Manajemen Asuhan Keperawatan Gerontik yang Service Excellent pada Ny.R dengan Diabetes Melitus tipe II di UPTD pelayanan lanjut usia binjai Provinsi Sumatera Utara Tahun 2025

Type II Diabetes Mellitus is a chronic condition with a steadily increasing prevalence, particularly among the elderly population. This illness affects not only the patient’s physical health status but also significantly impacts psychological well-being and overall quality of life. In the broader context of achieving the Sustainable Development Goals (SDGs), specifically target 3.4, effective diabetes management has become a crucial strategy to reduce morbidity and premature mortality associated with non-communicable diseases. This scientific paper aims to describe the implementation of geriatric nursing care management based on a service excellence approach for elderly patients with Type II Diabetes Mellitus. The
method employed is a descriptive case study of Mrs. R, a 71-year-old woman who has been living with diabetes since 2020 and currently resides at the Binjai Social Service Center for the Elderly. The nursing care process was carried out
systematically through the stages of assessment, diagnosis, intervention, implementation, and evaluation. The assessment revealed common diabetic symptoms such as excessive thirst, frequent urination, fatigue, and a persistent foot wound. Nursing diagnoses included unstable blood glucose levels, nutritional deficits, and impaired skin integrity. Interventions were focused on controlling blood sugar through dietary adherence, balanced nutritional intake, and
comprehensive wound care. The evaluation phase showed meaningful improvements, marked by stabilized glucose levels, cleaner wound conditions, reduced pain, and increased patient independence in performing daily self-care. These outcomes reflect the importance of service excellence-based geriatric nursing care in enhancing the quality of life for elderly patients with Type II Diabetes
Mellitus, while also promoting a more humane, personalized, and effective healthcare experience.
Keywords: Type II Diabetes Mellitus, Elderly, Gerontological Nursing, Excellent Service, Nursing Care