Incontinence management
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PROMPTED VOIDING PROGRAMS IMPROVE CONTINENCE
What knowledge do nursing home staff lack? Many seem unaware of key findings from more than 10 years of research on prompted voiding programs, the most extensively evaluated toileting assistance intervention for nursing home residents. Prompted voiding programs are designed to create awareness among residents of their continence status (i.e., whether they are wet or dry) and to encourage them to ask for toileting assistance. When implemented properly, the programs work. Here's what the findings show:
- Prompted voiding results in a 40% to 50% overall reduction in the frequency of daytime urinary incontinence (4, 8).
- Between 25% and 40% of incontinent residents will respond to prompted voiding, with a reduction in their incontinence frequency from three to four episodes per day to one per day (8-9).
- Residents who are most responsive to prompted voiding can be easily identified in a two-day trial of the intervention (10).
- Even residents with severe cognitive and physical impairments have proven responsive to prompted voiding (10).
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