Incontinence management
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Modules - Incontinence Management
Prompted Voiding for Nighttime Incontinence in Nursing Homes: Is it Effective?
Joseph G. Ouslander, Nahla Al-Samarrai, and John F. Schnelle, 2001 in Journal of the American Geriatrics Society, 49:706-709.
Does prompted voiding improve continence at night? No, not according to this study, which attempted a nighttime toileting assistance program with 61 incontinent nursing home residents. Wetness rates remained relatively high at night-49%--while appropriate toileting rates were low-18%. Ideally, wetness rates should drop below 20% and appropriate toileting rates should be above 66%. Even residents who responded well to daytime prompted voiding showed poor results at night. The researchers recommend that night care be individualized, with the goals of minimizing sleep disruption and protecting at-risk residents from skin problems. Prompted voiding and other toileting assistance interventions should be reserved for those residents who are bothered by nighttime incontinence and who demonstrate, through a two- or three-night trial, their willingness to toilet at night.
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