PATTERNS AND TREATMENTS OF Urinary Incontinence on Special Care Units

Specht, Janet K.; Lyons, Stacie Salsbury; Maas, Meridean

doi:10.3928/0098-9134-20020501-06

Cited by 14 publications

(4 citation statements)

References 26 publications

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“…Patients who became incontinent after being admitted to home care services were less likely to have a diagnosis. These results are more or less in line with another study that was conducted on special care units with older adults with dementia (18). They found that at least one continence‐related nursing diagnosis was established for only 55% of those cases suffering from UI.…”

Section: Discussionsupporting

confidence: 92%

Urinary incontinence in older adults receiving home care diagnosis and strategies

Moulin

Hamers

Ambergen

et al. 2009

Scandinavian Caring Sciences

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Section: Discussionsupporting

confidence: 92%

Urinary incontinence in older adults receiving home care diagnosis and strategies

Moulin

Hamers

Ambergen

et al. 2009

Scandinavian Caring Sciences

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“…Prompted voiding was underused, although it is highly dependent upon staff, making it difficult with today's NH staffing problems. Recent evidence suggests a significant unrealized potential for improvement of UI in NHs even for persons with dementia 23,24 through toileting regimens especially for ambulatory residents, 25 but in the current study, most CNAs reported that they thought UI was normal for NH residents and that nothing could be done. Therefore, substantial barriers to toileting interventions exist.…”

Section: Discussionmentioning

confidence: 99%

Use of the Agency for Health Care Policy and Research Urinary Incontinence Guideline in Nursing Homes

Watson

Brink

Zimmer³

et al. 2003

J American Geriatrics Society

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The objective of this study was to assess the use of the Agency for Health Care Policy and Research (now called the Agency for Healthcare Research and Quality) Urinary Incontinence (UI) Guideline (1996) in nursing homes (NHs) using retrospective chart review and nursing assistant screening interviews. The study was conducted in a nonrandom sample of 52 NHs in upstate New York. Two hundred residents developing new UI or newly admitted with UI on the dayshift and who met criteria for evaluation and treatment/management were evaluated in the 12 weeks after onset of or admission with UI. Fifteen percent of newly admitted residents needed evaluation. Of residents already in NHs, 2.3 per 100 beds developed new UI over the 12 weeks. Aspects of UI evaluation rarely done were rectal examination (15%), digital examination of prostate (15%), and pelvic examination (2%). Sixty-eight percent had a culture/sensitivity, 56% a urinalysis, and 6% a postvoid residual. Eighty-one percent had a reversible cause at the time of onset, but only 34% had all addressed. Few (2%) needed urologist evaluation. Treatment was rare (3%), but management using toileting and absorbent products were common. Only 6% achieved resolution of UI. These results suggest that assessment and treatment of UI is manageable (a total of 4.2 new cases per 100 beds per 12 weeks) but quality is not adequate. On average, only 20% of the standards applicable were met, due primarily to lack of awareness of new UI and lack of familiarity with the guideline. Thus, improvements are needed. Recommendations for guideline revision are made.

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“…28 The etiology for the elderly is often more complex than for younger persons and treatments may be more limited and challenging for nursing home residents 29 but not useless -even for cognitively impaired persons who are fully incontinent. 30,31 Resnick 32 in his chapter on urinary incontinence in the Merck Manual of Geriatrics asserts that incontinence remains a neglected problem that is highly treatable and curable. A number of studies demonstrated that UI among some nursing home residents can be treated successfully.…”

Section: Methodsmentioning

confidence: 99%

Development of a Risk-Adjusted Urinary Incontinence Outcome Measure of Quality for Nursing Homes

Mukamel¹,

Watson²,

Meng³

et al. 2003

Medical Care

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PATTERNS AND TREATMENTS OF Urinary Incontinence on Special Care Units

Cited by 14 publications

References 26 publications

Urinary incontinence in older adults receiving home care diagnosis and strategies

Urinary incontinence in older adults receiving home care diagnosis and strategies

Use of the Agency for Health Care Policy and Research Urinary Incontinence Guideline in Nursing Homes

Development of a Risk-Adjusted Urinary Incontinence Outcome Measure of Quality for Nursing Homes

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