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Related Experiment Videos

Promoting continence following head injury.

R Williams

    British Journal of Nursing (Mark Allen Publishing)
    |June 8, 1992
    PubMed
    Summary

    Effective incontinence management requires specific problem identification using assessment tools. Nurses should aim for optimal continence, using aids only to support this goal, not to sustain incontinence.

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    Area of Science:

    • Gerontology
    • Nursing Care
    • Urology

    Background:

    • Incontinence management and continence promotion are critical nursing responsibilities.
    • Accurate assessment is fundamental for effective intervention.
    • Generic identification of incontinence is insufficient for targeted care.

    Observation:

    • Assessment checklists and regular recording (toilet charting) aid nurses in diagnosing incontinence-related issues.
    • Assessment must be specific, identifying problems like nocturia, nocturnal enuresis, urgency, urge incontinence, and polyuria.

    Findings:

    • The primary goal of continence care is to achieve the optimum level of continence.
    • Specific incontinence management strategies are employed when the ideal goal is unattainable.
    • Assessment tools are also vital for evaluating the efficacy of implemented care plans.

    Implications:

    • Incontinence aids should be selected based on thorough assessment to address specific problems and promote continence.
    • The use of incontinence aids should not inadvertently encourage the continuation of incontinence.
    • A targeted, problem-specific approach to continence care is essential for improving patient outcomes.

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