EXCELLENT NURSING CARE MANAGEMENT FOR A CHILD WITH PNEUMONIA IN RESIDENTIAL ROOM 4, H. ADAM MALIK GENERAL HOSPITAL, MEDAN, NORTH SUMATERA  PROVINCE 2025

Depi Lusiana Siagian; Rosmani Sinaga; Rolasnih Lilista Simbolon; Tanti Resia Pardede; Indra Harta Wandi Bangun; Fira Fauziah; Sali Thalia Br Sembiring

Authors

Depi Lusiana Siagian Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Rosmani Sinaga Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Rolasnih Lilista Simbolon Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Tanti Resia Pardede Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Indra Harta Wandi Bangun Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Fira Fauziah Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Sali Thalia Br Sembiring Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan

Keywords:

Nursing Care, Pneumonia, Children, Children, Pediatric, Therapeutic

Abstract

Pneumonia remains a leading cause of morbidity and mortality among children under five, particularly in developing countries. This scientific paper presents a case study on the implementation of comprehensive nursing care using a service excellent approach for a pediatric patient (An. A) treated in RB4 Ward at H. Adam Malik General Hospital, Medan, in 2025.A descriptive method with a case study approach was applied, covering the five stages of the nursing process: assessment, diagnosis, planning, implementation, and evaluation. Based on the assessment, four primary nursing diagnoses were identified: ineffective airway clearance, ineffective breathing pattern, hyperthermia, and nutritional deficit. Interventions focused on respiratory monitoring, therapeutic positioning, oxygen therapy, medication collaboration, and nutritional support. The evaluation revealed clinical improvements, including more effective coughing, improved breathing patterns, normalized body temperature, and increased appetite. The results demonstrate that systematic nursing care with a service excellent orientation effectively supports the recovery process in children with pneumonia. This paper aims to contribute to improving the quality of pediatric nursing care, particularly in managing respiratory infections such as pneumonia.

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