Incontinence management
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Modules - Incontinence Management
TREATMENTS FOR URINARY INCONTINENCE
Depending on the outcomes of the basic evaluation, four broad types of treatment may be justified:
- Drug therapy
- Surgery
- Behavioral interventions, including prompted voiding
- Other interventions, including electrical stimulation and catheterization
Although there are few comprehensive studies on the prevalence of incontinence treatment strategies for nursing home residents, existing data suggests that indwelling urethral catheters are used by 4% to 12% of residents (2) and medications by 3% to 10% (3), with the remaining majority using diapers with some form of toileting assistance. As a general rule, incontinent nursing home residents are considered poor candidates for the other behavioral interventions largely because most of them have cognitive impairments that prevent them from following complex instructions (3).
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