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"[ABSTRAKSasana Tresna Werdha (STW) merupakan salah satu pelayanan lansia yang ada di perkotaan. Permasalahn yang sering dialami pada lansia diperkotaan adalah masalah risiko jatuh, karena adanya perubahan pada sistem muskuloskeletal seiring dengan pertambahan usia dan gaya hidup. Karya ilmiah ini bertujuan untuk memaparkan hasil asuhan keperawatan yang diberikan pada salah satu lansia dengan masalah risiko jatuh di STW Budi Mulia 1 Ciracas. Penulis yang berperan sebagai perawat melakukan asuhan keperawatan dengan risiko jatuh kepada klien NH di Wisma Melati STW Budi Mulia 1 Ciracas mulai tanggal 10 Mei -12 Juni 2015. Nenek NH berumur 81 tahun, pernah mengalami jatuh 1x dalam 2 bulan terakhir, postur tubuh bungkuk, fungsi pendengaran dan penglihatan berkurang. Intervensi yang dilakukan latihan keseimbangan dan modifikasi lingkungan. Hasil dari latihan keseimbangan yang dilakukan ialah adanya peningkatan nilai skala keseimbangan Berg (BBS), yaitu dari 35 menjadi 49. Implementasi terkait risiko jatuh yang dilakukan menunjukkan hasil positif yaitu tidak terjadi jatuh selama pemberian asuhan keperawatan. Rekomendasi untuk pihak STW ialah adanya latihan keseimbangan minimal satu kali dalam seminggu dengan durasi minimal 30 menit dan adanya pengukuran MFS dan BBT tiap tiga bulan pada lansia yang berisiko jatuh serta memodifikasi lingkungan secara berkala yang aman bagi lansia sehingga risiko jatuh pada lansia dapat menurun atau meminimalkan angka kejadian jatuh.

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ABSTRACTSasana Tresna Werdha (STW) is one of the elderly services in urban areas. Permasalahn often experienced in the elderly is a problem in urban risk of falls, due to changes in the musculoskeletal system with age and lifestyle. This scientific work aims to present the results of nursing care given to one of the elderly with risk issues falling in STW Budi Mulia 1 Ciracas. Writers who act as nurses perform nursing care at risk of falling to clients NH at Wisma Budi Mulia Bed STW 1 Ciracas began on May 10 -12 June 2015. The 81-year-old grandmother NH, have experienced falling 1x in the last 2 months, stooped posture, hearing and vision is reduced. Balance training interventions and environmental modifications. Results of balance exercises done is an increase in the value of Berg balance scale (BBS), ie from 35 to 49. Implementation of associated risk of falls have shown positive results which do not occur crashed during nursing care. Recommendations for the STW is their balance exercises at least once a week with a minimum duration of 30 minutes and the MFS and BBT measurement every three months on the elderly at risk of falling as well as periodically modifying a safe environment for the elderly so that the risk of falls in the elderly can decrease or minimize the incidence of falls., Sasana Tresna Werdha STW is one of the elderly services in urban areas Permasalahn often experienced in the elderly is a problem in urban risk of falls dueto changes in the musculoskeletal system with age and lifestyle This scientific workaims to present the results of nursing care given to one of the elderly with risk issuesfalling in STW Budi Mulia 1 Ciracas Writers who act as nurses perform nursing careat risk of falling to clients NH at Wisma Budi Mulia Bed STW 1 Ciracas began onMay 10 12 June 2015 The 81 year old grandmother NH have experienced falling1x in the last 2 months stooped posture hearing and vision is reduced Balancetraining interventions and environmental modifications Results of balance exercisesdone is an increase in the value of Berg balance scale BBS ie from 35 to 49 Implementation of associated risk of falls have shown positive results which do notoccur crashed during nursing care Recommendations for the STW is their balanceexercises at least once a week with a minimum duration of 30 minutes and the MFSand BBT measurement every three months on the elderly at risk of falling as well asperiodically modifying a safe environment for the elderly so that the risk of falls inthe elderly can decrease or minimize the incidence of falls ]"

"Risiko jatuh pada lansia merupakan kejadian yang tiba-tiba dan tanpa disengaja yang sering dialami dan dapat menimbulkan cidera. Risiko jatuh dapat dihindari dengan upaya pencegahan melalui identifikasi faktor risiko, latihan kekuatan fisik, dan modifikasi lingkungan. Tujuan dari penulisan ini adalah untuk mendapatkan gambaran asuhan keperawatan lansia dengan masalah risiko jatuh di Wisma Bungur Sasana Tresna Werdha Karya Bhakti Cibubur. Metodologi penulisan karya ilmiah yang digunakan adalah analisis kasus melalui praktik langsung pada lansia dengan melakukan wawancara, observasi, diskusi dan tinjauan literatur. Hasil analisis intervensi balance exercise yang diberikan tiga kali seminggu selama lima minggu pada kakek R dengan masalah risiko jatuh menunjukan bahwa ada pengaruh latihan terhadap peningkatkan kekuatan otot dan keseimbangan tubuh kearah yang lebih baik dibandingkan sebelum dilakukan latihan. Dan untuk mendapatkan peningkatan kekuatan otot dan keseimbangan tubuh yang optimal, program latihan fisik yang diberikan perlu dilakukan secara kontinyu.

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Risk for falls in elderly was an accidental suddenly event which usually common and caused injury. Risk for falls can be avoided by prevention through the identification of risk factors, physical strength exercise, and environment modifications. This paper aimed to get an overview of nursing care in elderly with risk for falls in Sasana Tresna Werdha Karya Bhakti. Methodology which used in writing this scientific paper was through case analysis to elderly by interview, observation, discussion, and review to the literature.

Analysis result of balance exercise intervention which was given for three times a week in five weeks on Grandpa R with risk for falls showed that there were effects of exercise on muscle strength and balance improvement towards a better body than before. Physical exercise program must be done continuously to obtain an increase in muscle strength and optimal body balance."

"Perubahan yang terjadi pada sendi dan rasa nyeri merupakan faktor internal yang dapat menyebabkan hambatan mobilitas fisik pada lansia. Karya ilmiah ini bertujuan untuk memaparkan hasil asuhan keperawatan pada klien selama lima minggu. Evaluasi akhir menunjukkan gerakan fleksi-ekstensi sendi bahu sebesar 1100 (meningkat 200 dari pemeriksaan awal), edema tidak terlihat pada ekstremitas bawah, kekuatan otot meningkat pada ekstremitas atas, dan klien mengatakan bahwa badan terasa enak setelah melakukan gerakan. Hasil pemberian asuhan keperawatan menyarankan kepada petugas kesehatan untuk memberikan latihan rentang pergerakan sendi setiap hari kepada lansia yang mengalami hambatan mobilitas fisik untuk mencegah komplikasi dari imobilisasi dan meningkatkan taraf kesehatan lansia.

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Changes that occur in the joints and pain became internal factors that may cause impaired physical mobility in elderly. This paper aimed to present the result of the nursing care in five weeks. Final evaluation showed the flexion-extension motion in shoulder joint about 1100 (increased 200 from the initial examination), edema wasn't seen in lower extremity, increased of muscle strength in the upper extremities, and the client said that her body felt good after do the motion. Nursing care result has suggested to healthcare practitioners in providing "row of motion" exercise every day to the elderly who had impaired physical mobility to prevent complications of immobilization and improve the elderly health."

"Karya ilmiah ini bertujuan menganalisis asuhan keperawatan kesehatan masyarakat perkotaan pada ibu L (64 tahun) dengan masalah nyeri di wisma Cempaka Sasana Tresna Werdha Karya Bhakti Cibubur. Hasil pemberian asuhan keperawatan untuk mengatasi masalah nyeri kronis dengan menggunakan terapi non farmakologi yaitu paket massage menunjukkan adanya penurunan intensitas nyeri dari nilai 5 menjadi 2 (skala 0-10). Paket massage merupakan terapi massage yang dikombinasikan dengan teknik relaksasi nafas dalam dan kompres hangat pada otot trapesius setelah massage. Perawat dan mahasiswa keperawatan yang terlibat dalam pemberian layanan pada residen di institusi perawatan jangka panjang perlu untuk memahami dan tidak mengabaikan keluhan nyeri pada lanjut usia. Sangat disarankan untuk menggunakan penatalaksanaan nyeri yang bervariatif dan komprehensif sehingga ditemukan tekhnik yang paling sesuai untuk penatalaksanaan nyeri pada setiap residen sehingga keberhasilan dalam menurunkan keluhan nyeri pada residen semakin meningkat.

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This paper aims to analyze the urban community health nursing care on Mrs. L (64 years) with pain problem in wisma Cempaka sasana Karya Bhakti Cibubur. The outcome of nursing care is to address the problem of chronic pain by using non-pharmacological therapy, which is a massage package that shows a decrease of pain intensity score of 5 to 2 (scale 0-10). Massage package is massage therapy combined with breath relaxation therapy and warm compress on the trapezius muscle after a massage. Nurses and nursing students involved in service delivery to residents in long term care institutions need to understand and do not ignore complaints of pain in the elderly. It is advisable to use varied and comprehensive pain management to found the most suitable techniques for each resident that successful in reducing pain in residents is increasing."

"Perubahan fisik pada lansia menyebabkan terjadinya penurunan pada berbagai fungsi tubuh termasuk pada sistem muskuloskeletal yang menyebabkan penurunan kekuatan otot dan keseimbangan. Penurunan kekuatan otot ini dapat menghambat mobilitas fisik pada lansia yang menyebabkan ketergantungan kepada orang lain. Peran perawat sangat penting dalam mencegah terjadinya komplikasi akibat penurunan kekuatan otot dengan memberikan latihan pergerakan sendi (ROM). Setelah memberikan asuhan keperawatan selama tujuh minggu menunjukkan peningkatan kekuatan otot pada klien dan komplikasi dari imobilisasi dapat dicegah.

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Physical changes in the elderly cause a decrease in the various functions of the body including the musculoskeletal system that causes a decrease in muscle strength and balance. This decline in muscle strength can inhibit physical mobility in the elderly that causes dependence on others. Nurse's role is very important in preventing complications due to decreased muscle strength by providing training joint motion (ROM). After providing nursing care for seven weeks showed an increase in muscle strength in the client and preventable complications of immobilization."

"[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 ]"

"Risiko jatuh adalah masalah yang sering terjadi pada lansia, karena adanya perubahanpada sistem muskuloskeletal seiring dengan pertambahan usia. Karya ilmiah inibertujuan untuk memaparkan hasil asuhan keperawatan yang diberikan pada salahsatu lansia dengan masalah risiko jatuh di STW Karya Bhakti. Intervensi keperawatanyang dilakukan salah satunya adalah latihan keseimbangan. Evaluasi yang didapatkanbahwa lansia mengatakan kaki lebih kuat untuk berdiri dan adanya peningkatankeseimbangan tubuhnya. Saran yang diberikan untuk pencegahan jatuh agar pihakSTW memberi tanda khusus bagi lansia yang berisiko jatuh, agar semua petugasmenjadi lebih waspada untuk mengantisipasi jatuh.

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The risk of falls is a common problem in the elderly, because of changes in their musculoskeletal system with age. This paper aims to present the result of nursing carefor elderly with a risk of falling in STW Karya Bhakti. Nursing intervent ions performed one of which is the balance exercises. The evaluation found that the elderly said stronger legs to stand up and postural balance increased. Advice given tothe prevention of falls in order to identification or give the specific sign for the elderly at risk of falling, so that all the officer to be more vigilant in anticipation off all."

"Individu yang memasuki tahap akhir perkembangan akan mengalami penurunan fungsi pada sistem tubuhnya. Salah satunya merupakan perubahan sistem muskuloskeletal yang identik dengan penurunan kekuatan otot, tulang dan sendi yang dapat memengaruhi keseimbangannya. Lansia yag memiliki gangguan keseimbangan akan mengalami risiko jatuh yang lebih tinggi. Karya ilmiah ini bertujuan untuk memberikan gambaran dalam penerapan asuhan keperawatan pada lansia yang memiliki masalah resiko jatuh. Format pengkajian Burg Balance Test (BBT) dan Timed up and Go test (TUG) digunakan untuk mengukur resiko jatuh klien. Bentuk intervensi keperawatan yang dapat diberikan untuk menangani masalah resiko jatuh adalah latihan keseimbangan dengan metode square stepping exercise (SSE). Intervensi diberikan satu kali dalam sehari selama 12 hari dengan durasi 30-40 menit. Hasil yang diperoleh selama menerapkan metode latihan ini didapatkan peningkatan kecepatan berjalan sebesar 1 menit 15 detik saat dilakukan rata-rata pengukuran awal dan akhir dengan timed up and go test, serta peningkatan keseimbangan dilihat dari adanya penambahan skor Berg Balance Test sebesar 3 poin. Latihan ini direkomendasikan untuk diterapkan di nursing home sebagai aktivitas latihan rutin untuk menurunkan resiko jatuh lansia.

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Individuals who enter the final stage of development will experience a decline in function in their body systems. One of them is a change in the musculoskeletal system which is synonymous with a decrease in muscle, bone and joint strength which can affect balance. Elderly people who have balance disorders will experience a higher risk of falling. This scientific work aims to provide an overview of the application of nursing care to elderly people who have a risk of falling. The Burg Balance Test (BBT) and Timed up and Go test (TUG) assessment formats are used to measure the client's risk of falling. A form of nursing intervention that can be given to deal with the risk of falls is balance training using the square stepping exercise (SSE) method. Intervention is given once a day for 12 days with a duration of 30-40 minutes. The results obtained during applying this training method showed an increase in walking speed of 1 minute 15 seconds when the initial and final measurements were averaged using a timed up and go test, as well as an increase in balance seen from an increase in the Berg Balance Test score of 3 points. This exercise is recommended to be implemented in nursing homes as a routine exercise activity to reduce the risk of falls in the elderly."

"ABSTRAKPerubahan fisiologis merupakan hal yang terjadi pada lansia, perubahan meliputi perubahan sistem integumen. Tujuan dari karya ilmiah ini adalah menganalisis hasil praktik klinik Keperawatan Kesehatan Masyarakat Perkotaan klien dengan kerusakan integritas kulit. Praktik klinik dilakukan selama tujuh minggu di Sasana Tresna Werdha (STW) Budi Mulia 1 Ciracas. Hasil pemeriksaan fisik yang didapatkan adalah pada klien terdapat eksem, gatal-gatal (pruritus), dan kulit kering (xerosis). Klien juga mengalami penurunan kognitif. Intervensi keperawatan yang dilakukan adalah perawatan kulit dengan emollient. Intervensi dilakukan selama enam minggu, dengan total intervensi adalah 30 kali pertemuan dan teknik yang digunakan adalah dengan mengolesi vaseline di kulit sambil dilakukan massage. Hasil setelah diberikan intervensi adalah peningkatan elastisitas, hidrasi, tekstur, integritas kulit, kondisi lesi kulit, dan kemerahan dari gangguan sedang menjadi gangguan ringan. Perawat dapat melakukan pemberian perawatan kulit pada lansia sebagai upaya meningkatkan kualitas integritas kulit sehingga kualitas dan kesejahteraan lansia meningkat.

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ABSTRACTPhysiological changes are things that happen in the elderly, the changes include changes in integument system. The purpose of this paper is to analysed the result of clinical practice to the client with impaired skin integrity. Clinical practice was carried out for seven weeks in Sasana Tresna Werdha (STW) Budi Mulia 1 Ciracas. The result of physical assessment such as there are eczema, pruritus, and xerosis within client. Client also have cognitive problem. Nursing interventions was skin care with emollient. Interventions was carried out for six weeks, with total intervention was 30 times and the techniques was smearing Vaseline to the skin with a little bit massage. The result such as there are improvement to the client's skin elasticity, hydration, texture, skin integrity, skin lesions, and redness from moderate to mild. Nurses can perform skin care to the elderly as an effort to improve the quality of the skin integrity so that the quality and welfare of the elderly increases.;Physiological changes are things that happen in the elderly the changes include changes in integument system The purpose of this paper is to analysed the result of clinical practice to the client with impaired skin integrity Clinical practice was carried out for seven weeks in Sasana Tresna Werdha STW Budi Mulia 1 Ciracas The result of physical assessment such as there are eczema pruritus and xerosis within client Client also have cognitive problem Nursing interventions was skin care with emollient Interventions was carried out for six weeks with total intervention was 30 times and the techniques was smearing Vaseline to the skin with a little bit massage The result such as there are improvement to the client 39 s skin elasticity hydration texture skin integrity skin lesions and redness from moderate to mild Nurses can perform skin care to the elderly as an effort to improve the quality of the skin integrity so that the quality and welfare of the elderly increases"

"[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 ]"