EXCELLENT GEREONETIC NURSING CARE MANAGEMENT FOR MRS. Y WITH HYPERTENSION AT THE SOCIAL SERVICES UPTD FOR THE ELDERLY IN BINJAI NORTH SUMATERA PROVINCE SOCIAL SERVICES DEPARTMENT 2025

Abstract

ABSTRACT

Hypertension is a medical condition characterized by elevated blood pressure, with systolic pressure ≥140 mmHg and diastolic pressure ≥90 mmHg based on repeated measurements. This study is a descriptive case study approach conducted at the Binjai Elderly Social Services Unit (UPTD) in 2025. The nursing process was carried out systematically, including assessment, diagnosis, planning, implementation, and evaluation. The study subject was one elderly person with hypertension. Nursing interventions in practice did not fully follow the theory, particularly in terms of detailing the objectives and methods of intervention. However, both have the same goal: maintaining blood pressure within normal limits. Furthermore, care focused on pain reduction using the PQRST technique. The program was implemented over three days, with key interventions including vital sign monitoring, pain assessment, hypertension exercises, and deep breathing relaxation. Results showed a decrease in pain from 7 to 5, improved sleep quality, decreased anxiety, and a decrease in blood pressure to 140/80 mmHg. The client was also able to perform some scheduled activities. Further nursing interventions were carried out by the Binjai Social Service for the Elderly.