Implementation of Gerontological Nursing Care for an Older Adult with Functional Urinary Incontinence: A Case Study
Abstract
Background: Functional urinary incontinence is a common concern among older adults, particularly those experiencing mobility limitations that interfere with timely access to toilet facilities. This condition may affect personal hygiene, sleep quality, independence, and overall well-being. Comprehensive nursing care is therefore important to address urinary incontinence and its associated geriatric problems. This study aimed to describe the implementation of nursing care for an older adult with functional urinary incontinence at PSTW Kasih Sayang Ibu, Batusangkar, Indonesia.
Methods : This study employed a descriptive case study design involving one older adult diagnosed with functional urinary incontinence. Data were collected through interviews, direct observation, physical examination, and medical record review. Data were analyzed descriptively using the nursing process, including assessment, nursing diagnosis, intervention planning, implementation, and evaluation. The evaluation focused on urinary incontinence frequency, mobility, personal hygiene, sleep patterns, and cognitive responses.
Results:The assessment identified functional urinary incontinence associated with limited mobility, accompanied by a risk of falls, self-care deficit, disturbed sleep patterns, and memory impairment. Nursing interventions included bladder training, scheduled toileting, environmental modification, support for independence in daily activities, sleep management, and cognitive stimulation. Following the nursing interventions, the patient showed a reported reduction in urinary incontinence frequency, improved mobility and personal hygiene, better sleep, and improved cognitive responses. However, the manuscript did not provide quantitative measurements or standardized assessment scores to determine the magnitude of these changes.
Conclusion: Comprehensive, individualized nursing care may help address functional urinary incontinence and related care needs in older adults. Nursing practice should integrate bladder management, environmental safety, functional support, and cognitive stimulation. Further studies involving more participants, longer follow-up, and standardized outcome measures are needed to evaluate intervention outcomes more objectively and strengthen the evidence for gerontological nursing practice
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