Group

Fitri
Rini
Sherent Valentina
Yulia Kristi

BLADDER
 Case
Mrs. M come to the hospital. B is delivered by the family. The
family says Mrs.M often urinates unconsciously (bedwetting).
The client himself said he could not hold back if he already felt
like wanting pee. Frequency of urination every day 15-18x / day.
The client also said when he sneezed, bent down, coughing
suddenly came out a little urine. The results of the physical
examination showed that height and weight data were 150cm,
45 kg, TD 180/140 mmHg, pulse 80x / minute, repiration 18x /
minute and temperature 36.5oC, output 2100cc. There is a
bladder distendi. The day-to-day activities of Mrs.M are
becoming a teacher of religion, but since she often wet her
activities, she becomes disturbed.
 BIODATA

Name : Mrs. M
Place/date of birth : Ngabang, July 17, 1956
Gender : Female
Marital status : Married
Religion : Islam
Tribe/Nation : Java / Indonesia
Last Education : Senior high school
Medical Diagnosis : Urine Incontinence
Address : Jln. Merdeka No.5
Current Job: Teacher Reciting Previous
Job: -
Source of Income: Money from his children
Adequacy of income: Enough
 Elimination
a. Urination
1) Frequency and time: 15-18 a day
2) urine habits in: yes, there are evening
3) Complaints related to: unable to hold back urine
if felt with urine
b. Defecate
1) Frequency and time: 2x a day
2) Consistency: soft, yellow
3) Related complaints: none with defecation
4) Experience of wearing: never Laxantif / Laxative
 Health status
1. Current health status
a. The main complaint for the past 1 year : Ny.M
said the last 1 year often complained of pain
when urinating, if sneezing or coughing up urine
suddenly, nocturia.
b. Symptoms felt : Urinate 1-18x / day
c. Trigger factor : Dementia, UTI
d. Complaints arising : Gradually
e. Time begins to arise complaints : One year
f. Efforts to overcome : Go to the hospital /
medical clinic / doctor practice
2. Past medical history
a. Disease that has been suffered : The client said
two years ago he had hypertension and
routinely took diuretic drugs
b. History of allergies (drugs, food, animals, dust,
etc.) : There are no allergies
c. Accident history : Never had an accident
d. History of being hospitalized : The client said he
had never been hospitalized because he often
went to the clinic doctor
e. Drug use history : Clients say they routinely take
diuretic drugs
 Urinary Incontinence

Urine incontinence is the uncontrolled release of urine in

a considerable amount, so that it can be considered a
problem for someone. Urinary incontinence is generally
caused by complications from diseases such as urinary
tract infections, loss of spinkter control and sudden
changes in abdominal pressure. Incontinence can be
permanent such as trauma or temporary spinal cord in
pregnant women with a weak pelvic floor structure which
can result in urinary incontinence. Although urine
incontinence can occur in patients of various ages, losing
urinary control is a problem for the elderly.