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"Insomnia adalah gangguan jumlah dan kualitas tidur yang mengganggu fungsi. Insomnia menjadi satu masalah gangguan tidur yang paling banyak dialami oleh lansia di masyarakat perkotaan saat ini. Penulisan karya ilmiah akhir ners ini bertujuan untuk melaporkan hasil analisis praktik klinik keperawatan di Sasana Tresna Werdha Budi Mulia 1 Ciracas yang dilakukan selama 7 pekan dalam mengatasi masalah insomnia pada lansia. Penulisan karya ilmiah akhir ini menggunakan studi literatur dari hasil riset terkait konsep kesehatan lingkungan urban dan intervensi keperawatan untuk mengatasi insomnia pada lansia. Hasil analisa keperawatan kesehatan masyarakat perkotaan terhadap masalah insomnia pada lansia adalah bahwa faktor ansietas dan relaksasi otot memiliki peran penting untuk meningkatkan jumlah dan kualitas tidur pada lansia. Latihan relaksasi otot progresif yang dilakukan sebanyak tiga kali dalam sepekan menjadi intervensi keperawatan yang direkomendasikan untuk mengatasi insomnia pada lansia.

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Insomnia is a disruption in amount and quality of sleep that impairs functioning. Insomnia is one of disruption of sleep which most often found in elderly today 39 s urban society. This scientific papers aimed to report the analysis the result of clinical nursing intervention for insomnia in elderly at Nursing Home Budi Mulia 1 Ciracas in 7 weeks. Process of writing this scientific paper use literature study and result of research that related to the concept of urban environmental health and nursing intervention to treat insomnia in elderly.

The results of the analysis of the urban public health nursing to the incidence of insomnia in elderly is anxiety and relaxation are important to increase amount and quality of sleep in elderly. Progressive muscle relaxation is a nursing interventions that recommended to solve the insomnia in elderly. "

"Konsep diri merupakan komponen kognitif yang mencerminkan persepsi seseorang tentang dirinya sendiri. Penelitian ini bertujuan untuk mengetahui gambaran konsep diri pada mahasiswa Universitas Indonesia yang mengalami insomnia. Penelitian ini bersifat analitik dan menggunakan desain penelitian cross-sectional. Populasi penelitian ini adalah Mahasiswa Universitas Indonesia sejumlah 30.866 dengan sampel 439 orang yang diukur menggunakan proportional sampling. Instrumen yang digunakan berupa kuesioner Multidimentional Body-Self Relation Questionnaire-Appearance Scale, Rosenberg Self Esteem, dan Personal Self Concept Questionnaire. Data yang diperoleh dianalisis menggunakan cross-tab dengan tingkat kepercayaan a=0,05. Hasil penelitian menunjukkan bahwa mahasiswa Universitas Indonesia yang mengalami insomnia sebagian besar memiliki konsep diri yang rendah. Mahasiswa diharapkan dapat memperbaiki rutinitas tidur demi mencegah insomnia dan meningkatkan persepsi terhadap diri sendiri demi meningkatkan konsep diri.

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Self-concept is a cognitive component that reflects a person's perception of himself. This study aims to determine the description of self-concept in University of Indonesia students who experience insomnia. This research is analytic and uses a cross-sectional research design. The population of this study were 30,866 University of Indonesia students with a sample of 439 people measured using proportional sampling. The instruments used were Multidimentional Body-Self Relation Questionnaire-Appearance Scale, Rosenberg Self Esteem, and Personal Self Concept Questionnaire. The data obtained were analyzed using cross-tabs with a confidence level of a=0.05. The results showed that University of Indonesia students who experience insomnia mostly have a low self-concept. Students are expected to improve their sleep routine to prevent insomnia and improve their perception of themselves to improve their self-concept."

"Konsep diri merupakan komponen kognitif yang mencerminkan persepsi seseorang tentang dirinya sendiri. Penelitian ini bertujuan untuk mengetahui gambaran konsep diri pada mahasiswa Universitas Indonesia yang mengalami insomnia. Penelitian ini bersifat analitik dan menggunakan desain penelitian cross-sectional. Populasi penelitian ini adalah Mahasiswa Universitas Indonesia sejumlah 30.866 dengan sampel 439 orang yang diukur menggunakan proportional sampling. Instrumen yang digunakan berupa kuesioner Multidimentional Body-Self Relation Questionnaire-Appearance Scale, Rosenberg Self Esteem, dan Personal Self Concept Questionnaire. Data yang diperoleh dianalisis menggunakan cross-tab dengan tingkat kepercayaan a=0,05. Hasil penelitian menunjukkan bahwa mahasiswa Universitas Indonesia yang mengalami insomnia sebagian besar memiliki konsep diri yang rendah. Mahasiswa diharapkan dapat memperbaiki rutinitas tidur demi mencegah insomnia dan meningkatkan persepsi terhadap diri sendiri demi meningkatkan konsep diri.

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Self-concept is a cognitive component that reflects a person's perception of himself. This study aims to determine the description of self-concept in University of Indonesia students who experience insomnia. This research is analytic and uses a cross-sectional research design. The population of this study were 30,866 University of Indonesia students with a sample of 439 people measured using proportional sampling. The instruments used were Multidimentional Body-Self Relation Questionnaire-Appearance Scale, Rosenberg Self Esteem, and Personal Self Concept Questionnaire. The data obtained were analyzed using cross-tabs with a confidence level of a=0.05. The results showed that University of Indonesia students who experience insomnia mostly have a low self-concept. Students are expected to improve their sleep routine to prevent insomnia and improve their perception of themselves to improve their self-concept."

"Penyakit COVID-19 telah menyebar ke seluruh dunia termasuk Indonesia. Coronavirus Disease 19 disebabkan oleh severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) yang menyerang saluran pernapasan. Banyak pasien COVID-19 yang dirawat di rumah sakit mengalami gangguan tidur yang disebabkan oleh berbagai faktor. Pemberian terapi murottal Al Qur’an menjadi salah satu intervensi keperawatan yang dapat membantu mengatasi gangguan pola tidur. Laporan kasus ini mengamati seorang pasien COVID-19 yang dirawat di ruang high care unit karena mengalami desaturasi dan membutuhkan alat aliran oksigen yang lebih tinggi, mengeluh kesulitan tidur di malam hari selama di ruangan karena adanya kecemasan ingin segera pulang, rasa nyeri, kedinginan, dan terganggu dengan kebisingan. Intervensi selama 3 hari dengan mendengarkan murottal Al Qur’an pada malam hari dilakukan sebagai alternatif intervensi selain dari terapi farmakologis. Terapi murottal mampu mengatasi gangguan tidur yang dialami pasien dimana keluhan sulit tidur berkurang dan kualitas tidur meningkat. Terapi murottal perlu diterapkan di ruang rawat rumah sakit maupun fasilitas lainnya guna meningkatkan kualitas tidur pasien.

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The COVID-19 disease has spread throughout the world, including Indonesia. Coronavirus Disease 19 is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which attacks the respiratory tract. Many hospitalized COVID-19 patients experience sleep disturbances caused by various factors. The murottal Al-Qur'an therapy is one of the nursing interventions that can help overcome sleep pattern disorders. This case report observes a COVID-19 patient treated in a high care unit because she was desaturated and needed a higher oxygen flow device. She complained of difficulty sleeping at night while in the room due to anxiety about wanting to go home, pain, cold, and being disturbed by noise. Intervention for three days by listening to murottal Al Qur'an at night was carried out as an alternative intervention apart from pharmacological therapy. Murottal therapy is able to overcome sleep disorders experienced by patients where complaints of difficulty sleeping are reduced and sleep quality is increased. Murottal therapy needs to be applied in hospital wards and other facilities to improve patient sleep quality."

"Inkontinensia urin (IU) pasca stroke merupakan salah satu gejala sisa stroke yang mempengaruhi seluruh kehidupan pasien baik fisik, psikologis, sosial, dan spiritual pasien. Penelitian ini bertujuan mengembangkan model asuhan keperawatan berbasis teori human becoming dan self-care deficit theory of nursing dan teridentifikasi pengaruhnya terhadap penurunan insomnia dan peningkatan kualitas hidup pasien IU pasca stroke. Penelitian ini terbagi atas dua tahap yaitu penelitian kualitatif (studi kasus) yang melibatkan 18 informan, kemudian dilanjutkan dengan penyusunan model dan penelitian kuantitatif (non-equivalent control group pretest-posttest design) yang melibatkan 56 responden secara consecutive sampling, yang dibagi dalam kelompok intervensi dan kelompok kontrol dengan lama intervensi 8 minggu. Penelitian tahap ini dilakukan di empat rumah sakit di Kota Kendari kemudian dilanjutkan di rumah pasien. Hasil penelitian tahap satu didapatkan lima tema dari hasil wawancara mendalam sehingga dihasilkan model pengelolaan IU pasca stroke beserta buku panduan intervensi model, modul untuk pasien dan perawat. Hasil penelitian tahap dua membuktikan bahwa model ini berpengaruh dalam menurunkan insomnia dan meningkatkan kualitas hidup dengan p value < 0,05. Kesimpulan hasil penelitian yaitu model asuhan keperawatan berbasis teori human becoming dan self-care deficit theory of nursing berpengaruh dalam menurunkan insomnia dan meningkatkan kualitas hidup pasien

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Post-stroke urinary incontinence (UI) is one of the sequelae of stroke that affects the patient's entire life (physically, psychologically, socially, and spiritually). This study aims to develop a nursing care model based on the theory of human becoming and self-care deficit theory of nursing and identify its effect on decreasing insomnia and improving quality of life. This research was divided into two stages, namely qualitative research (case study) involving 18 informants, then continued with model development and quantitative research (non-equivalent control group pretest-posttest design) involving 56 respondents by consecutive sampling. Respondents were divided into the intervention group and the control group with an intervention duration of 8 weeks. This research was conducted in four hospitals in Kota Kendari and then continued at the patient's home. The results of the first phase of the study obtained five themes from the results of in-depth interviews so that a post-stroke UI management model was produced along with a model intervention guide, modules for patients and nurses. The results of the second stage of the study proved that the post-stroke UI management model had an effect on reducing insomnia and improving quality of life with p value <0.05. The conclusion of the research is that nursing care model based on the theory of human becoming and self-care deficit theory of nursing has an effect on reducing insomnia and improving the patient's quality of life"

"[ABSTRAKPeningkatan jumlah lansia di perkotaan setiap tahunnya menimbulkan masalah kesehatan pada lansia, sehingga diperlukannya pelayanan keperawatan masyarakat akan kebutuhan lansia. Masalah yang ditemukan pada lansia yang tinggal di Sasana salah satunya adalah insomnia. Karya ilmiah ini akan membahas terkait Nenek A dengan insomnia. Praktik klinik selama 7 minggu dimana peneliti melakukan terapi non farmakologis dalam mengatasi insomnia di Sasana Tresna Werdha Budi Mulia 1 DKI Jakarta yang bertujuan menganalisis insomnia dengan intervensi back massage dan terapi musik. Pitssburgh Sleep Quality Index bernilai 11 interpretasi kualitas tidur buruk. Intervensi yang diberikan dalam waktu 4 minggu dengan back massage dan musik terapi selama ± 45 menit seminggu 2 kali pertemuan saat memberikan massage dan musik terapi didukung menciptakan suasana yang kondusif dan menjaga privasi, penggunaan baby oil untuk massage, dan tehnik massage yang tidak terlalu kuat serta memperhatikan kondisi kulit lansia, serta handscoons sebagai pelindung diri merupakan hal yang mendukung dalam pelaksanaan. Hasil dari intervensi back massage dan musik terapi yang mampu menginisiasi tidur pada klien dan PSQI menurun bernilai 7. Perawat STW diharapkan kedepannya dapat memberikan intervensi pada lansia yang insomnia sehingga dapat meningkatkan kemampuan perawat dalam memberikan terapi secara non farmakologi.

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ABSTRACTAn increase of geriatric in urban areas will be cause health problems in the geriatric, so the urband areas need public health nursing. Problems were founded in the geriatric who live in Sasana one of which is insomnia . Related scientific papers will discuss about Nenek A with insomnia. Clinical practice for 7 weeks in which researchers performed non pharmacological therapies in treating insomnia in Sasana Tresna Werdha 1 Budi Mulia Jakarta that aims to analyze the intervention of insomnia with a back massage and music therapy. Pitssburgh Sleep Quality Index (PSQI) score 11 interpretation poor sleep quality. Intervention is given within 4 weeks with a back massage and music therapy for ± 45 minutes a week 2 meetings while giving massage and music therapy supported creating a conducive atmosphere and maintain privacy, the use of baby oil to massage, and massage techniques that are not too strong and attention elderly skin conditions, as well as personal protective handscoons is supporting the implementation. Results of the intervention back massage and music therapy capable can initiating sleep to client and PSQI after intervention score 7. Nurses STW decline is expected in the future be able to provide intervention in elderly insomnia that can improve the ability of nurses in providing non-pharmacological therapy.;An increase of geriatric in urban areas will be cause health problems in the geriatric so the urband areas need public health nursing Problems were founded in the geriatric who live in Sasana one of which is insomnia Related scientific papers will discuss about Nenek A with insomnia Clinical practice for 7 weeks in which researchers performed non pharmacological therapies in treating insomnia in Sasana Tresna Werdha 1 Budi Mulia Jakarta that aims to analyze the intervention of insomnia with a back massage and music therapy Pitssburgh Sleep Quality Index PSQI score 11 interpretation poor sleep quality Intervention is given within 4 weeks with a back massage and music therapy for 45 minutes a week 2 meetings while giving massage and music therapy supported creating a conducive atmosphere and maintain privacy the use of baby oil to massage and massage techniques that are not too strong and attention elderly skin conditions as well as personal protective handscoons is supporting the implementation Results of the intervention back massage and music therapy capable can initiating sleep to client and PSQI after intervention score 7 Nurses STW decline is expected in the future be able to provide intervention in elderly insomnia that can improve the ability of nurses in providing non pharmacological therapy , An increase of geriatric in urban areas will be cause health problems in the geriatric so the urband areas need public health nursing Problems were founded in the geriatric who live in Sasana one of which is insomnia Related scientific papers will discuss about Nenek A with insomnia Clinical practice for 7 weeks in which researchers performed non pharmacological therapies in treating insomnia in Sasana Tresna Werdha 1 Budi Mulia Jakarta that aims to analyze the intervention of insomnia with a back massage and music therapy Pitssburgh Sleep Quality Index PSQI score 11 interpretation poor sleep quality Intervention is given within 4 weeks with a back massage and music therapy for 45 minutes a week 2 meetings while giving massage and music therapy supported creating a conducive atmosphere and maintain privacy the use of baby oil to massage and massage techniques that are not too strong and attention elderly skin conditions as well as personal protective handscoons is supporting the implementation Results of the intervention back massage and music therapy capable can initiating sleep to client and PSQI after intervention score 7 Nurses STW decline is expected in the future be able to provide intervention in elderly insomnia that can improve the ability of nurses in providing non pharmacological therapy ]"

"Lansia perkotaan rentan mengalami insomnia akibat proses penuaan dan stessor yang tinggi di perkotaan. Tujuan studi kasus iniuntuk menganalisis hasil praktik klinik dengan melakukan intervensi relaksasi otot progresif pada empat lansia yang mengalamiinsomnia. Pengkajian kualitas tidur menggunakan ESS dan PSQI didapatkan skor 12 dan 8. Relaksasi otot progresifdilakukan tiga kali sehari dengan pendampingan perawat satu kali dan dua kali relaksasi otot progresif dilakukan secara mandiri. Hasil intervensi relaksasi otot progresif kepada klien dengan insomnia selama 5 minggu yaitu skor ESS dan PSQI turun menjadi 7 dan 3, klien mudah memulai dan mempertahankan tidur. Perawat diharapkan melakukan pendampingan relaksasi otot progresif minimal satu kali perhari untuk meningkatkan kualitas tidur pada lansia di Sasana Tresna Werdha.

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Elderly who live in urban is susceptible to insomnia due to aging and stessor highin urban areas. The purpose ofthis case study to analyze the results of clinical practice with progressive muscle relaxation intervention for elderly who have insomnia. Assessment of quality of sleep obtained using ESS and PSQI score of 12 and 8. The progressive muscle relaxationis done three times a day with the assistance of a nurse one time and two times progressive muscle relaxation done independently.

Results of progressive muscle relaxation interventions to clients with insomnia for 5 weeks is ESS and PSQI score dropped to 7 and 3, the client initiating and maintaining sleep. Nurses are expected to provide guidance progressive muscle relaxation at least one time per day to improve sleep quality in the elderly in Sasana Tresna Werdha."

"Jumlah masyarakat perkotaan semakin lama semakin meningkat akibat arus urbanisasi. Tinggal di perkotaan berdampak terhadap peningkatan level stress dan fungsi aktivitas. Daerah perkotaan memiliki jumlah pengangguran dan gelandangan yang tinggi, termasuk didalamnya lansia. Lansia mengalami penurunan dalam kemampuan fisik dan aktivitas sehingga membutuhkan tempat penanmpungan untuk membantu memenuhi kebutuhan mereka yakni panti sosial. Lansia yang tinggal di panti tidak lepas dari masalah-masalah kesehatan, salah satunya adalah insomnia. Insomnia adalah masalah yang sering terjadi pada lansia yang dapat menurunkan kualitas hidup lansia sehingga harus diselesaikan. Karya ilmiah ini bertujuan untuk menganalisis intervensi dalam mengatasi insomnia, yakni dengan sleep hygiene, relaksasi otot progresif, peningkatan aktivitas, dan pemberian massase. Hasil dari analisis terhadap seorang lansia menemukan bahwa serangkaian intervensi tersebut dapat mengatasasi masalah insomnia pada lansia.

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Urban populations keep increasing by time because of urbanization. Living in urban area effects increasing of sress level and activities. Urban slum and jobless/homeless are developing at a rapid rate including elders. Elders that living in nursing home are in risk of health problems, one of the problem is insomnia. Insomnia is a common problem in elders that may decrease quality of life, therefore this problem have to be solved. This writing aim to analize the interventions that can be used to reduce or solve insomnia, they are sleep hygiene progressive muscle relaxation, increasing activities, and back massage. The result by analizing the interventions in one elder found that the interventions can solve insomnia problem in elder."

"Masalah jatuh pada lansia merupakan masalah fisik yang sering dialami lansia akibat proses penuaan Jatuh adalah suatu peristiwa yang dilaporkan penderita atau saksi mata yang melihatnya mengakibatkan seseorang menjadi terduduk atau terbaring tanpa sengaja di lantai atau tempat yang lebih rendah dengan atau tanpa kehilangan kesadaran Risiko jatuh dapat dihindari dengan upaya pencegahan melalui identifikasi faktor risiko latihan kekuatan fisik dan modifikasi lingkungan Karya ilmiah bertujuan memaparkan hasil asuhan keperawatan pada residen dengan masalah risiko jatuh di STW Budi Mulya 1 Ciracas Salah satu intervesi untuk masalah risiko jatuh yaitu latihan keseimbangan yang dilakukan tiga kali seminggu selama lima minggu Hasil evaluasi yang didapat peningkatan kekuatan otot ekstemitas bawah meningkat dari 4444 menjadi 4455 skor MFS Morse Fall Scale menurun dari 55 menjadi 25 dan skor BBT Berg Balance Test meningkat dari 40 menjadi 50 Saran diharapkan pihak STW melakukan pencegahan risiko jatuh pada lansia dengan memberikan latihan keseimbangan melalui kegiatan senam secara rutin modifikasi lingkungan da penilaian secara rutin MFS dan BBT setiap tiga bulan

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The incidence of falling in elderly is caused by ageing process Fall is often reported by witnesses causing individual falling powerlessness on floor or lower ground without losing consciousness Risk for fall can be avoided by identifying the risks balance exercise and environmental modification This paper aims to describe the result of nursing care towards the residents with risk for fall three times a week for five weeks The result showed that there are higher muscle strength found from 4444 to 4455 and the lowered score of MFS from 55 to 25 as well as the higher score of Berg Balance Test BBT from 40 to 59 The recommendation given to STW is that to keep committing balance exercise as a routine and modify environment around as well as evaluate MFS and BBT every three months "

"[ABSTRAK Lansia yang tinggal di perkotaan lebih banyak dibandingkan lansia yang tinggal di pedesaan Peningkatan usia harapan hidup dan peningkatan jumlah lansia yang tinggal di perkotaan memicu timbulnya masalah kesehatan perkotaan khususnya populasi yang rentan yaitu lansia Karya ilmiah ini bertujuan untuk menganalisis hasil praktik klinik pada nenek K 73 tahun dengan masalah malnutrisi menggunakan intervensi oral hygiene Praktik klinik dilakukan di STW 1 Ciracas selama tujuh minggu dengan melakukan intervensi oral hygiene pada 4 lansia dengan malnutrisi Hasil pengkajian status nutrisi pada klien kelolaan menggunakan MNA didapatkan hasil 14 5 dan pengukuran tinggi badan 154 cm dan berat badan 30 kg hasil penilaian IMT 12 65 yang berarti mengalami malnutrisi Intervensi oral hygiene yang dilakukan dengan memfasilitasi klien untuk menggosok gigi menggunakan sikat dan pasta gigi dengan gerakan vertikal secara lembut dan menggunakan obat kumur selama dua kali sehari Hasil intervensi keperawatan dengan melakukan oral hygiene kepada klien yang malnutrisi selama lima minggu yaitu tidak tercium bau mulut mukosa mulut lembab saliva bertambah peningkatan selera makan dan peningkatan berat badan 1 kg Care giver diharapkan melakukan oral hygiene dua kali sehari untuk meningkatkan status nutrisi pada lansia di sasana Kata kunci lansia oral hygiene malnutrisi STW ABSTRACT Elderly who live in more urban areas compared to the elderly who live in rural areas Increased life expectancy and the increasing number of elderly people living in urban areas lead to urban health problems particularly vulnerable population that is elderly This scientific work aimed to analyze the results of clinical practice in Nenek K 73 years old with problems of malnutrition using oral hygiene interventions Clinical practice carried out in STW 1 Ciracas for seven weeks with oral hygiene interventions in four elderly people with malnutrition Results of the assessment of nutritional status on the managed client using the MNA showed 14 5 and height measurement 154 cm and weight 30 kg assessment 12 65 IMT meaning malnourished Oral hygiene interventions undertaken by facilitating clients to brush their teeth using a toothbrush and toothpaste with vertical movement gently and use a mouthwash for two times a day The results of nursing interventions by performing oral hygiene to clients who are malnourished during the five weeks that do not smell bad breath oral mucosa moist saliva increased increased appetite and weight gain of 1 kg Care giver is expected to perform twice daily oral hygiene to improve the nutritional status of the elderly in the Sasana Key words elderly oral hygiene malnutrition STW ;Elderly who live in more urban areas compared to the elderly who live in rural areas Increased life expectancy and the increasing number of elderly people living in urban areas lead to urban health problems particularly vulnerable population that is elderly This scientific work aimed to analyze the results of clinical practice in Nenek K 73 years old with problems of malnutrition using oral hygiene interventions Clinical practice carried out in STW 1 Ciracas for seven weeks with oral hygiene interventions in four elderly people with malnutrition Results of the assessment of nutritional status on the managed client using the MNA showed 14 5 and height measurement 154 cm and weight 30 kg assessment 12 65 IMT meaning malnourished Oral hygiene interventions undertaken by facilitating clients to brush their teeth using a toothbrush and toothpaste with vertical movement gently and use a mouthwash for two times a day The results of nursing interventions by performing oral hygiene to clients who are malnourished during the five weeks that do not smell bad breath oral mucosa moist saliva increased increased appetite and weight gain of 1 kg Care giver is expected to perform twice daily oral hygiene to improve the nutritional status of the elderly in the Sasana Key words elderly oral hygiene malnutrition STW , Elderly who live in more urban areas compared to the elderly who live in rural areas Increased life expectancy and the increasing number of elderly people living in urban areas lead to urban health problems particularly vulnerable population that is elderly This scientific work aimed to analyze the results of clinical practice in Nenek K 73 years old with problems of malnutrition using oral hygiene interventions Clinical practice carried out in STW 1 Ciracas for seven weeks with oral hygiene interventions in four elderly people with malnutrition Results of the assessment of nutritional status on the managed client using the MNA showed 14 5 and height measurement 154 cm and weight 30 kg assessment 12 65 IMT meaning malnourished Oral hygiene interventions undertaken by facilitating clients to brush their teeth using a toothbrush and toothpaste with vertical movement gently and use a mouthwash for two times a day The results of nursing interventions by performing oral hygiene to clients who are malnourished during the five weeks that do not smell bad breath oral mucosa moist saliva increased increased appetite and weight gain of 1 kg Care giver is expected to perform twice daily oral hygiene to improve the nutritional status of the elderly in the Sasana Key words elderly oral hygiene malnutrition STW ]"