SERVICE EXCELLENT SURGICAL MEDICAL NURSING CARE MANAGEMENT ON TN. D WITH TYPE II DIABETES MELLITUS WITH INDICATIONS OF DIABETIC ULCERS IN ROOM RA 4 RSUP H. ADAM MALIK CITY MEDAN NORTH SUMATERA YEAR 2025

Abstract

Diabetes Mellitus Type II remains a prevalent chronic disease in Indonesia, often leading to serious complications such as diabetic foot ulcers when left unmanaged. This scientific paper presents a comprehensive nursing care management approach with a focus on service excellence for a patient diagnosed with Type II Diabetes Mellitus and diabetic ulcers. The case study involved a 51-year-old male patient (Mr. D) admitted to the RA 4 Ward of H. Adam Malik General Hospital in Medan. The nursing process implemented included five stages: assessment, diagnosis, planning, intervention, and evaluation, guided by the standards outlined in the Indonesian Nursing Diagnosis and Intervention System (SDKI & SIKI). Key nursing diagnoses identified were unstable blood glucose levels, impaired tissue integrity, and limited physical mobility. Over the course of three consecutive days, targeted nursing interventions were administered, including wound care, blood glucose monitoring, patient education, and collaboration with the healthcare team. The outcomes indicated notable clinical improvements in wound healing, glycemic control, and patient awareness. This case highlights the importance of an integrated and empathetic nursing approach that emphasizes professional, accountable, collaborative, and patient-centered care—consistent with the PACER values adopted by STIKes Mitra Husada Medan. Furthermore, the findings support the significance of early health education, family involvement, and lifestyle modification in diabetes management. The application of excellent service within the nursing process not only contributes to better patient outcomes but also aligns with Indonesia’s broader health goals, particularly in reducing complications and promoting sustainable healthcare delivery. Through this study, nurses are encouraged to adopt evidence-based strategies that combine clinical precision with compassionate care, ultimately enhancing the quality of life for patients with chronic illnesses such as diabetes.