Professional Documents
Culture Documents
I.
Client Profile
a. Pesonal Characteristics
Siti is an elderly 65-year-old single Indonesian Women. She is staying at home and live with
her sons family. She still actively participates in religious activity which is held every week
in the area where she lives. Siti complate her senior high school in education. She enjoys
active with her grandchildren, knitting clothes and cooking.
b. Current Health Orientation
Since 5 years ago, she noticed urine loss with exercional activities.
c. Family caracteristics
Sitis husband had died five years ago. She currently lives with her first sons family. She
has two grandchildren aged 5 and 7 years old.
d. Environtmental Characteristics
She currently lives in a nice neighborhood . Sitis house located in urban areas and close to
public facilities. The hospital is only 5 km from her home.
II.
a. Air
Siti dan all family members do not smoke. She lives in urban area where so much pollution.
b. General Health Habit
1. Siti practices good health habit. She walked around the housing complex every
morning. She visits her physician when appropriate. Her vital sign are all within
normal limits. Siti drink almost one and a half liters of water a day. She also
drink a cup of green tea every morning.
2. Review of system
-
Breast : denies any pain, lumps or nipple discharge. No family with breast
cancer
c. Food
Denies any special needs for food preparation or dietary modifications. She denies
any change of her weight and does not any problem with digestion.
d. Elimintaion
1.Health habits: bowel movements every day.
Diagnosis
Nursing Diagnosis :
1. Knowledge deficit related to non surgical treatment of urinary incontinence.
a. Nursing system : supportive educative
b.Self care deficit : elimintation : seeking information related to urinary incontinence.
2. Altered patterns of UI
a. Nursing system : supportive educative
b.Self care deficite : elimination : UI associated with exertional activities
3. Potential for depression with increasing symptomatology asscociated with aging
process
a. Nursing system : supportive educative
b.Self care deficite : normalcy associated with self-concept
Goal
1. Increased knowledge base to the causes and types of UI
2. Increased awareness as to the nonsurgical care of urinary incontinence
3. Increase knowledge as to the use of pelvic floor muscle and other behavioral
interventions to decrease symptomatology.
Plan
Clients Responsibilities
1. Listen to explanations of causes, types
Nursing Responsibilites
Provide comfortable environtment for
and treatment of UI
2. Utilize the information gained to
education proscess
Encourage client to express feelings and
diary weekly
Encourege pelvic floor excercises per client.
Monitor weekly sessions, looking for
improvement and changes in status
Set up appointements and followup as needed
1. Within the first week, siti should able to restate the couses, types and treatment of
UI
2. Within 4 weeks adecrease in the syptoms should be noted by increased use of
pelvic floor muscle and increase knowledge of the activities that trigger UI
3. Encourege siti to monitor symptoms and call for appointments to return to office
if any time symptoms return of changes in urogenital