Urinary incontinence and the terminally ill older person

Clinics in Geriatric Medicine
Joseph H Flaherty

Abstract

The principles of managing urinary incontinence in an older patient who has a terminal illness should be based on the general principles of overall care for terminally ill older persons. First, health care professionals need to understand "where" the person is in the dying process. Second, they must be able to predict, with as much accuracy as possible, the consequences of any action or inaction(that is, a decision made not to do an intervention that typically is done). Third, they must understand how the patient's symptom is uncomfortable and bothersome from the patient's standpoint. All three steps need to take into account the family's perception of the patient's discomfort, and, whenever possible, the family should be involved in the decision making.

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Citations

Dec 27, 2015·Journal of the American Medical Directors Association·Matthias HobenCarole A Estabrooks
Nov 3, 2010·American Journal of Infection Control·Mohamad G FakihLouis D Saravolatz
Sep 28, 2013·International Journal of Palliative Nursing·Naomi FarringtonAlison Richardson
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Jun 26, 2018·The American Journal of Hospice & Palliative Care·Bilal ChughtaiHolly Prigerson
Dec 4, 2020·Journal of Pain and Symptom Management·Michelina D StoddardBilal Chughtai

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