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Related Experiment Videos

Urinary incontinence: an augmented prompted void approach.

K A McCormick, L D Burgio, B T Engel

    Journal of Gerontological Nursing
    |March 1, 1992
    PubMed
    Summary

    Prompted voiding with a bellpad improved continence in nursing home residents by 22%. This behavioral treatment strategy increased bladder voiding volume, showing promise for those with cognitive impairment.

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    Area of Science:

    • Gerontology
    • Urology
    • Behavioral Science

    Background:

    • Urinary incontinence is a prevalent issue in nursing home residents, particularly those with cognitive impairments.
    • Current treatment strategies may not adequately address the needs of severely cognitively impaired or immobile individuals.

    Purpose of the Study:

    • To evaluate the effectiveness of augmenting the prompted voiding procedure with a bellpad for improving urinary continence in nursing home residents.
    • To assess changes in bladder behavior and voiding patterns in response to behavioral treatment.

    Main Methods:

    • A study involving nursing home residents with urinary incontinence.
    • Implementation of an augmented prompted voiding procedure incorporating a bellpad.
    • Measurement of continence rates and voided volumes before and after treatment.

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    Main Results:

    • Continence improved from 44.7% dryness at baseline to 54.7% at the end of treatment, a 22% increase.
    • The augmented prompted voiding procedure led to an average increase of 26 mL voided volume per 2 hours.
    • The treatment demonstrated positive effects on bladder behavior and continence, even in cognitively impaired residents.

    Conclusions:

    • Augmenting prompted voiding with a bellpad is an effective behavioral treatment for improving urinary continence in nursing home residents.
    • This approach positively influences bladder behavior and should be considered for all residents, including those with severe cognitive impairment or immobility.
    • Reimbursement policies should be revised to include treatment for all nursing home residents requiring continence management.