NURSING CARE OF CONTINUOUS URINARY INCONTINENCE IN THE ELDERLY POST-ISCHEMIC STROKE A CASE REPORT

Introduction : Continuous urinary incontinence is the continued and uncontrolled passing of urine without distension and a feeling of fullness in the bladder due to neurological dysfunction. This condition is often found in the elderly post-ischemic stroke. The study aimed to describe nursing care o...

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Main Authors: Anestasia Pangestu Mei Tyas, Fatimahndya Maulitha De Arisandy, Ilkafah Ilkafah, Amellia Mardhika, Emuliana Sulpat
Format: Article
Language:English
Published: Universitas Airlangga 2022-05-01
Series:Journal of Vocational Nursing
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Online Access:https://e-journal.unair.ac.id/JoViN/article/view/35938
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author Anestasia Pangestu Mei Tyas
Fatimahndya Maulitha De Arisandy
Ilkafah Ilkafah
Amellia Mardhika
Emuliana Sulpat
author_facet Anestasia Pangestu Mei Tyas
Fatimahndya Maulitha De Arisandy
Ilkafah Ilkafah
Amellia Mardhika
Emuliana Sulpat
author_sort Anestasia Pangestu Mei Tyas
collection DOAJ
description Introduction : Continuous urinary incontinence is the continued and uncontrolled passing of urine without distension and a feeling of fullness in the bladder due to neurological dysfunction. This condition is often found in the elderly post-ischemic stroke. The study aimed to describe nursing care of continuous urinary incontinence in the elderly post-ischemic stroke in Lamongan. Methods : This study used a case study approach (case report) on a participant through the nursing process approach. The sample in this study is one patient, an elderly post-ischemic stroke. This research was conducted in 2021 in Lamongan with three visits to patients' homes for seven days. Data collection techniques include interviews, observation, and physical examination. This research instrument uses the gerontic nursing care format and sandvik severity index. Results : Continuous urinary incontinence nursing care with the main intervention for urinary incontinence treatment (I.04163) and the supporting intervention is pelvic muscle exercises (I.07215) can be applied to elderly post-ischemic stroke according to the expected outcomes. The continuous urinary incontinence has a partially resolved on the third home visit. The client can hold urine several times when the bladder feels full, reduced the frequency of night urination, and rarely wakes up because of wet diapers. Sandvik Severity Index shows a value of 4 (moderate incontinence). Conclusions: Improving nursing care need for collaboration between patients, families, and health workers in performing pelvic muscle exercises independently, continuously, and regularly to increase the strength of the detrusor-sphincter muscles and showed improvement in urinary continence.
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spelling doaj-art-5885baed0cdb4c94a7efc940b659d6e52025-01-05T05:46:39ZengUniversitas AirlanggaJournal of Vocational Nursing2775-02802722-72512022-05-0131757810.20473/jovin.v3i1.3593833975NURSING CARE OF CONTINUOUS URINARY INCONTINENCE IN THE ELDERLY POST-ISCHEMIC STROKE A CASE REPORTAnestasia Pangestu Mei Tyas0https://orcid.org/0000-0003-0346-6757Fatimahndya Maulitha De Arisandy1Ilkafah Ilkafah2Amellia Mardhika3Emuliana Sulpat4Faculty of Vocational Studies, Universitas AirlanggaFaculty of Vocational Studies, Universitas AirlanggaFaculty of Vocational Studies, Universitas AirlanggaFaculty of Vocational Studies, Universitas AirlanggaFaculty of Vocational Studies, Universitas AirlanggaIntroduction : Continuous urinary incontinence is the continued and uncontrolled passing of urine without distension and a feeling of fullness in the bladder due to neurological dysfunction. This condition is often found in the elderly post-ischemic stroke. The study aimed to describe nursing care of continuous urinary incontinence in the elderly post-ischemic stroke in Lamongan. Methods : This study used a case study approach (case report) on a participant through the nursing process approach. The sample in this study is one patient, an elderly post-ischemic stroke. This research was conducted in 2021 in Lamongan with three visits to patients' homes for seven days. Data collection techniques include interviews, observation, and physical examination. This research instrument uses the gerontic nursing care format and sandvik severity index. Results : Continuous urinary incontinence nursing care with the main intervention for urinary incontinence treatment (I.04163) and the supporting intervention is pelvic muscle exercises (I.07215) can be applied to elderly post-ischemic stroke according to the expected outcomes. The continuous urinary incontinence has a partially resolved on the third home visit. The client can hold urine several times when the bladder feels full, reduced the frequency of night urination, and rarely wakes up because of wet diapers. Sandvik Severity Index shows a value of 4 (moderate incontinence). Conclusions: Improving nursing care need for collaboration between patients, families, and health workers in performing pelvic muscle exercises independently, continuously, and regularly to increase the strength of the detrusor-sphincter muscles and showed improvement in urinary continence.https://e-journal.unair.ac.id/JoViN/article/view/35938continuous urinary incontinencenursing careelderly post-ischemic stroke
spellingShingle Anestasia Pangestu Mei Tyas
Fatimahndya Maulitha De Arisandy
Ilkafah Ilkafah
Amellia Mardhika
Emuliana Sulpat
NURSING CARE OF CONTINUOUS URINARY INCONTINENCE IN THE ELDERLY POST-ISCHEMIC STROKE A CASE REPORT
Journal of Vocational Nursing
continuous urinary incontinence
nursing care
elderly post-ischemic stroke
title NURSING CARE OF CONTINUOUS URINARY INCONTINENCE IN THE ELDERLY POST-ISCHEMIC STROKE A CASE REPORT
title_full NURSING CARE OF CONTINUOUS URINARY INCONTINENCE IN THE ELDERLY POST-ISCHEMIC STROKE A CASE REPORT
title_fullStr NURSING CARE OF CONTINUOUS URINARY INCONTINENCE IN THE ELDERLY POST-ISCHEMIC STROKE A CASE REPORT
title_full_unstemmed NURSING CARE OF CONTINUOUS URINARY INCONTINENCE IN THE ELDERLY POST-ISCHEMIC STROKE A CASE REPORT
title_short NURSING CARE OF CONTINUOUS URINARY INCONTINENCE IN THE ELDERLY POST-ISCHEMIC STROKE A CASE REPORT
title_sort nursing care of continuous urinary incontinence in the elderly post ischemic stroke a case report
topic continuous urinary incontinence
nursing care
elderly post-ischemic stroke
url https://e-journal.unair.ac.id/JoViN/article/view/35938
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AT ilkafahilkafah nursingcareofcontinuousurinaryincontinenceintheelderlypostischemicstrokeacasereport
AT amelliamardhika nursingcareofcontinuousurinaryincontinenceintheelderlypostischemicstrokeacasereport
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