Manajemen Asuhan Keperawatan Medikal Bedah Yang Service Excellent Pada Tn.M Dengan Stroke Hemoragik Di Ruang RA 1 Kementerian Kesehatan RS Adam Malik Tahun 2024

Hemorrhagic stroke is a circulatory disorder of the brain caused by the rupture of blood vessels, leading to intracerebral bleeding that results in neurological
deficits, impaired mobility, and a decreased quality of life for patients. Objective of this study is to describe the management of medical-surgical nursing care using a service excellent approach for Mr. M, a patient with hemorrhagic stroke in the RA1 Ward of the Ministry of Health Adam Malik Hospital Medan in 2024, covering the stages of assessment, diagnosis, intervention, implementation, and nursing evaluation. Method This study employed a descriptive design with a case study approach. The subject of the study was one patient, Mr. M, aged 52 years, diagnosed with secondary headache, hypertension, and hemorrhagic stroke. Data were collected through interviews, observations, physical examinations, and documentation reviews using a standard nursing care format. Results The assessment showed decreased consciousness, limb weakness, and increased blood pressure. Three main nursing problems were identified: ineffective cerebral tissue perfusion, impaired physical mobility, and self-care deficit. Interventions focused on maintaining cerebral perfusion, improving mobility ability, and assisting with daily activities. Implementation included monitoring vital signs, performing passive–active range-of-motion exercises, providing patient and family education,
and collaborating in medication administration according to medical indications. Evaluation revealed improvement in consciousness, stability of vital signs, and the patient’s ability to perform basic activities with minimal assistanc. Conclusion The management of medical-surgical nursing care using a service excellent approach in patients with hemorrhagic stroke can improve the quality of nursing
services, accelerate patient recovery, and enhance family satisfaction and trust in hospital care.
Keyword: Care nursing, Service Excellent, Hemorrhagic Stroke