Incontinence in the frail elderly: Report from the 4th international consultation on incontinence

DuBeau, Catherine E.; Kuchel, George A.; Johnson, Theodore M.; Palmer, Mary H.; Wagg, Adrian

doi:10.1002/nau.20842

Cited by 161 publications

(139 citation statements)

References 107 publications

(100 reference statements)

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“…[1][2][3][4] Urinary incontinence entails sanitation problems, affects the dignity of sufferers and increases caregivers' burden. Urinary incontinence in dependent elderly persons is closely associated with impairment of ADL and cognitive function.…”

Section: Introductionmentioning

confidence: 99%

“…These approaches have been shown to reduce wet episodes by approximately half, and to increase the number of proper voidings as a proportion of the total number of voidings; [6][7][8] however, these approaches or modified approaches have not been adequately studied to date. 1 Urinary incontinence is a manifestation of dysfunction of the lower urinary tract, and might not be properly managed by nursing care alone. Despite such urological common sense, just 3% of incontinent elderly persons in nursing homes in Japan have been found to have consulted a urologist.…”

Section: Introductionmentioning

confidence: 99%

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Individually tailored ultrasound‐assisted prompted voiding for institutionalized older adults with urinary incontinence

et al. 2014

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Objectives:To assess individually tailored ultrasound-assisted prompted voiding as a means of managing urinary incontinence in hospitalized elderly patients. Methods: A total of 88 incontinent elderly individuals who were inpatients in general hospitals were included. Each individual's mean bladder volume before starting to void (voided urine volume plus residual urine volume) was regarded as the optimal bladder volume. Bladder volume was regularly monitored with an ultrasound device, and when the urine volume had reached the individual's optimal bladder volume, the subject was prompted to void. The outcomes were evaluated on the basis of scores on a four-grade scale for items in six domains: urine volume, voiding function, urinary control, physical and cognitive function for toileting, and caregivers' burden in regard to continence care. The score for use of a pad/diaper, an item of urinary control domain, was used as the primary outcome measure. Results: A total of 80 participants were included for analysis. After ultrasound-assisted prompted voiding care for a 4-week period, the score for use of a pad/diaper in 50 out of 80 participants (62.5%) had decreased, and 21 out of 80 participants (26.3%) no longer required the use of a pad/diaper at all. The scores of the other 30 out of 80 participants (37.5%) were unchanged. The improvement was not significantly affected by patients' backgrounds at baseline. The mean scores in the domains of urinary control, physical function, cognitive function and caregivers' burden improved significantly. Conclusion:The present preliminary study suggests that individually tailored ultrasoundassisted prompted voiding can improved urinary incontinence of institutionalized elderly patients. Further studies are worth carrying out.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Individually tailored ultrasound‐assisted prompted voiding for institutionalized older adults with urinary incontinence

et al. 2014

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“…It is estimated that between 25 and 50% of people over the age of 85 can be considered frail. 1,2 With respect to LUTS, frailty needs to be taken into account when making management decisions, as the cause is more likely to be multifactorial than among younger and/or more robust older patients. Also, due to age-related pharmacokinetics and pharmacodynamics, as well as the increased risk of comorbidity, polypharmacy and drug-drug interactions, frail elderly patients are more susceptible to treatment-emergent side effects.…”

Section: Frailtymentioning

confidence: 99%

How to treat the frail elderly: The challenge of multimorbidity and polypharmacy

Tannenbaum¹

2013

CUAJ

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“…It is fundamental to highlight that, for all of these methods, pa ents need preserved cogni ve func ons in order to par cipate ac vely in these treatment forms (24,27) . Many elderly pa ents use absorbents and diapers in the a empt to minimize the embarrassment urinary incon nence causes.…”

Section: Nursing Care For Urinary Incon Nence Management In Elderly Pmentioning

confidence: 99%

Atuação do enfermeiro no manejo da incontinência urinária no idoso: uma revisão integrativa

Silva¹,

D’Elboux

2012

Rev. esc. enferm. USP

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RESUMOEste estudo teve como obje vo verifi car quais são as estratégias u lizados pelos enfermeiros para o manejo da incon nência urinária (IU) em idosos. Realizou-se um estudo de revisão integra va da literatura nas seguintes bases de dados: WEB OF SCIENCE, MEDLINE, SCOPUS e CINAHL, no período de 2006 a 2010. Foram encontradas 186 publicações, e, após a exclusão daquelas com duplicidade e a leitura cuidadosa dos trabalhos na íntegra, a amostra cons tuiu-se de sete ar gos. A maior parte das pesquisas aborda a incon nência urinária de uma maneira geral, sem caracterização quanto ao seu po ou queixas presentes nos sujeitos da pesquisa. Apenas um trabalho referia-se ao manejo de incon nência urinária em idosos com demência e outro especifi cou o po (bexiga hipera va). Diante disso, destaca-se a necessidade de realizar pesquisas clínicas sobre o manejo da incon nência urinária realizado por enfermeiros, visando o fornecimento de evidências cien fi cas para o embasamento dessa prá ca. DESCRITORES Idoso Incon nência urinária Terapêu ca Cuidados de enfermagem Revisão ABSTRACTThe objective of this study was to verify the strategies that nurses use to manage urinary incontinence (UI) in the elderly. An integrative literature review was performed on the following databases: WEB OF SCIENCE, MEDLINE, SCOPUS and CI-NAHL, in the period from 2006 to 2010. A total of 186 articles were located, and after excluding duplicates and performing a careful reading of the full articles, the sample was comprised of seven articles. Most studies utilize an overall approach to urinary incontinence, without characterizing the type or the subjects' claims. Only one study addressed the management of urinary incontinence in the elderly with dementia; another specified the type (hyperactive bladder). Therefore, there is a need for further clinical nursing studies regarding the management of urinary incontinence, aiming to provide scientific evidence to support this practice. DESCRIPTORS Aged Urinary incon nence Therapeu cs Nursing care Review RESUMENSe obje vó verifi car cuáles son las estrategias u lizadas por enfermeros para el manejo de la incon nencia urinaria (IU) en ancianos. Se realizó estudio de revisión integra va de literatura, en las bases de datos WEB OF SCIENCE, MEDLINE, SCO-PUS y CINAHL, en período de 2006 a 2010. Fueron encontradas 186 publicaciones; una vez excluidas las duplicadas y efectuada la lectura integral de los trabajos, la muestra se cons tuyó de 7 ar culos. La mayoría de las inves gaciones aborda la IU de un modo general, sin caracterización de pología o quejas expresadas por los sujetos inves gados. Apenas un trabajo se refería al manejo de IU en ancianos con demencia y otro especifi có el po (vejiga hiperac va). Frente a eso, se destaca la necesidad de realizar inves gaciones clínicas sobre el manejo de la IU realizadas por enfermeros, apuntando a ofrecer evidencias cien fi cas que sirvan de base a esta prác ca.

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Incontinence in the frail elderly: Report from the 4th international consultation on incontinence

Cited by 161 publications

References 107 publications

Individually tailored ultrasound‐assisted prompted voiding for institutionalized older adults with urinary incontinence

Individually tailored ultrasound‐assisted prompted voiding for institutionalized older adults with urinary incontinence

How to treat the frail elderly: The challenge of multimorbidity and polypharmacy

Atuação do enfermeiro no manejo da incontinência urinária no idoso: uma revisão integrativa

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