not skilled in using HIS and developing HIS features that are more responsive to the needs of health workers and improving technological infrastructure so that HIS can run more easily.

The Lydia Elderly Home in Tomohon City, operating under the Kasih Agape Family Foundation, serves as a sanctuary for seniors facing a myriad of health challenges, including hypertension and Alzheimer's dementia. The serene and temperate environmental conditions present a conducive backdrop for health interventions. This study aims to assess the effectiveness of group activity therapy through elderly exercise in managing blood pressure and enhancing the quality of life for seniors afflicted with Alzheimer's dementia.A situational analysis and policy identification were conducted to design an appropriate intervention program. Preliminary findings indicate that an elderly individual with a history of hypertension exhibited a reduction in blood pressure following participation in elderly exercise. Additionally, there were signs of improved psychosocial well-being and a decrease in dementia symptoms among other participants.Conclusion: Elderly exercise as a group activity therapy demonstrates significant potential in managing blood pressure and improving the psychosocial well-being of the elderly at the Lydia Elderly Home. This program offers a holistic approach that supports the physical and mental health of the elderly, which is crucial for integration into the home's daily regimen.

Impaired cognitive function is still a serious health problem that can cause psychological and socio-economic impacts in the form of social isolation and financial difficulties, delayed mobility, and worsening of other symptoms as well as reducing quality of life. As a basis for elderly health services, it is hoped that healthy elderly people will remain healthy. by optimizing physical, mental, cognitive and spiritual functions, through promotive and preventive efforts, including elderly empowerment activities. This counseling aims to assess cognitive function using the Mini Mental State Examination (MMSE) in the elderly at Posyandu for the elderly RW 8 Tanjung Rejo, Malang City. The method given is an examination using the Mini Mental State Examination (MMSE) questionnaire. The counseling process went smoothly. The results of the examination showed that the majority of elderly people had normal cognitive conditions. A good lifestyle can reduce the risk of dementia.

Dementia is a growing global health challenge due to the aging population and lifestyle changes. Early and accurate diagnosis is crucial but often difficult and costly. The Case-Based Reasoning (CBR) method in artificial intelligence offers a solution by mimicking human problem-solving based on past experiences. This study aims to develop and implement an efficient and reliable CBR-based dementia diagnosis system. The system is expected to analyze and compare patient symptoms and medical histories with documented cases to provide faster and more accurate diagnostic recommendations. The implementation of CBR in a web-based expert system using PHP and MySQL has proven effective, significantly contributing to the improvement of patient quality of life and healthcare system effectiveness.

The definition of Health is a complete physical and mental condition, free of disease or disability. Feelings of uselessness, sadness, insomnia, stress, depression, anxiety, delirium, and dementia are signs of psychological regression in the elderly. Health care for depressed parents with dementia requires non-pharmacological care. Objective: This research analyzes the effects of reminiscence therapy, Brain Gym, and music therapy to relieve elderly people suffering from dementia and depression. This literature review research took the published articles from 2014 to 2024 on Google Scholar and Pubmed. The researchers collected relevant data or sources based on the keywords. The results found both in Indonesia and Japan, non-pharmacological care interventions like reminiscence therapy had a significant impact. However, the Brain Gym intervention group and music therapy performed in Japan had no significant impact on relieving depression or improving the cognitive function of dementia patients. Conclusion: Reminiscence therapy succeeded in relieving cognitive function in parents suffering from dementia in Indonesia and Japan. Therefore, reminiscence therapy is suggested to be applied in Japan.

Hallucinations are a mental disorder in which clients experience disturbances in perception, sensory, taste, touch, sight or smell. Auditory hallucinations are where clients hear voices commanding and calling them to carry out activities in the form of two or more voices commenting on a person's behavior or thoughts. (Abdurakhman & Maulana, 2022). According to WHO (World Health Organization, 2020) there are 300 million people worldwide experiencing mental disorders such as depression, bipolar disorder, dementia, including 24 million people experiencing schizophrenia. Schizophrenia is one of the 15 major causes worldwide. APA data (American Psychiatric Association, 2020) states that 1% of the world's population suffers from schizophrenia. (Dwijayanti, 2022). In this study, the way to see the increase in the ability to control hallucinations is by using the AHRS scale which is used to measure auditory hallucination scores. To determine the results of applying dhikr psychoreligious therapy to patients with auditory hallucination disorders. Applying dhikr psychotherapy therapy using a descriptive case study method for 2 respondents for 2 years. consecutive days. The instrument used was the Auditory Hallucinations Rating Scale. Results: Based on the results of applying psychoreligious dhikr therapy to 2 respondents, there was a decrease in the symptoms of auditory hallucinations in patients. Psychoreligious dhikr therapy can be used as an implementation of independent nursing to control and overcome the emergence of hallucinations.

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%.

Mental health problems that are still of concern to mental health practitioners in Indonesia are serious mental disorders, one of the serious mental disorders that we often encounter and treat is schizophrenia (Mashudi, 2021). According to the World Health Organization (WHO, 2022) there are 300 million people worldwide experiencing mental disorders such as depression, bipolar disorder, dementia, including 24 million people who experience schizophrenia. And one of the most common things found in schizophrenia is the risk of violent behavior. Violent behavior is a response to anger that is expressed by making threats, injuring other people and destroying the environment. To reduce the symptoms of violent behavior, appropriate treatment is needed. One of them is carrying out an implementation strategy. People with mental disorders in Sikka Regency, East Nusa Tenggara, especially in the Kopeta Community Health Center working area, also need nursing actions such as implementation strategies to speed up the healing process and clients can become independent. For this reason, research was carried out by implementing an implementation strategy as the main intervention, because so far only treatment and home visits were carried out but not routinely.

Dementia or senility is an aging process so it is considered a normal thing and if dementia is not prevented or treated it will have an impact such as a decrease in cognitive function. Cognitive function is mental and intellectual abilities and memory. Cognitive function ability was measured using the MMSE (Mini Mental State Examination) questionnaire which consisted of 11 questions. Efforts to improve cognitive function one of them with classical music therapy. This case study aims to describe the application of classical music therapy to improve cognitive function in the elderly at the Sekaran Health Center in Semarang. This case study uses a type of case study with a descriptive approach. The subjects of this case study used 2 people with inclusion criteria: age between 60-74 years, able to communicate well, elderly with mild dementia (MMSE score 24-30) and moderate (probable) MMSE score 17-23, elderly who are cooperative and can read and write, the elderly who are not hearing impaired. This case study was conducted 4 meetings over 2 weeks. The results of this case study showed an increase in cognitive function felt by both subjects. Subject I from a score of 22 (probable cognitive disorder) to 28 (normal). Subject II from a score of 19 (probable cognitive disorder) to 25 (normal). Classical music therapy in conclusion can improve the cognitive function of elderly people with dementia and is recommended as an effective therapy application in improving cognitive function.

This research aims to analyze the role of cadres in caring for elderly people with dementia in Deliksari Village, Gunungpati. Cadres are individuals who are specially trained to provide health and social support in their communities. In this context, they have a responsibility to help families and elderly people experiencing dementia through various programs and activities focused on improving quality of life and preventing further cognitive decline. This study uses a qualitative approach with observation methods, in-depth interviews and document analysis to obtain relevant data. The research results show that cadres play an important role in providing health information, care training, and emotional support to families and the elderly. They also act as a link between the community and formal health services, assisting in the early detection and more effective management of dementia

Katherine Kolcaba originally wrote comfort theory in Alzheimer's and dementia patients. However, Katherine herself has written several articles in the nursing field regarding her theory. When Kolcaba developed his theory, he used logical reasoning. He uses induction, deduction, subtraction. Kolcaba uses existing frameworks to synthesize or identify comfort types. This book has a provocative and profound effect, encouraging psychologists to study personality holistically and in depth and emphasizing the complex interactions between individual, social, and cultural characteristics. This is an excellent starting point for this theory because comfort is best achieved through holistic treatment. He also begins with the analytical concept of the term "comfort". Katherine Kolcaba collects definitions of “comfort” from various scientific disciplines. In comfort theory, the metaparadigm proposition of nursing action is used.

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.

STIKES Kesdam IV/Diponegoro as one of the health universities has great potential in the form of human resources (HR) to play a role in the development of the target area in the health sector. The results of an interview with the Head of the Sekaran Community Health Center revealed that of the 5 sub-districts managed by the Sekaran Community Health Center, Sukorejo Sub-District is an area that has complex health problems. Health problems related to the elderly need attention that is no less important. The health of the elderly under the management of the elderly posyandu in the Sukerejo Deliksari sub-district area has been going well. It's just that this area related to handling the cognitive health problems of the elderly still needs more attention. One of the cognitive function disorders in the elderly is dementia. There is no health care related to dementia in this area, this is because elderly posyandu cadres consider the problem of dementia or senile dementia to be natural and normal for the elderly. So promotive and preventive efforts are needed by holding community service related to cadre training in early detection of elderly people with dementia health problems.

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.