Bladder training for urinary incontinence treatment in a patient with ischemic stroke

Abstract

The assessment and data analysis indicated that the patient experienced decreased bladder tone following catheter use, with no sensation of the urge to urinate, and urinary elimination occurred only through the catheter. On the second day, the patient began to feel the urge to urinate and was able to hold it for one hour. By the third day, the patient was able to urinate spontaneously with appropriate volume and frequency. The nursing diagnosis established was functional urinary incontinence related to decreased bladder tone, determined based on the patient’s subjective and objective data, and aligned with nursing diagnosis criteria. The nursing care plan focused on bladder training interventions, specifically the technique of intermittently clamping the catheter to stimulate detrusor muscle contractions, enhance the sensation of urination, and extend the intervals between bladder emptying. This intervention was designed to gradually restore bladder control. Implementation of bladder training was carried out over three days, with scheduled catheter clamping and regular observation of the patient’s responses. The patient demonstrated improved ability to retain urine, understood the purpose of the therapy, and actively cooperated throughout the intervention.

Keywords: bladder training, catheter, ischemic stroke, nursing care, urinary incontinence