Development of a healthy bladder education program for older adults

Schirm, Victoria; Baumgardner, Joan; Dowd, Therese; Gregor, Sara; Kolcaba, Katharine

doi:10.1016/j.gerinurse.2004.08.015

Cited by 7 publications

(6 citation statements)

References 5 publications

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“…23-26 Five studies targeted multicomponent behavioral strategies including: pelvic floor muscle exercises (with 20 and without 23-26 biofeedback assistance), bladder training, 20, 22-25 modification of caffeine and fluid intake, 23-26 constipation management, 23, 26 and strategies to suppress urgency and stress symptoms. 20,23, 24 One study investigated comprehensive geriatric assessments 26 and another focused on improving toileting skills. 21 The interventions were provided by nurses, physical and occupational therapists, physicians, and interdisciplinary teams.…”

Section: Resultsmentioning

confidence: 99%

“…In this study only 30-35% of participants in a 1-hour group education program with optional individualized assessments reported improvements in urgency, emptying their bladders, control of sudden leakage, decreased UI and fewer trips to the toilet. 24 …”

Section: Resultsmentioning

confidence: 99%

“…The Agency for Healthcare Research and Quality (AHRQ) has not updated their guidelines since 1996. 13 The International Consultation on Incontinence 7, 14, 15 has the most current and comprehensive guidelines, yet most of their recommendations are based on frail older adults living in nursing homes and it is unclear how these could be implemented in settings where nursing support is not available 24 hours a day. Given the difference in nursing resources available between settings, understanding which interventions are effective outside of the nursing home will help develop programs to prevent or delay nursing home placement triggered by UI.…”

Section: Problem Statement and Purposementioning

confidence: 99%

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State of the science: Conservative interventions for urinary incontinence in frail community-dwelling older adults

2011

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PURPOSE This systematic literature review aimed to identify conservative interventions for reducing urinary incontinence (UI) in non-institutionalized frail older adults. METHOD Randomized and quasi-experimental studies published in English reporting outcomes on UI frequency, severity, or quality of life were included and rated for quality. Studies reporting improvements over 50% in UI outcomes were considered clinically significant. RESULTS Seven studies with 683 participants (75% female) were eligible. Multicomponent behavioral interventions including pelvic floor muscle exercises and bladder training had the strongest evidence for reducing UI. There was limited evidence that suggested that comprehensive geriatric assessment with multicomponent behavioral interventions, pattern urge response training, and toilet skills training may be beneficial. CONCLUSIONS There is insufficient evidence to derive firm conclusions regarding the use of conservative interventions. Clinical trials are needed on a variety of interventions to guide practice on UI prevention and management in frail community-dwelling older adults.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Problem Statement and Purposementioning

confidence: 99%

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State of the science: Conservative interventions for urinary incontinence in frail community-dwelling older adults

2011

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“…However, as Lewin (1958) observed, individuals seem to find it difficult when they attempt to change their habits or values. In contrast, when individuals feel comfortable, they can overcome these difficulties (Schirm et al ., 2004; Kolcaba et al ., 2006). In a previous study, we found that the PHNs made their participants feel comfortable at health counseling sessions through consideration of the local culture (Marutani et al ., 2009).…”

Section: Discussionmentioning

confidence: 99%

Research Article: Culturally sensitive health counseling to prevent lifestyle-related diseases in Japan

Marutani

Miyazaki

2010

Nursing &Amp; Health Sciences

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This study explored the methods that are used by public health nurses to provide culturally sensitive health counseling to elderly Japanese farmers in order to motivate them to adopt healthy behaviors. Fourteen elderly farmers (eight men and six women) from three rural communities underwent health counseling and then changed their habits to prevent lifestyle-related diseases. Qualitative and inductive analyses were conducted to determine the effects of the culturally sensitive counseling. Five methods for providing culturally sensitive counseling were identified: (i) showing an interest in, and respect for, the local culture; (ii) stimulating the participants' awareness of the health risks inherited in their local cultural practices through the use of familiar examples; (iii) accepting and understanding the participants' ambivalence about their local culture; (iv) connecting the reasons for the participants to change their lifestyle with their local culture; and (v) adjusting the health-promoting behaviors of the participants to fit their local culture. Public health nurses should consider the pride that elderly farmers have in their background and their resistance to change and use these factors to point out the discrepancies in their lifestyle and promote more quality-of-life-oriented and practical self-care behaviors.

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“…4. Incontinencia urinaria (25). La introducción de este tema se debió a la cantidad, sobre todo, de población femenina que manifestaba padecer este problema y se sentía incómoda y avergonzada por ello.…”

Section: Selección De Los Contenidosunclassified

Educación para la salud con personas mayores: descripc de una experiencia

Juste

2008

Promotion & Education

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Resumen: En este artículo se describe una experiencia llevada a cabo con pacientes mayores de 65 años en centros de Atención Primaria de salud situados en el medio rural.Los objetivos planteados en el programa tienen como meta facilitar la consecución de hábitos saludables, conocer la sintomatología y tratamiento de las enfermedades más comunes en la vejez y como consecuencia conseguir una optimización de los recursos sanitarios.La elección de los contenidos se ha realizado teniendo en cuenta las necesidades detectadas en el historial clínico del paciente, en las valoraciones geriátricas realizadas por los médicos y en las entrevistas realizadas por las educadoras para definir las características sociosanitarias de la población. Así como la edad y del nivel socio-cultural de los participantes.Para la evaluación de la experiencia se utilizaron diferentes técnicas como escalas, cuestionarios, entrevistas, observación, discusiones en grupo y registro de datos y se tuvo en cuenta la cobertura del programa, su desarrollo y el índice de impacto del mismo.La asistencia al curso ha sido regular y el 92 % de los pacientes ha asistido a todas las sesiones y ha participado activamente. El personal sanitario manifestó que a raíz de la experiencia, la comunicación médico-paciente se hizo más fluida y se detecta una mayor comprensión de la información que los médicos ofrecen al usuario.Además se ha constatado la escasa formación de las personas mayores en temáticas de salud. Las temáticas que consideraron más importantes fueron el ejercicio físico, la estimulación cognitiva y la alimentación adecuada. Igualmente, se ha detectado una mejora del estado de ánimo, una mayor autonomía y una menor dependencia de los familiares para actividades de la vida diaria.Los propios mayores revelan al médico la experiencia vivida como un auténtico aprendizaje, así como su deseo de continuar en otras ediciones del programa. (Promot Educ 2008;15(3): 58-62)Palabras clave: educación para la salud, personas mayores, intervención educativa Justificación del programaLa propuesta de implementar un programa de educación para la salud surgió de la demanda de los profesionales de la sanidad con el objetivo de mejorar los hábitos de salud de las personas mayores que asistían a sus consultas, así como aumentar la comprensión de la enfermedad y del sistema sanitario y optimizar la utilización de los recursos. La alimentación alta en colesterol, los inadecuados hábitos higiénicos, los sentimientos de soledad y baja autoestima, la escasez de ejercicio físico y el aumento de la polimedicación así como la idea de que los avances tecnológicos en medicina solucionan todos los problemas de salud y el desconocimiento de los propios recursos locales provocaba un excesivo aumento de la demanda sanitaria (1, 2). 1. Universidad de Vigo, España. Correspondencia: Universidad de Vigo. Campus A Xunqueira, Pontevedra. (mpino@uvigo.es) (Este artículo fue presentado el 17 de octubre de 2007. Después de haber sido evaluado por pares, fue aceptado para publicación el 7 de febr...

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Development of a healthy bladder education program for older adults

Cited by 7 publications

References 5 publications

State of the science: Conservative interventions for urinary incontinence in frail community-dwelling older adults

State of the science: Conservative interventions for urinary incontinence in frail community-dwelling older adults

Research Article: Culturally sensitive health counseling to prevent lifestyle-related diseases in Japan

Educación para la salud con personas mayores: descripc de una experiencia

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