Erdanela Model Stroke Prevention Service Application to Reduce Risk Factors and Identification of Stroke Risk Levels in the Eldery in Nursing Homes

The absence of stroke prevention services in the nursing homes in the province of West Sumatra, Indonesia. The
results of the initial survey the study found that 12.9 percent of the elderly in nursing homes were stroke survivors.
The results of the screening found that 55.3% of the elderly in nursing homes were at high risk of stroke. This research aims to reduce risk factors and identify the level of stroke risk in the elderly in nursing homes through the stroke prevention services ERDANELA model. Stroke Prevention Services the ERDANELA model was developed using the Reorient Health Service and Personnel Skill strategy, through 4 stages referring to the Research & Development theory of the ADDIE model (Analysis and Design, Development, Implementation, Evaluation). The results of first stage of the study obtained the results of qualitative and quantitative analysis of the Elderly and Caregivers as well as the selected stroke risk stratification tool. Stage 2 produces the ERDANELA stroke prevention service profile, the Caregiver empowerment module book, the Erdanela stroke prevention service application on Android smartphones and the KIT bag for risk factor examination instruments. In stage 3 there is an increase in knowledge, attitudes, and skills of the Caregiver after empowerment. Stage 4 has
provided stroke prevention services in every nursing home with 8 activities in it. The ERDANELA Model Stroke
Prevention Service is the first known stroke prevention service to be developed specifically for the elderly in
nursing homes and carried out by trained caregivers.
Keywords: ERDANELA model, Stroke prevent, Caregiver, Nursing home, Elderly