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Dementia is a collection of symptoms that occurs progressively with cognitive decline marked by change in behavior, decreased memory or remembrance, orientation, difficulty in communication and making decisions that will affect normal social and occupational activities. The decline that will occur in the elderly can cause problems such as long-term memory and information processing, the elderly will have difficulty in re-expressing incidents or events experienced. This research aimed to determine whether there is a relationship between dementia status and the dependency level of elderly in fulfillment of ADL (activity of daily living) at Tresna Werdha Social Home. The type of this research was descriptive correlational with cross sectional approach, the total sampling technique with a sample of 60 elderly in PSTW. The research instrument used a 3MS questionnaire (Modified Mini Mental State Test) and Barthel Indeks. Univariate analysis used frequency and percentage and bivariate analysis used the Chi Square test. In this research, the result obtained that respondents experienced moderate dementia with a percentage (53.3%) and most of the ADL needs of partial dependence elderly with a percentage (46.7%). There was a significant relationship between dementia and the dependency level of elderly in fulfillment of ADL (activity of daily living) at PSTW with sig. (significant) = 0.000 (P Value≤0.05). With this relationship can create better nursing services for the elderly so as not to experience a decline in cognitive function early and be able to meet their ADL needs.

Introduction: Foot care behavior is an important component in the prevention of diabetic feet, but most DM sufferees ignore this. Factors that influence the foot care behavior in people with diabetes mellitus, namely age, sex, education, knowledge, income and duration of diabetes. The purpose of this research was to determine the description of foot care behavior and the factors that influence foot care at Bayongbong Health Center. Method: This Research conducted using quantitative approach. The population in this research amounted to 35 respondents using total sampling technique. The instrument used was questionnaire which included: demographic data, health characteristics, knowledge and foot care behavior using the Nothingham Assessment of Functional Foot care (NAFF) questionnaire. Result: The result showed that most of the respondents had poor foot care behavior and almost half were in the vulnerable pre-elderly age 45-59 years with the sex of mostly women with an education level almost half elementary school, most of the income of respondents was > 1.8 M with the duration of suffering DM was mostly ≥ 3 years old and most respondents had good knowledge. Conclusion: From the result of the research, there needs to be education related to foot care that is more specific and more emphasized about the importance of good behavior in foot care, while the behaviors that need to be improved are foot hygiene, foot examination, footwear selection, prevention and management of injuries.

Hypertension will often occur in the elderly due to physiological decline and stress will trigger an increase in blood pressure if it lasts a long time it will cause persistent high blood pressure This research aims to know the correlation between stress and blood pressure in elderly with hypertension at the working area of Community Health Center of Kadungora, Garut Regency This was a correlational descriptive research which used cross sectional approach and total sampling technique with 116 elderlies who suffer from hypertension. The instrument of the research was DASS (Depression, Anxiety, and Stress Scale) which consisted of 14 questions and used digital sphygmomanometer to measure the blood pressure. The results of this study were obtained the normal category stress 32 respondens (27,6%), mild stress 45 respondents (38.8%), moderate stress 29 respondents (25.0%) and severe stress 10 respondents (8.6 %). The results of blood pressure 130-139 mmHg / 80-89 mmHg were 30 respondents (25.9%), ≥140 mmHg / ≥90 mmHgs 79 respondents (68.1%) and ≥ 180 mmHg / ≥120 mmHg as many as 7 respondents ( 6.0%) . From the analysis result, the significant value of p=0,024 which means that it significant effect and thus the H 1 can be accepted that there is a significant correlation between stress and blood pressure on hypertension elderly in the working area of Community Health Center of Kadungora, Garut Regency. Medical staffs are expected to use this research as the basic in developing health care activities for elderlies such as Integrated Development Post (posbindu) by providing socialization about information and education related with stress and blood pressure.

Background:Maintaining genital hygiene is important for females to maintain their reproductive health. Hormonal changes during puberty, vaginal moisture, anatomical location of the vagina and poor genital hygiene can increase the risk of reproductive tract infection, abnormal vaginal discharge, etc. Knowledge, infection, attitude and practice affect genital hygiene behavior amongst adolescents. Objective:This study aimed to identify elementary school students knowledge, attitude and practice towards genital hygiene at administrative area of Jatinangor health center. Method:This study used descriptive quantitative method with a population of elementary school students entering early adolescence (n=721). Samples were recruited using accidental sampling technique consisting grade VI students (n=104). Data were collected using questinnaires which had been tested. Data were analyzed using descriptive analysis. Result:Result showed that 79 respondents (76,0%) had fair knowledge, 56 respondents (53,9%) had a favorable attitude and 55 respondents (52,9%) had a poor practice. Conclusions and Suggestions: the majority of students demostrated poor behavior toward genital hygiene. Sugest for health care staff can increase the awareness of youth by providing reproductive health related information to protect and to maintain reproductive as early is possible.