FAMILY NURSING CARE MANAGEMENT WITH EXCELLENT SERVICE FOR Mrs. S WITH HYPERTENSION IN BANGUN REJO VILLAGE, TANJUNG MORAWA DISTRICT, DELI SERDANG REGENCY, NORTH SUMATRA PROVINCE  IN 2025

Inka Rasianca Damanik; Agung Punomo; Lola Br Sitepu; Angel Gracia Avrila Hutapea; Naila Asmaharani; Aqilah Desky; Siti Nur Fadila

Authors

Inka Rasianca Damanik Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Agung Punomo Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Lola Br Sitepu Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Angel Gracia Avrila Hutapea Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Naila Asmaharani Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Aqilah Desky Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Siti Nur Fadila Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan

Keywords:

Family Nursing Care, Hypertension, Excellence Service, Nursing Management, Community Health

Abstract

Hypertension is a chronic, non- ommunicable disease that significantly affects global public health, contributing to hing rates of morbidity and mortality. This scientific writing aims to implement family nursing care management using a service excllent approach for Mrs. S, a 46 year-old female resident of Bangun Rejo Village, Tanjung Morawa Subdistrict, Deli serdang District, North Sumatra Province, diagnosed with savere hypertension. The case study method was applied with a descriptive design, planning, implementation, and evaluation. Initial assessment revealed that Mrs. S had a blood pressure of 188/136 mmHg, along with clical symptoms such as persistent headache, dizziness, numbness in both hands and feet, and occasional nosebleeds. For nursing diagnoses were identified : ineffective cerebral tissue perfusion, acute pain, ineffective family health management, and decreased cardiac output. Interventions focused on health education, dietary regulation, routine vital signs monitoring, stress management through relaxation techniques, and empowering the family to provide daily support and care. The outcomes showed significant improvement in the patient’ s clinical condition and family engagement. The family became more responsive and capable in managing the disease, inculding understanding medication compliance, identifying triggers, and adoping healthier lifestyles. Furthermore, the service excllent approach-centered on respect, empathy, and patient centered care helped build trust between the patient , family and healthcare provider, making the care process more effective.

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