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Prompted voiding for nighttime incontinence in nursing homes: is it effective?
J G Ouslander1, N Ai-Samarrai, J F Schnelle
1Wesley Woods Center of Emory University and the Atlanta VA Rehabilitation Research and Development Center, Atlanta, Georgia, USA.
Journal of the American Geriatrics Society
|July 17, 2001
Summary
Nighttime prompted voiding (PV) is ineffective for nursing home residents with urinary incontinence. Even residents who respond well to daytime PV show poor results at night, suggesting individualized care is needed.
Area of Science:
- Gerontology
- Urology
- Nursing
Background:
- Urinary incontinence is a prevalent issue among nursing home residents.
- Prompted voiding (PV) is a common intervention for incontinence, but its efficacy at night is less understood.
Purpose of the Study:
- To evaluate the effectiveness of nighttime prompted voiding (PV) for urinary incontinence in nursing home residents.
- To determine if daytime PV responders also respond well to nighttime PV.
Main Methods:
- A prospective case series was conducted in four community nursing homes.
- Sixty-one incontinent residents (mean age 88) participated.
- Wetness and toileting rates were measured during daytime and nighttime PV protocols.
Main Results:
- Nighttime PV was largely ineffective, with a 49% wetness rate and 18% appropriate toileting rate.
- Only 23% of residents responded well to daytime PV.
- Daytime responders showed higher nighttime wetness (24%) and lower toileting rates (39%) compared to daytime.
Conclusions:
- Nighttime PV is not an effective intervention for most incontinent nursing home residents, even with sleep-minimizing protocols.
- Individualized care plans considering resident preferences and sleep patterns are recommended over routine nighttime toileting programs.