Incontinence management
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Modules - Incontinence Management
A Cost and Value Analysis of Two Interventions with Incontinent Nursing Home Residents.
John F. Schnelle, Emmett Keeler, Ron D. Hays, Sandra Simmons, Joseph G. Ouslander, and Albert L. Siu, 1995, in Journal of the American Geriatrics Society, 43:1112-1117.
In this study, family members of nursing home residents and older board-and-care residents were asked in a written survey to compare the value of interventions that improve continence and mobility to other nursing home perks such as improved meals or moving to a more private room. By wide margins, the respondents rated the functional improvement programs higher than the other, more customary options. The top-rated programs were a physical therapy program that provides 15 additional minutes of supervised activity and exercise a day, an incontinence prevention program that cuts the number of wetness episodes in half for a resident, and a program that improves the amount a resident can walk by a few minutes a day. These services were significantly preferred to any of the bottom-rated, non-rehabilitative services, which included having one additional nurse aide on the unit during the day shift, moving from a triple room to a single, from a triple room to a double, and from double room to a single. The researchers point out that while nursing home consumers often complain about privacy and food issues, they rarely request services that improve continence and walking, most likely because they are unaware of such rehabilitative programs.
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