Stroke is one of the most common causes of disability in the world. Patients with ischemic stroke have different functional improvements from patients with hemorrhagic stroke. The tool is the Functional Independence Measure (FIM) questionnaire. This study aims to determine the difference in FIM scores in hospitalized patients with ischemic stroke and hemorrhagic stroke at hospitals in Bengkulu City. This research is an observational analytic research with cross-sectional design. The study involved stroke patients who hospitalized at RS Bhayangkara Bengkulu City, RSUD Bengkulu City, and RSUD dr. M. Yunus Bengkulu City from January-April 2018 with total sample 22 ischemic stroke patients and 22 hemorrhagic stroke patients who met the inclusion criteria. FIM scores as independent variables, while the type of stroke as dependent variables. The difference between the two variables was analyzed by unpaired t test and Mann-Whitney test. Patients with ischemic stroke had admission FIM score higher than patients with hemorrhagic stroke (26 vs 13,5; p=0.006). There were no differences in discharge FIM score in patients in both types of stroke (1,67 vs 1,58; p=0,081). There was no difference in FIM score gain between patients with ischemic stroke and patients with hemorrhagic stroke (4,12 vs 4,36; p=0,444). Patients with ischemic stroke had higher admission FIM score compared to patients with hemorrhagic stroke, but there was no significant difference in FIM score gain during hospitalization between ischemic stroke and hemorrhagic stroke patients at hospitals in Bengkulu City.

One of the health problems in the elderly are dementia disorder, or better known to laymen as senile. About 5% of 65-70 year old age suffer from dementia and has doubled every 5 years reached 45% at the age of 85 years. The purpose of this activity is to equip doctors of health centers to implement the use of MMSE as a screening tool that is sustainable for the prevention of disorder dementia in the elderly. The methods of these activities by providing direct training to the general practitioners to use the MMSE. Training activities and practice the use of MMSE for clinics doctors in North Bengkulu district has been going smoothly after the expected. It is necessary synergy between health centers, hospitals and health authorities to monitor this activity and follow up on the elderly who experience these dementia.