Manajemen Asuhan Keperawatan Gerontik Yang Service Excellent Pada Ny. S Dengan Inkontinensia Urine Di Uptd Pelayanan Sosial Lanjut Usia Binjai Dinas Sosial Provinsi Sumatera Utara TAHUN 2025

Urinary incontinence is a common health problem among older adults and significantly affects their quality of life. Proper management, including Kegel exercises, is essential to improve urinary control. Objective: To describe the application of gerontic nursing management with a service-excellent approach in managing urinary incontinence in Mrs.
S at the UPTD Pelayanan Sosial Lanjut Usia Binjai. Methods: A descriptive case study with data collected through interviews, observations, physical examinations, and
documentation. The nursing process included assessment, diagnosis, interventions, implementation, and evaluation conducted from March 25 to 28, 2025. Subject: A 79-year
old woman (Mrs. S) with functional urinary incontinence who met the inclusion criteria for the case study. Results: After 3×24 hours of intervention consisting of health education, Kegel exercises, sleep pattern improvement, and self-care management, there were improvements in urinary control, self-care ability, and sleep quality. The patient was able to schedule exercises, go to the toilet independently before urination occurred, change wet
clothes, and regulate her rest pattern. Conclusion: Comprehensive gerontic nursing management with a service-excellent approach was effective in improving urinary
elimination control, self-care independence, and sleep patterns in an older adult with urinary incontinence.
Keywords: Management, Nursing Care, Gerontic, Service Excellence, Urinary Incontinence