Manajemen Asuhan Keperawatan Gerontik yang Service Excellent Pada Tn. J Dengan Dermatitis Atopik di UPTD Pelayanan Sosial Provinsi Sumatera Utara Tahun 2025

Atopic dermatitis is a chronic, recurrent inflammatory skin disease that causes itching, dry skin, and irritation that can disrupt the quality of life of sufferers. In the elderly, this condition occurs more frequently due to the aging process that reduces the skin's protective function, thereby increasing the risk of inflammation and infection. The purpose of this study explains how to implement excellent service-based geriatric nursing care management for Mr. J with atopic dermatitis at the Binjai Elderly Social Services UPTD in 2025. The research subject used was
one patient, namely Mr. J with a diagnosis of Atopic Dermatitis. The method used was a case study approach through the nursing process which includes assessment,
diagnosis, intervention, implementation, and evaluation. Data were obtained through interviews, observations, and direct physical examination of the patient. The results of the patient's assessment complained of itching on the neck, back, and extremities with dry skin and excoriated lesions. The established diagnoses included impaired skin integrity, impaired sense of comfort, and self-care deficit. Interventions were provided in the form of personal hygiene education, administration of olive oil emollients, collaboration with antipruritic administration, and motivational support in self-care. After three days, there was an improvement in skin condition, a decrease in itching intensity, and an increase in the patient's ability and desire to maintain personal hygiene. Conclusion: The
application of geriatric nursing care with a service excellence approach effectively increased comfort, skin moisture, and independence in the elderly in managing
atopic dermatitis.
Keywords: Management, atopic dermatitis, elderly, geriatric nursing care, service excellence