<![CDATA[Background: Pulmonary tuberculosis is a contagious infectious disease that requires long-term treatment and continuous family support. Health problems in pulmonary tuberculosis patients are not only related to physical conditions, but also include the family's ability to manage treatment, care, and the process of adapting to the disease. Research objectives: Describe the application of family nursing care to clients with pulmonary tuberculosis through a nursing approach oriented towards improving the abilities of clients and families. Research methods: Case study with a family nursing care approach that includes assessment, establishing a nursing diagnosis, planning, implementation, and evaluation by No. Surat: B/106/IV/2026. Nursing care was carried out for five days through home visits to the families of clients with pulmonary tuberculosis in the working area of the Singosari Community Health Center, Pematangsiantar. Research results: Three main nursing problems were found, namely ineffective airway clearance, ineffective family health management, and the inability of family coping. Interventions included effective coughing exercises, deep breathing exercises, positioning, health education, family support, and coping support. Evaluation showed an increase in the client's ability to expel secretions, family understanding and involvement in treatment, and family coping abilities. All three nursing problems showed positive developments and were declared resolved. Conclusion: Five days of integrated family nursing care can improve the client's ability and family independence in supporting pulmonary tuberculosis care through physical interventions, education, family support, and psychological support. This approach also strengthens family involvement in monitoring treatment, daily care, and the client's adaptation to the disease.]]>
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