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equality (4) The need for self-esteem (esteem needs) is the need for self-esteem will be recognized for its existence, and (5) self-actualization needs (self-actualization needs) is a requirement to reveal the physical ability, spiritual and

power of thought based on their experiences, eager to live, and play a role in life.

Since the beginning of life until old age everyone has a basic psychological needs (Setiati, 2000). These needs include the elderly need a sense of comfort for himself, as well as a sense of comfort to the existing environment. Levels depending on the needs of the elderly themselves, their families and the environment. If these needs are not met there will be problems in the lives of elderly people who will lose their independence.

Health Factors

Health factors include physical and mental state of the elderly. Physical health factors include advanced age and physical condition of physical endurance to disease. Psychological health factors include advanced age adjustment to conditions

Physical Health

Health factors include physical and mental state of the elderly. Physical state is a major factor of human anxiety. Physical, sensory, intellectual potential and capacity began to decline at certain stages (Prasad, 1998). Thus the elderly have to readjust to the lack berdayaannya. Physical deterioration is characterized by several attacks of diseases such as disorders of blood circulation, joints, respiratory system, neurological, metabolic, neoplastic and mentally. So that a common complaint is easily fatigued, forgetful, gastrointestinal, urinary, sensory function, and decreased concentration. This