Correlates Among Nocturnal Agitation, Sleep, and Urinary Incontinence in Dementia

Rose, Karen; Specht, Janet K.; Forch, Windy

doi:10.1177/1533317514524814

Cited by 12 publications

(8 citation statements)

References 34 publications

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“…This may relate to the comorbid conditions encountered in older age that alter neural awareness, arousal mechanisms and cortical control and lie on the causal pathway of nocturnal incontinence. Insensible urine leakage and nocturnal enuresis have not been well described in the elderly, aside from an association with impaired cognitive function in conditions such as dementia 20 . Containment pad use at night did not differ by nocturia status.…”

Section: Discussionmentioning

confidence: 80%

“…Insensible urine leakage and nocturnal enuresis have not been well described in the elderly, aside from an association with impaired cognitive function in conditions such as dementia. 20 Containment pad use at night did not differ by nocturia status. A quarter of in-patients with nocturia who did not report nocturnal incontinence, wore pads at night.…”

Section: Discussionmentioning

confidence: 87%

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The Bladder at Night during Hospitalisation: Towards optimal care for elderly patients with nocturia

Besien

Shire

Decalf

et al. 2021

Int J Clinical Practice

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Objective This study aimed to describe the characteristics of nocturia in older hospitalised patients and to explore knowledge, beliefs and experiences associated with night toileting while in hospital in order to identify unmet care needs. Methods A multisite mixed methods cross‐sectional study of older hospitalised adults who were admitted for ≥2 days was conducted using a standardised researcher‐administered questionnaire. An additional cohort 16 older hospitalised adults with nocturia >twice per night were interviewed to understand the experience and impact of nocturia during hospitalisation. Results Nocturia was experienced by 260 out of 308 participants. In‐hospital nocturia was significantly correlated with nocturia in the month preceding admission, high diurnal voiding frequency and nocturnal urinary urgency. Bother was attributed to multiple nocturia episodes. Participants had poor knowledge and understanding of nocturia and believed the symptom to be a normal occurrence; only 20% had discussed management with staff. Disrupted sleep and fear of falling were common in older immobile participants with nocturia. Conclusion Nocturia is highly prevalent in hospitalised older people. Toileting multiple times at night bothers patients, disrupts sleep, heightens a fear of falling yet is rarely addressed in ward management plans. A screening process to identify, assess, provide education and intervene for nocturia has the potential to improve wellbeing, safety at night and to address risk factors.

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 87%

The Bladder at Night during Hospitalisation: Towards optimal care for elderly patients with nocturia

Besien

Shire

Decalf

et al. 2021

Int J Clinical Practice

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“…Regarding scientific evidence, one study ( 58 ) was published in 2010, the others ( N = 4) 2015 or later. Furthermore, three were case studies ( 58 , 59 , 86 ), one a feasibility study ( 60 ), and one RCT ( 13 ). Looking at the applications, two ( 59 , 62 ) technology applications were based on lighting, and three were a sort of pillow people can use.…”

Section: Resultsmentioning

confidence: 99%

Technological Applications Contributing to Relieve Care Burden or to Sleep of Caregivers and People With Dementia: A Scoping Review From the Perspective of Social Isolation

Huisman

Kort

2022

Front. Public Health

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The need for care will increase in the coming years. Most people with a disability or old age receive support from an informal caregiver. Caring for a person with dementia can be difficult because of the BPSD (Behavioral and Psychological Symptoms of Dementia). BPSD, including sleep disturbance, is an important factor for a higher care load. In this scoping review, we aim to investigate whether technology is available to support the informal caregiver, to lower the care burden, improve sleep quality, and therefore influence the reduction of social isolation of informal caregivers of people with dementia. A scoping review is performed following the methodological framework by Arksey and O'Mally and Rumrill et al., the scoping review includes scientific and other sources (unpublished literature, websites, reports, etc.). The findings of the scoping review shows that there are technology applications available to support the informal caregiver of a person with dementia. The technology applications mostly contribute to lower the care burden and/or improve sleep quality and therefore may contribute to reduce social isolation. The technology applications found target either the person with dementia, the informal caregiver, or both.

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“…Studies concluded that their systems were feasible for monitoring people with dementia at a rehabilitation institute (114) and critically ill patients in the ICU. (115) The challenges were Wi-Fi connections (112), trouble-shooting for the installation via the phone, (117) and that people with dementia can take off the sensors when agitated. (118)…”

Section: Feasibility and Acceptabilitymentioning

confidence: 99%

Noninvasive monitoring technologies to identify discomfort and distressing symptoms in persons with limited communication at the end of life: A scoping review

Xu,

Smaling,

Schoones

et al. 2023

Preprint

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Background Discomfort and distressing symptoms are common at the end of life, while people in this stage are often no longer able to express themselves. Technologies may aid clinicians in detecting and treating these symptoms to improve end-of-life care. This review provides an overview of noninvasive monitoring technologies that may be applied to persons with limited communication at the end of life to identify discomfort or distressing symptoms. Methods A systematic search was performed in nine databases, and experts were consulted. Manuscripts were included if they were written in English, Dutch, German, French, Japanese or Chinese, if the monitoring technology measured discomfort or distressing symptoms, was noninvasive, could be continuously administered for 4 hours and was potentially applicable for bed-ridden people. The screening was performed by two researchers independently. Information about the technology, its clinimetrics (validity, reliability, sensitivity, specificity, responsiveness), acceptability, and feasibility were extracted. Results Of the 3,414 identified manuscripts, 229 met the eligibility criteria. A variety of monitoring technologies were identified, including actigraphy, brain activity monitoring, electrocardiography, electrodermal activity monitoring, surface electromyography, incontinence sensors, multimodal systems, and noncontact monitoring systems. The main symptoms monitored by these technologies were sleep, level of consciousness, risk of pressure ulcers, urinary incontinence, agitation, and pain. For the end-of-life phase, brain activity monitors could be helpful and acceptable to monitor the level of consciousness during palliative sedation. However, no manuscripts have reported on the clinimetrics, feasibility, and acceptability of the other technologies for the end-of-life phase. Conclusions Noninvasive monitoring technologies are available to measure common symptoms at the end of life. Future research should evaluate the quality of evidence provided by existing studies and investigate the feasibility, acceptability, and usefulness of these technologies in the end-of-life setting. Guidelines for studies on healthcare technologies should be better implemented and further developed.

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Correlates Among Nocturnal Agitation, Sleep, and Urinary Incontinence in Dementia

Cited by 12 publications

References 34 publications

The Bladder at Night during Hospitalisation: Towards optimal care for elderly patients with nocturia

The Bladder at Night during Hospitalisation: Towards optimal care for elderly patients with nocturia

Technological Applications Contributing to Relieve Care Burden or to Sleep of Caregivers and People With Dementia: A Scoping Review From the Perspective of Social Isolation

Noninvasive monitoring technologies to identify discomfort and distressing symptoms in persons with limited communication at the end of life: A scoping review

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