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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.

Background: Stroke is a cardiovascular disease that is most commonly found in society, especially in Indonesia. Stroke sufferers need support from people around them, especially family, who are needed to serve sufferers so they don't lead to depression. Family support consists of information support, service support, instrumental support and emotional support so that it is hoped that the family can help the patient's needs so that the patient can lead to an independent direction. Method: This scientific paper uses a descriptive method with a quantitative approach using a measuring instrument in the form of a questionnaire. The population in this study was the elderly with stroke in the working area of ??the UPTD Kesmas I Gianyar with 36 samples. The sampling technique used in this study was purposive sampling. Results: 10 respondents or 27.8% had good family support, 14 respondents or 38.9% had sufficient family support and finally 12 respondents or 33.3% had less family support. Conclusion: Most of the respondents received family support in the adequate range and were asked to provide greater support to improve the quality of life of the elderly. It is hoped that further researchers will be able to develop research related to family support elderly people with stroke at the  UPTD  Kesmas Sukawati I districts Gianyar  

Indonesia sedang mengalami transisi menuju struktur penduduk tua (ageing population)   sebagai   dampak       peningkatan   Usia   Harapan   Hidup   (UHH). Peningkatan jumlah lansia ini diikuti dengan peningkatan ragam penyakit degeneratif, seperti hipertensi, diabetes, stroke, dan penyakit jantung koroner. Data Riskesdas tahun 2013 menunjukkan terjadi transisi epidemiologi dari penyakit menular ke peningkatan penyakit tidak menular (PTM) sehingga kaum lansia cenderung mempunyai penyakit yang multipatologis. Kementerian Kesehatan mencatat, angka sakit pada kaum lansia terhitung cukup besar, mencapai 25,05 persen pada 2014. Permasalahan meningkatnya populasi lansia memerlukan bentuk pelayanan kesehatan tersendiri salah satunya penyelenggaraan Pos Pelayanan Terpadu Lanjut Usia (posyandu lansia). Hasil pengkajian di Posyandu Lansia Sabar Narimo terdapat sekitar 100 lansia yang terdaftar di dusun Lempuyangan, namun karena  keterbatasan  kader  pelaksanaan  posyandu  hanya  sebatas  pengukuran tekanan darah dengan metode kunjungan rumah. Mayoritas kader tidak mengetahui pelayanan posyandu dengan sistem 5 meja. Beberapa lansia mengalami stroke karena   hipertensi   kronis   yang   baru   diketahui   saat   masuk   RS.   Intervensi keperawatan yang disusun untuk mengatasi masalah defisiensi kesehatan komunitas karena tingginya angka kejadian PTM pada lansia disertai kurang optimalnya program pelayanan kesehatan melalui posyandu lansia setempat adalah dilaksanakannya revitalisasi posyandu lansia sebagai upaya pengendalian PTM berbasis pemberdayaan masyarakat. Analisis fenomena tersebut menjadi latar belakang tim pengabdian masyarakat Akper Kesdam IV/Diponegoro bekerjasama dengan Puskesmas Bergas untuk melaksanakan kegiatan bertema, “Revitalisasi Kader Posyandu Lansia Sabar Narimo Sebagai Upaya Pengendalian PTM Pada Lansia Di Dusun Lempuyangan Desa Gebugan Kecamatan Bergas Kabupaten Semarang”. Hasi kegiatan terjadi peningkatan pengetahuan dan ketrampilan kader posyandu lansia dalam pelaksanaan pelayanan posyandu 5 meja.    

Difficulty swallowing is caused by impaired muscle coordination, muscular weakness of the tonus swallowing which is associated with impaired hemisphere function, nuclei of the brain nerve fibers that confer and muscles chew and swallow. The purpose of this case study is to describe the application of Shaker exercise and jelly in swallowing exercises in the stroke patients in the Hospital Sunan Kalijaga Demak. This method of research is descriptive using a case study approach. The subject in this study were two patients with stroke difficulty swallowing, patients in rehabilitation, not experiencing a loss of consciousness and a patient's vital signs of stable. Ingested ability is measured with The Royal Adelaide Prognostic Index For Dysphagic Stroke (RAPIDS). Results of the analysis showed that there was increased ability to swallow after intervention. In the subject I before the 81 scorecard intervention (low aspiration risk) experienced increased scorecard to 86 (low aspiration risk). Meanwhile, in the subject II before the intervention of Scorecard 82 (low aspiration risk) experienced a better namely 91 (low aspiration risk). This research recommends nurses can apply shaker exercise and jelly in swallowing exercises in stroke patients with difficulty swallowing