Rheumatic disease has a significant impact on individuals and society. This disease also affects the economy of the individual, society and country. The highest prevalence of joint disease in Indonesia based on diagnosis by health professionals or symptoms has been identified in East Nusa Tenggara (33%), followed by West Sumatra (33%), West Java (32%), and Bali (30%). The prevalence of joint disease in Bandung City has been reported as 27%. Musculoskeletal system diseases and connective tissue problems (including rheumatism) are the second most common condition in women (69%), after vascular system disease. A rheumatic exercise is a form of physical exercise that has a good effect on increasing the ability of joint muscles, which can improve fitness and increase endurance. If the muscles are frequently trained, the synovial fluid will increase, which can reduce the risk of injury and prevent knee pain in patients with knee rheumatism. Rheumatic exercises have a direct psychological impact, namely helping to give a relaxed feeling, reduce tension, and increase feelings of pleasure because during exercise the pituitary gland increases beta-endorphin levels. Increased concentrations of beta-endorphins in the blood and parasympathetic nerves reduce heart rate and pulse, causing the pain that causes joint stiffness to decrease. The purpose of this study was to determine the effectiveness of rhematic exercise with a modified combination of citronella oil to reduce pain intensity in the pre-elderly with rheumatism in Puskesmas Garuda Kota Bandung. This was a quasi-experimental study with a two group pre- and post-test design with a control. The average pain scale value before the intervention was 5.7 and the average pain scale after the intervention in the treatment group was 1.45. The rheumatic exercise intervention with a topical combination of citronella oil was more effective in reducing the intensity of rheumatic pain in the pre-elderly who had rheumatism in Garuda City Health Center, Bandung. The results may be useful for health workers to improve their performance in helping the community. Keywords: Rheumatic exercise, pain intensity, pre-elderly

Hypertension, as the third cause of death, besides stroke and tuberculosis, amounts to 6.8 percent of the proportion of deaths at all ages in Indonesia. The prevalence of hypertension in Indonesia has reached 31.7 percent of the total adult population. Estimated, there are 76 percent of cases of hypertension in people who have not been diagnosed. Drinking enough ordinary water will help maximize the function of the body organs, in order to work optimally, so that the body metabolism will run well and normal. For smokers this amount shall be increased by half. The purpose of research was to know the effect of drinking water and other factors on the prevention of hypertension in working area Puskesmas Pasirkaliki Bandung. Design study was case control. The number of samples is 156 people, with a ratio of 1:1 (between cases and controls). Data were collected by interviewing. The bivariate analysis used chi square test, and multivariate analysis used logistic regression. The result of drinking enough ordinary water at least 6 cups a day contributes to prevent hypertension. For those who are still healthy, habit of drinking ordinary water is recommended at least 6 cups (1500 ml) per day. But for people who already have hypertension, heart and kidney diseases should be adjusted to the excretion organ.

Hypertension was one of the most serious diseases that affect many people in Indonesia in the age group of 18 years old and above. Hypertension can affect the quality of life, especially for the elderly, so the quality of life for the elderly will be disrupted and the life expectancy of elderly people will also decrease. Elderly people who have a good quality of life will have inner satisfaction, which can be judged from the physical, psychological and social aspects. This study only measured the quality of life of physical dimensions, especially blood pressure (systolic and diastolic). Improved quality of life of people with hypertension can be pursued with behavioral changes that increase blood pressure. One way can be given is the Therapeutic Lifestyle Changes (TLCs). The aim of this study was to determine the effect of the Therapeutic Lifestyle Changes (TLCs) on improving the quality of life of the elderly with hypertension in Puskesmas Pasirkaliki Bandung. This research is a quasi-experimental design with two group pre-post tests with control group. The statistical test used Wilcoxon test and Mann Whitney with a standard error of 5% or α = 0.05, because the data distribution was not normal. In the total sample, there were 52 respondents who had hypertension. Therapeutic Lifestyle Changes (TLCs) was done once a week for 4 weeks. The results prove that there is a statistically significant difference in systolic and diastolic blood pressure (quality of life) (Z = −4.415; Z = −4.208 p < 0.05). It is advisable for people with hypertension to expect to remain consistent in the Therapeutic Lifestyle Changes (TLCs) in their activity of daily life.