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The family is a social system because it consists of individuals who join and interact regularly with one another, manifested by interdependence and connection to achieve common goals. At the time of the study, this family included the type of nuclear family (the nuclear family), which consisted of father, mother and children. In this family, nursing problems were found, namely the inability to cope with the family experienced by An.R as a result of having Down's Syndrome disorder, the risky health behavior experienced by Mr.I due to smoking habits, then the readiness to increase to become a parent experienced by An.A. Based on these nursing problems, a complementary implementation is given which aims to improve the health status of An.R. After the implementation is in the form of speech therapy. Where given the implementation for 3 days. On the first day An.R could not recognize numbers and write numbers, on the second day An.R began to be able to recognize numbers and could write numbers but was not neat and accompanied, and on the third day An.R began to be able to recognize numbers and could write numbers and started neatly but still accompanied. Mr.I received health education about smoke-free household education. Then for An.A to get health education about education on the dangers of promiscuity in adolescents. Conclusion: After implementing according to the journal application, it was found that the nursing care provided to Mr. I's family had a positive impact on the health status of the family.