Urinary incontinence is caused by loss of bladder control and involuntary leakage of urine. It can have a health problem such as physical, psychological, social interaction and significant impact on the quality of life. This case was designed to study the nursing care outcomes for older women with urinary incontinence and chronic illness (hypertension, dyslipidemia, spinal stenosis L3-4, and chronic kidney disease stage 4) who living in a community located in Bangkok by approach Donabedian conceptual framework including structure, process, and outcomes of quality of care. There were 4 outcomes as managing urinary incontinence, self-care pressure ulcers, rehabilitation, and helping with early depression symptoms. Four times for home visits within 3 months for nursing care were composed of Foley's catheter care with bladder training, pelvic muscle exercise, dressing wound from incontinenceassociated dermatitis, arm-shoulder exercises following the manual of self-care, and finally adjust the home environment to install the fixed pulley. Results presented the older women could be to improve symptom: no leakage of urine, dermatitis and pressure ulcer decreased, improve shoulder mobility and walking. Suggestions should be provided systems for home visiting to assess and monitors for self-care continuously.

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Urinary incontinence is a common problem symptom of urination, an inability to control the urinary excretion on its own, causing a loss of the ability to control urination. Most often, this happens in situations where urination is not ready and accidentally slips out. The symptoms will cause hygiene problems, such as a wound rash, or red marks on the wrong skin until the subsequent infection problem is also a problem for physical health, impacting the mind, economy, and society. It is a health problem that affects physical, mental, emotional, and social aspects lead to reduced quality of life. Older people with urinary incontinence problems, it is caused by several reasons and factors that can cause various issues. This article aims to describe urinary excretion mechanisms, meaning, types and effects, method for assessing urinary incontinence, and primary care guidelines for the older people and their families providing home and hospital care. Therefore, nurse practitioners' action plays a significant role in helping older people with urinary incontinence. It is a service through four dimensions: prevention, medical treatment, and nursing care, health promotion, and rehabilitation. Furthermore, medical history taking by interviews, physical examination, and self-assessment those are the service nurse roles: health care provider, health educator, counselor, coordinator, and advocator in the follow-up and contact for improving caring to receive quality care and reasonable to continue to bring an as good quality of life.

Introduction Dependent older persons who are limited in their daily activities affect physical, mental, social ability needs help in the family and the community caregiving. Objective The study aimed to analyze the relationship between caregivers’ characteristics and health conditions, social support, the burden of care, and the quality of respect for the dependent older persons. Methods The descriptive study design applies in using a Donabedian framework, including structure, process, and outcome with House’s social support. The sample consists of 102 family caregivers currently caring older people with dependency in Bangkok, Thailand. Data were collected through questionnaires, semi-structured interviews, and care quality assessments through tested content validity from 3 health experts, which received a score of 0.97. Descriptive statistics and correlation coefficients were used to analyze the information and tested using Spearman’s rank correlation; acceptable criteria were obtained before collecting the actual data. Results The results showed that they were statistically significantly related to social support and quality of care. When considering each aspect, social support was associated with the quality of physical and psychological care. Resource social support was to relate the quality of medical and financial aspects. Social support of acceptance and appreciation is associated with quality, environmental, physical, psychological, human rights, and economic elements; information social support was significantly related to information supervision quality. Discussion This study found that personal factors in age and comorbidity affect the burden of care in family caregivers. In addition, good social support will affect the quality of respect for the dependent older persons in psychological, medical, human rights, and financial dimensions. In particular, the appraisal support, incredible care, attentiveness, and dedication to care will result in a good quality of care in all areas except the quality of physical dimensions.