Introduction: Incomplete abortion is bleeding in pregnancy before 20 weeks, where some of the products of conception have come out of the uterine cavity through the cervical canal left in the decidua or placenta. Methods: This research uses a case study design. Data collection from assessment to nursing evaluation was carried out in the jasmine room of Dr Soegiri Lamongan Hospital in February 2019. Participant care at the hospital for three days—data collection techniques using interviews, observation, and documentation. Data analysis uses narrative analysis based on the analysis of relevant facts and theories. Results: The assessment of the two participants was the first and second pregnancies, with gestational ages of 12 and 16 weeks, experiencing vaginal bleeding and abdominal pain. There is abdominal tenderness, a pain scale of 5, and uterine contractions on examination. The nursing diagnosis was acute pain associated with uterine contractions and fluid volume deficit related to bleeding (abortion). The evaluation was carried out for 72 hours of reduced pain. The discussion is expected that nurses provide health education about pain and incomplete abortion. Conclusions: The pain and anxiety were reduced after implementing nursing for 72 hours. The reference from this study is for nurses to provide health education related to pain in incomplete abortion.

Being treated in isolation rooms for people infected with COVID-19, creates various perceptions of uncertainty, especially when strict "health protocols" are applied. This study aims to determine the understanding patients with COVID in the intensive care unit from the perspective of care. Materials and Methods:The research design used phenomenological qualitative with in-depth interviews. Purposive sampling was used with interpretive phenomenological analysis. Participants were 25 patients who had been exposed to COVID-19, consisting of 10 men and 15 women. Results: This study resulted in the theme of the perception of COVID-19 sufferers while undergoing treatment in isolation rooms, with four themes, namely, 1) mental attacks, 2) feel like fighting alone, 3) expecting Concern, 4) positive attitude. Conclusion:This analysis shows that various perceptions of uncertainty that are felt while being treated in the isolation room due to suffering from COVID-19 disease can be anticipated by increasing the awareness of nurses to be closer to patients through caringbased nursing practices by emphasizing meaningful interpersonal relationships.

Introduction: Exclusive breastfeeding is essential in fulfilling children's nutritional status. Exclusive breastfeeding is closely related to the mother's knowledge about breastfeeding. Thus, it is necessary to identify the level of understanding of mothers about exclusive breastfeeding. This study aimed to describe the knowledge of mothers who breastfeed exclusively at Sukomulyo community health centre, Gresik. Methods: This study used a retrospective descriptive research design. This study's population were mothers with babies aged >6 to 12 months at the Sukomulyo community health centre. The sample in this study was 35 samples obtained through the purposive sampling technique. The data were collected by filling out questionnaires and analyzed using a frequency distribution table. Results: Mothers who gave exclusive breastfeeding found that the majority of mothers aged 20-35 years were 26 people (74.29%), the education level of mothers who graduated from high school was 18 people (51.43%), and mothers worked as housewives as many as 25 people (71.43%). Most of the mothers had a good level of knowledge, as many as 27 people (77%) and only one mother with less knowledge. Mothers with good knowledge mainly were owned by mothers aged 20-35, as many as 21 people (77.78%), mothers with a college education last as many as 15 people (55.56%), and housewives as many as 21 people (77.78%). Conclusions: Mothers aged 20-35 years with a university education background and housewives tend to breastfeed exclusively.

Introduction : Continuous urinary incontinence is the continued and uncontrolled passing of urine without distension and a feeling of fullness in the bladder due to neurological dysfunction. This condition is often found in the elderly post-ischemic stroke. The study aimed to describe nursing care of continuous urinary incontinence in the elderly post-ischemic stroke in Lamongan. Methods : This study used a case study approach (case report) on a participant through the nursing process approach. The sample in this study is one patient, an elderly post-ischemic stroke. This research was conducted in 2021 in Lamongan with three visits to patients' homes for seven days. Data collection techniques include interviews, observation, and physical examination. This research instrument uses the gerontic nursing care format and sandvik severity index. Results : Continuous urinary incontinence nursing care with the main intervention for urinary incontinence treatment (I.04163) and the supporting intervention is pelvic muscle exercises (I.07215) can be applied to elderly post-ischemic stroke according to the expected outcomes. The continuous urinary incontinence has a partially resolved on the third home visit. The client can hold urine several times when the bladder feels full, reduced the frequency of night urination, and rarely wakes up because of wet diapers. Sandvik Severity Index shows a value of 4 (moderate incontinence). Conclusions: Improving nursing care need for collaboration between patients, families, and health workers in performing pelvic muscle exercises independently, continuously, and regularly to increase the strength of the detrusor-sphincter muscles and showed improvement in urinary continence.

Introduction: One way to minimize the impact of hospitalization is storytelling with dolls or puppet shows , which is a type of game using puppet media through fantasy games for preschoolers (3-6 years old). The purpose of this study was to determine the effect of play therapy "puppet show" on the impact of hospitalization on preschool children (3-6 years) in the Orchid room of Ibnu Sina Hospital, Gresik Regency. Methods: This study uses a quasi experiment with one group pre test and post test design. The population of this research is parents who have preschool age children (3-6 years) who are hospitalized in the Orchid Room of Ibnu Sina Hospital, Gresik Regency. While the sampling using consecutive sampling technique obtained 22 parents. The independent variable studied was play therapy "puppet show". The dependent variable in this study was the impact of hospitalization on preschool children aged (3-6 years) who experienced hospitalization. Data collection is done by using a questionnaire then analyzed through the T-test statistical test. Results: The results of this study indicate that there is a significant difference between positive and negative impacts on pre-school age children during nursing actions before and after play therapy "puppet show" (p value = 0.005 smaller than = 0.05). Conclusions: Based on the results of the research obtained, the need for play should still be given to children undergoing hospital treatment to continue the child's growth and development, reduce stress and tension.