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Related Experiment Videos

Continence issues in acute care.

R Lincoln1, R Roberts

  • 1University Hospitals of Cleveland, Ohio.

The Nursing Clinics of North America
|September 1, 1989
PubMed
Summary
This summary is machine-generated.

Urinary incontinence impacts many acute care patients. Effective management involves assessing contributing factors and implementing tailored toileting, environmental, and bowel regimens for better patient outcomes.

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Area of Science:

  • Gerontology
  • Urology
  • Internal Medicine

Background:

  • Urinary incontinence (UI) affects a significant portion of acute care patients, impacting their quality of life and increasing care needs.
  • Understanding the various types of incontinence (stress, urge, reflex, total, functional) is crucial for accurate diagnosis and management.
  • Acute care settings present unique challenges, including diagnostic studies, treatments, immobility, restraints, pain, iatrogenic conditions, and environmental factors that can exacerbate incontinence.

Purpose of the Study:

  • To outline the scope of urinary incontinence in acute care settings.
  • To detail assessment strategies for identifying causes and types of incontinence.
  • To describe management and treatment approaches for both urinary and fecal incontinence in hospitalized elderly patients.

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Main Methods:

  • Comprehensive patient assessment including specific history and physical examination.
  • Focus on functional ability, cognitive status, and previous incontinence episodes.
  • Review of common problems in acute care influencing incontinence: treatments, bedrest, restraints, pain, environment.

Main Results:

  • Incontinence is a prevalent issue in acute care, influenced by numerous patient and environmental factors.
  • Assessment should be thorough, considering medical history, functional status, and cognitive state.
  • Management strategies include scheduled toileting, fluid management, environmental modifications, and psychological support.

Conclusions:

  • Effective management of urinary incontinence in acute care requires a multi-faceted approach.
  • Addressing contributing factors like medications, mobility, and environmental barriers is key.
  • Specific protocols for fecal incontinence in the elderly, including bowel regimens and skin protection, are essential.