Background: Geriatric patients are elderly people who have various diseases and or problems as a result of diminished organ, psychological, social, economic, and environmental functioning and who require integrated health treatments from a multidisciplinary team. Uncontrolled hypertension can lead to complications such as stroke, CHD, and kidney failure. The more incidence of complications, causing the geriatrics to get more drugs (polypharmacy). Polypharmacy is one of the risk factors for the occurrence of Potentially Inappropriate Medication (PIMs) that often occurs in geriatric patients. The 2019 Beers Criteria is one of the clear criteria that can be used to determine the prevalence of PIMs in geriatric individuals. Objectives: The objective of this study was to see if there was a correlation between the number of drugs administered to hypertensive geriatric outpatients at Dr. Soedomo General Hospital in Trenggalek and the incidence of PIMs. This study employed an observational study with an analytical approach and retrospective. This study included a sample of 85 prescriptions for outpatient geriatric hypertension outpatient at Dr. Soedomo General Hospital in the period October - December 2020 taken using the purposive sampling technique. Data were analyzed using the C contingency coefficient correlation test. Results: 67,1% of prescriptions contained ≥ 5 kinds of drugs and 32,9% of prescriptions contained < 5 kinds of drugs. Based on the incidence of PIMs, there were 97.6% of prescriptions for PIMs and 2.4% of prescriptions without PIMs. The C contingency coefficient correlation test shows the correlation coefficient (r) of 0.216 with a positive direction and p-value = 0.041. Conclusions: The number of drugs has a significant correlation and can cause the incidence of PIMs in geriatric patients with weak correlation strength. Collaboration between pharmacists and doctors is needed to provide the best therapy to patients, to maximize the role of pharmacists in monitoring drug use in geriatric patients at Dr. Soedomo Hospital in Trenggalek.

Menjadi tua, ditandai oleh kemunduran biologi yang terlihat sebagai gejala-gejalakemunduran fisik diantaranya perubahan dan konsekuensi patologis usia lanjut padasistem kardiovaskuler. Penyakit kardiovaskuler yang sering terjadi pada lansiadiantaranya hipertensi. Pengonsumsian obat untuk mengatasi hipertensi banyak efekburuk sedangkan pada lansia terjadi penurunan pada proses metabolisme.Terapi tertawasebagai salah satu terapi komplementer yang dapat membantu mengontol tekanan darahdengan menurunkan stres hormon serta memunculan kondisi rileks. Penelitian inibertujuan untuk mengetahui pengaruh terapi tertawa terhadap tekanan darah lansiadengan hipertensi berdasarkan literature review. Sumber database yang digunakanberasal dari SCOPUS, SINTA, Google Scholar. Populasi dalam penelitian ini adalah 10jurnal dari tahun 2013-2019 dengan metode penelitian menggunakan Pre Experiment,Quasi Experiment, Kuantitatif Experiment. Hasil yang didapatkan bahwa rata-ratamemiliki tekanan darah sistole 149,38 mmHg dan tekanan darah diastole 86,89 mmHgdan hasil uji statistik dengan hasil tekanan darah sistole p=0,000 sampai 0,02 dimana<0,05 dan tekanan darah diastole p=0,000 sampai 0,04 dimana <0,05 yang artinyaterdapat perbedaan yang signifikan tekanan darah sebelum dan sesudah terapi tertawa.Kesimpulan dari penelitian ini, terapi tertawa dapat diterapkan pada lansia denganhipertensi dan efektif dalam mempengaruhi tekanan darah.