Improving Health Status in The Elderly Through Health Checks and Education at Nuriah Nursing Homes in Karimun.

Background. Elderly is the final stage of development in human life. Everyone who goes through old age will experience various changes. Purpose. From the results of data collection for the elderly at the Nuriah Nursing Home, Kec.Sei Lakam, Kab. Karimun can identify the main problem in the elderly, namely the risk of declining health status of the elderly as evidenced by the existence of health problems such as CKD, high blood pressure, heart disease, rheumatism, paralysis and diabetes mellitus. Method. The method used is by conducting health checks and counseling followed by 5 elderly people. Results. The results of this activity showed that from 5 elderly people, 1 elderly had hypertension because the elderly underwent dialysis 2 times a week. 1 elderly suffers from malnutrition. 1 elderly had dementia, and one elderly experienced long bed rest. Conclusion . The conclusion is that 70% are all carried out / assisted by orphanage officers. Starting from bathing, clothes, chapters and tubs. The elderly seem to understand how to improve health status.


INTRODUCTION
Elderly is the final stage of development in human life. Everyone who passes through the elderly will experience various changes (Gabriela dkk., 2022;Kartel dkk., 2022;Qureshi dkk., 2022). The elderly are the population aged 60 years or more. The aging process is a continuous or continuous process naturally and is generally experienced by all living things (Kayingo dkk., 2021). Humans will experience a decline in both the structure and function of organs and this situation can lead to reduced adaptability to the environment (Saad, 2015). Indonesia has entered the era of aging structured population with the 76 Abdimas | Vol. 1 | No. 2 | 2023 population aged 60 years and above reaching more than 7%. This has resulted in an epidemiologic transition in the health sector such as increased morbidity due to degenerative diseases (Worsley dkk., 2020). The government's recommendation in order to prevent the onset of degenerative diseases is CERDIK, where one of the points is Routine Health Checks (Maeseneer dkk., 2021). Elderly examination activities include checking daily activities including basic activities in life, such as eating / drinking, walking, bathing, dressing, getting in and out of bed, defecating / urinating and so on (Dodd dkk., 2021). Examination of mental status related to mental emotional using the two-minute method guideline, Examination of nutritional status through weight weighing and height measurement and recorded on a body mass index chart (Dewi S dkk., 2022; Hikmah dkk., 2022; Keshav dkk., 2022), Measurement of blood pressure using a blood pressure meter.
Measurement of blood pressure using a tensimeter and stethoscope and counting the pulse for one minute (Browne dkk., 2017). Changes also occur in the cardiovascular system, characterized by anatomical changes in the heart and blood, decreased maximum pulse rate, increased blood pressure (Ruiz-hern, 2013), postural hypotension, changes in pulse recovery after physical activity, decreased amount of blood pumped in each beat and changes in cells (red blood cells, hemoglobin) (Maeseneer dkk., 2021). Elderly people experiencing optimal aging will remain active and not experience shrinkage in daily life activities (Cavioni dkk., 2020). From the results of data collection for the elderly at Nuriah Nursing Home, Sei Lakam Kec. Karimun Regency, it can be identified that the main (Jun dkk., 2022) problem in the elderly is the risk of decreasing the health status of the elderly as evidenced by health problems such as CKD, high blood pressure, heart disease, rheumatism, paralysis and diabetes mellitus (Maeseneer dkk., 2021). Based on the above problems, a forum has been formed for the elderly in terms of overcoming their health problems, namely health checks (Ruiz-hern, 2013). One of the goals of this activity is to improve or maintain the health of the elderly. To achieve this goal, it is planned to check blood pressure and blood sugar (Anoum dkk., 2022; Demina dkk., 2022; Firman dkk., 2022). Therefore, Ners Professional students will carry out health checks and education activities for the elderly at Nuriah Karimun Nursing Home in 2023.

RESEARCH METHODOLOGY
Health examination and health education activities attended by all elderly people at Nuriah Karimun Nursing Home who are able and willing to participate in the activities organized. The activity was carried out on Monday, April 17, 2023 with a total of 5 elderly respondents. The method of implementing this activity includes 4 stages, namely: 1. Identification stage This stage is the stage of situation analysis and needs analysis at Nuriah Karimun Nursing Home, this activity is attended by all elderly Nuriah Karimun Nursing Home who are able and willing to participate in health checks and health education activities. health education. Participants in this activity were accompanied by joint nursing home officers and also Awal Bros University Nursing Profession Students as facilitators.

Planning Stage
At this stage, planning is carried out by explaining to the elderly about the plan for implementing the activities to be carried out. The facilitator prepares several tools needed to support activities such as checking blood sugar levels, uric acid, cholesterol and vital signs. For health education activities, the tools needed are in the form of benner media containing educational material. 3. Implementation Stage 77 Abdimas | Vol. 1 | No. 2 | 2023 The implementation stage of this activity begins with conducting health checks on the elderly as many as 5 elderly. Health checks are carried out by checking blood sugar levels, uric acid, cholesterol, vital signs. After obtaining the results of the health examination, continued with health education which aims to improve the health status of the elderly.

Evaluation Stage
This stage is the stage of monitoring and evaluating the implementation of health checks and health education activities. Evaluation of this activity is carried out by observing during the activity. The results of the observation were that all elderly people actively participated in the activities, looked happy and the elderly seemed enthusiastic about the activities carried out because they were active a. Field studies Field studies include observation, data collection related to physical examination activities and physical activity education carried out, as well as interviews with the orphanage management regarding matters that can support this activity. b. Library Studies Literature study as a basis for obtaining good references so that this activity report can be scientifically justified.