EXCELLENT GERONTIC NURSING CARE MANAGEMENT FOR MRS. S WITH GOUT ARTHRITIS AT THE UPTD SOCIAL SERVICES FOR THE ELDERLY
Keywords:
Management, Gout Arthritis, Elderly, Geriatric Nursing Care, Excellent ServiceAbstract
Gout arthritis is a form of inflammatory arthritis caused by the accumulation of uric acid crystals in the joints, commonly found in the elderly population. This condition results in severe pain, swelling, limited mobility, and significantly reduces the quality of life of those affected. This scientific paper is based on a case study of Mrs. S, a 76-year-old elderly woman residing at the Elderly Social Service Unit (UPTD) in Binjai, who has been suffering from gout arthritis for over seven years. The purpose of this study is to implement geriatric nursing care management using a service excellent approach, which prioritizes holistic, patient-centered care across biological, psychological, social, spiritual, and cultural aspects.The method used is a descriptive case study involving a comprehensive nursing care process, including assessment, nursing diagnosis, planning, intervention, implementation, and evaluation. Data collection was conducted through interviews, direct observation, physical examinations, and documentation in the social care facility. The initial assessment indicated that Mrs. S experienced severe knee pain, impaired mobility, discomfort, disrupted sleep, and compromised tissue integrity due to chronic inflammation.Various interventions were carried out based on the Indonesian Standard for Nursing Diagnosis (SDKI), Nursing Interventions (SIKI), and Nursing Outcomes (SLKI), complemented with non-pharmacological approaches such as warm compresses and relaxation techniques. After three days of intensive nursing care, the evaluation results showed significant improvement, including pain reduction, better sleep quality, increased mobility, and overall enhanced comfort.This study emphasizes the importance of service excellent-based nursing care in improving the quality of life of the elderly in social institutions. Applying excellent service standards—attitude, attention, action, competence, appearance, and responsibility—effectively fosters therapeutic relationships between nurses and clients, increases adherence to treatment, and supports the overall well-being of elderly individuals. Through this holistic approach, geriatric nursing management not only addresses basic elderly needs but also empowers them to feel valued and content in their later years.
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Copyright (c) 2025 Elfrida Lamtama Situmorang, Hari Widiyatmin, Rolasnih Lilista Simbolon, Dina Afriani, Ines Natasya Situmorang, Elisabeth Manik, Dinda Citra Lestari Manik
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