Incontinence management
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Modules - Incontinence Management
Predictors of Successful Prompted Voiding Among Incontinent Nursing Home Residents.
Joseph G. Ouslander, John F. Schnelle, Gwen Uman, Susan Fingold, Jennifer Glater Nigam, Edward Tuico, Barbara Bates-Jensen, 1995, in Journal of the American Medical Association, 273(17):1366-1370.
This report describes a simple, noninvasive assessment strategy that enables nursing home staff to identify incontinent residents who respond well to prompted voiding. Of the 191 residents in seven nursing homes who completed the demonstration trial, 41% were deemed responsive to the intervention. On average, their wet episodes dropped from 8.7 to 2.0 per day as a result of the intervention, during which research staff prompted them to use the toilet every two hours between 7 am and 7 pm. The best predictors of responsiveness were the number of wet episodes and the appropriate toileting rate during the first three days of the trial. Residents who appropriately toileted 66% or more of the time or who were found wet on 20% or fewer daily checks maintained improved continence for an additional nine weeks of prompted voiding. The researchers recommend that nursing homes implement the three-day "run-in" trial to identify residents who are most responsive to prompted voiding. "Responders" should continue to receive toileting assistance, while the non-responders should be considered for further evaluation and alternative interventions.
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