Urinary incontinence: a neglected geriatric syndrome in nursing facilities

Journal of the American Medical Directors Association
Larry W LawhorneBarbara Calabrese

Abstract

Urinary incontinence (UI) is common but inadequately assessed and treated in nursing facility (NF) residents. The purpose of this study is two-fold: (1) to determine perceptions about the importance of UI and its management in the NF setting compared with other geriatric syndromes and (2) to compare barriers to UI care as perceived by physicians, geriatric nurse practitioners (GNPs), directors of nursing and other nurses in administrative positions (DONs), and nursing assistants (NAs). Computer-based surveys of physicians and DONs and a hard copy survey of NAs at their national meetings; an online survey of GNPs. Responses included 395 physicians (31% response rate), 152 DONs (34%), 118 GNPs (23%), and 277 NAs (60%). Physicians, GNPs, and DONs evaluated and managed UI significantly less often than 5 other geriatric syndromes (behavioral symptoms of dementia, falls, unintended weight loss, pain, and delirium). In contrast, NAs were more likely to be involved in UI care than in care provided for residents with any of the other 5 syndromes. All 4 groups agreed that UI has less effect on clinical outcomes than the other 5 syndromes. However, DONs rated UI first with respect to cost of care; NAs third behind falls and pain; and phys...Continue Reading

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Citations

Jan 5, 2011·Journal of the American Medical Directors Association·Seema Siraj
Sep 1, 2009·Journal of the American Medical Directors Association·Joseph H Flaherty
Jun 6, 2009·Journal of the American Medical Directors Association·Domenico FuscoUNKNOWN SILVERNET-HC Study Group of Basilicata Region
Dec 17, 2008·Journal of the American Medical Directors Association·John E Morley
Aug 30, 2008·Journal of the American Medical Directors Association·Larry W LawhorneUNKNOWN Urinary Incontinence Work Group of the AMDA-F LTC Research Network
Dec 14, 2011·Scandinavian Journal of Caring Sciences·Joan OstaszkiewiczTrisha Dunning
Apr 10, 2015·Neurourology and Urodynamics·Edwin Paterson ArnoldSharon English
Apr 16, 2015·Korean journal of urology·Ha Bum JungSung Tae Cho
Jul 21, 2010·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Dorothy Doughty, Joseph Kisanga
Apr 14, 2011·Journal of Gerontological Nursing·Linda L BuettnerBeth Barba
May 1, 2020·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Giulia I LaneJulie Bynum
May 31, 2017·Journal of Gerontological Nursing·Marnie Colborne, Sherry Dahlke

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