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Introduction: Non-Hemorrhagic Stroke (NHS) or ischemic stroke is the most common type of stroke resulting from blood vessel blockage that inhibits oxygen supply to brain tissue. The prevalence of stroke in Indonesia was recorded at 10.9 cases per 1,000 population in 2013 and increased to 70 cases per 1,000 population (equivalent to 7.0%) in 2017. At RSUD dr. Soeselo, Tegal Regency, the prevalence of stroke cases was recorded at 647 people (3.74%) in 2023, 682 people (3.94%) in 2024, and 1,120 people (6.48%) in 2025. These cases frequently cause impairments in physical, emotional, cognitive, and social functioning, necessitating comprehensive care and management. Writing Method: This scientific writing used descriptive narrative methods through a nursing process approach, aiming to describe nursing care in patients with Non-Hemorrhagic Stroke. Results: Four nursing diagnoses were identified in Ny. M with Non-Hemorrhagic Stroke: ineffective cerebral perfusion risk, impaired physical mobility, knowledge deficit, and fall risk. Nursing interventions included intracranial pressure increase management, neurological monitoring, intravenous medication administration, mobilization support, health education, and fall prevention. Conclusion: After two days of nursing implementation, 2 nursing diagnoses were resolved and 2 others were partially resolved: ineffective cerebral perfusion risk via discharge planning delegated to the ward nurse, and impaired physical mobility with discharge planning including recommendations for gradual passive range of motion exercises and continued family involvement in patient care.

Intracerebral hemorrhage (ICH) is the most common type of hemorrhhagic stroke and a leading cause of death and disability in Indonesia. The prevalence of stroke in Indonesia reached 0.83% in 2023, with ICH cases at RSUD dr. Soeselo, Tegal Regency recording 203 cases in 2024 and increasing significantly to 304 cases in 2025. This study aims to describe comprehensive nursing care for a patient with Intracerebral Hemorrhage. The method used was descriptive narrative through a nursing process approach. Nursing assessment of Ny. S (73 years old) revealed subjective data including headache, nausea and vomiting, and weakness in the left hand and foot, while objective data showed blood pressure 180/80 mmHg, MAP 113.3 mmHg, muscle strength of left extremities 2/2, and CT scan results showing a hyperdense lesion (volume 17.17 cc) with perifocal edema in the right thalamus and right corona, partially filling the ventricular system. Four nursing diagnoses were established: decreased intracranial adaptive capacity related to cerebral edema, impaired physical mobility related to decreased muscle strength, knowledge deficit related to lack of information exposure, and risk of falls. Nursing interventions included intracranial pressure management, mobilization support, health education, and fall prevention. After three days of nursing implementation, three nursing diagnoses were resolved, while impaired physical mobility was partially resolved, resulting in discharge planning recommendations including ROM exercises, gradual mobilization, and family involvement in patient care.

Hypertension is a non-communicable disease with a high prevalence and is a major risk factor for serious complications such as stroke and heart disease. Low public awareness and limited capacity of health workers to provide education and early detection pose challenges in hypertension prevention efforts at the community level. The program “Capacity Building for Health Workers as an Effort to Prevent and Control Hypertension in Mandiangin Timur Village” was implemented by Field Learning Experience (PBL) Group 20 students in August 2025 in Mandiangin Timur Village, Karang Intan District, Banjar Regency. The intervention was carried out through interactive lectures, discussions, and the use of educational media in the form of posters, leaflets, and videos. The targets of the activity consisted of 17 cadres and 30 villagers. Knowledge evaluation using pre-tests and post-tests showed an increase in the average score of cadres from 95.28 to 96.46, while the community increased from 76 to 92.33. Blood pressure checks also showed that most participants were in stage 1–2 hypertension, emphasizing the need for ongoing education. This program proved effective in increasing the capacity of cadres and community knowledge about risk factors, prevention, and management of hypertension. In addition, this activity strengthened the role of cadres as agents of change in ongoing efforts to control hypertension at the village level.

Background: Stroke is a medical condition characterized by a disruption in blood flow to the brain, most commonly resulting in ischemic stroke, which accounts for 70%–85% of all stroke cases. Prolonged immobility in stroke patients increases the risk of pressure ulcers. Effective prevention strategies Include regular repositioning and meticulous skin care. Effleurage massage, when combined with Virgin Coconut Oil (VCO), enhances blood circulation and skin hydration, thereby potentially reducing the risk of impaired skin integrity. Objective: To analyze the management of a non-hemorrhagic stroke patient Through the application of Effleurage Massage therapy using Virgin Coconut Oil (VCO) to reduce the risk of skin integrity impairment. Methods: This case study involved a non-hemorrhagic stroke patient who was observed during hospital visits over a three-day period. Effleurage massage using VCO was applied twice daily—once in the morning and once at night. Skin integrity was assessed before and after the intervention using the Braden Scale Results: A decrease in the risk of skin integrity impairment was observed following the intervention, as evidenced by improved Braden Scale scores. Conclusion: Effleurage Massage using Virgin Coconut Oil may serve as an effective complementary therapy to reduce the risk of skin integrity Impairment in non-hemorrhagic stroke patients.

This Community Service Program is entitled "Health Education Services to Prevent Hypercholesterolemia in Students at the H. Nur Abdullah Al-Qur'an Memorization Islamic Boarding School." Hypercholesterolemia is a medical condition characterized by high blood cholesterol levels, which can increase the risk of heart disease and stroke. This disease can be prevented and managed with lifestyle changes and appropriate medication. The goal of this Community Service Program is to increase students' awareness and knowledge of hypercholesterolemia and provide education on effective prevention and management methods. This Community Service Program is conducted through health counseling, health checks, and education on healthy lifestyles. The target students in this study were students from the H. Nur Abdullah Al-Qur'an Memorization Islamic Boarding School. Prior to the counseling session, 50 students were given a pre-test questionnaire regarding their knowledge of hypercholesterolemia. After the counseling session, a post-test questionnaire on hypercholesterolemia was administered, which showed an increase in knowledge, as evidenced by the post-test results. Following the counseling and health examinations, the students targeted in this study, from the Nur Abdullah Al- Quran memorization Islamic boarding school, showed increased awareness and knowledge about hypercholesterolemia. Most participants also demonstrated healthier lifestyle changes, such as increasing fruit and vegetable consumption and engaging in regular physical activity. This Community Service Program (PKM) demonstrates that health education and counseling can increase the awareness and knowledge of hypercholesterolemia among the students targeted in this study, from the Nur Abdullah Al-Quran memorization Islamic boarding school. Therefore, the students targeted in this community service session, from the Nur Abdullah Al-Quran memorization Islamic boarding school, can effectively implement prev ention and management strategies to reduce the risk of heart disease and stroke.

Hypertension is a significant health issue as it serves as a major risk factor for various diseases, including heart disease, kidney failure, diabetes mellitus, and stroke. One pharmacological method that can help lower blood pressure is consuming boiled moringa leaf (Moringa oleifera) extract. This study aims to analyze the effects of consuming boiled moringa leaf extract on reducing blood pressure in individuals with hypertension in Sebauk Village, within the working area of Meskom Public Health Center, Bengkalis District. This study employed a case study method with a descriptive design. The research findings indicate that before consuming boiled moringa leaf extract, the systolic blood pressure of the respondents ranged from 145 mmHg to 165 mmHg, with an average of 152.81 mmHg. Meanwhile, the diastolic blood pressure ranged from 90 mmHg to 120 mmHg, with an average of 96.19 mmHg. After the administration of boiled moringa leaf extract, the systolic blood pressure of the respondents decreased, ranging from 130 mmHg to 160 mmHg, with an average of 138.44 mmHg. Additionally, the diastolic blood pressure dropped to a range of 80 mmHg to 100 mmHg, with an average of 85.31 mmHg. Based on these findings, it is recommended that Meskom Public Health Center educate the community about the risks of hypertension and its prevention and management, including consuming boiled moringa leaf extract as a natural alternative to help lower blood pressure.

Hypertension and diabetes mellitus are significant health issues that can lead to serious complications such as cardiovascular diseases, stroke, and kidney failure. Efforts to control these diseases are essential to improving the quality of life for communities. Based on this background, the community service team from Mitra Bunda Health Institute organized health education and screenings on Nguan Island, Batam City. This initiative aimed to provide prevention and management of hypertension and diabetes mellitus for residents of RT 001 and RT 002 of Nguan Island. The implementation methods included blood pressure and blood sugar tests, health education through visual media, and health promotion adhering to health protocols. The high level of community participation reflects a positive response to efforts aimed at preventing and managing these diseases. Evaluation results show that the activities were successfully carried out, with participants following health education sessions and screenings in an orderly manner according to the established health protocols. Collaboration among the community, cadres, neighborhood heads, and local authorities has had a positive impact on raising awareness about the importance of managing hypertension and diabetes mellitus. These activities are planned to be conducted regularly to create a healthier environment on Nguan Island. Full support from various parties is essential to ensure the sustainability of this program for the improvement of community health.

The development of time has changed the types of diseases from infectious to non-communicable or degenerative such as asthma, cancer, stroke, chronic kidney disease, diabetes, and hypertension that are influenced by lifestyle, nutrition, and physical activity. Insulin resistance or lack of pancreas triggers diabetes mellitus, causing hyperglycemia that damages the nervous system and blood vessels. International Diabetes Federation predictions show an increase in diabetes mellitus cases worldwide, including in Central Java, which ranks second only to hypertension. Diabetes mellitus can be identified through blood glucose monitoring and symptoms include hunger, thirst, and frequent urination. Risk factors for diabetes include age, genetics, obesity, inactivity, hypertension, dyslipidemia, and poor nutrition. Prevention and management of diabetes can be done through family care that involves educators, counselors, and collaborators to help families manage the disease well. This study examines the nursing care of Mr. K's family. K with endocrine system disorders Diabetes Militus in Kalibuntu Village, Losari District, Brebes Regency, with the results of the patient's lack of understanding about diabetes and rarely doing exercise.

Stroke is one of several priority health problems that is often reported by the Gemolong Community, Sragen. Strokes do not only attack the elderly, but people of productive age can experience strokes. Stroke events can be prevented by reducing risk factors for stroke, and proper management of stroke attacks can prevent morbidity and mortality. This community service activity aims to increase the knowledge and skills of Aisyiyah administrators in promoting stroke prevention and handling stroke attacks appropriately. The methods used in service activities are training and simulation which includes program outreach, providing education about stroke prevention and treatment. The output of the service, namely the participants' knowledge and skills regarding stroke prevention and treatment, increases. This can be seen from the increasing pre-test and post-test results. Likewise, regarding the cadre's skills in how to treat stroke sequelae with bed transfer and ROM, the cadre is able to demonstrate bed transfer and ROM correctly according to what has been taught.

The main goal of community education about stroke is to disaminate information in order to increase awareness of stroke including signs and symptoms, risk factors, appropriate emergency response, and effective prevention strategies. Extension activities provide an in-depth understanding of the dangers of dangerous blows and the importance of preventive measures through counseling media and seminars. This activity also seeks to provide assistance in recognizing early symptoms, treatment and management as early as possible, and education about a healthy lifestyle to reduce the risk of stroke. Thus, counseling about stroke is very important in reducing the incidence of stroke, early treatment, prevention and post-stroke rehabilitation to provide a better quality of life.

Stroke is a non-communicable disease that still has the highest death rate in the world. Even though stroke is not transmitted from one sufferer to another through contact, prevention must still be improved. Lifestyle and socioeconomics are thought to be one of the biggest factors that cause strokes. This activity aims to prevent and manage stroke by increasing knowledge in detecting signs and symptoms of stroke, preventing recurrent strokes and changing lifestyle modification behavior. Community service activity methods include health education, health checks to identify risk factors for hypertension/stroke, empowering families to recognize signs and symptoms of stroke, controlling stroke risk factors and lifestyle modification. The results of the activity showed that the majority of respondents had had one stroke (60%), the majority of families had sufficient knowledge (60%) about preventing recurrent strokes, the majority of respondents had a low risk (50%). Increased knowledge of patients and families in detecting signs of preventing stroke risk factors is targeted at changing behavior and improving healthy lifestyles to prevent recurrent strokes.