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Behavioral management in the inpatient geriatric population
C O Petrilli1, B Traughber, J F Schnelle
1Department of Psychology, Middle Tennessee State University, Murfreesboro.
The Nursing Clinics of North America
|March 1, 1988
Summary
Nursing management, including prompted voiding, can significantly improve urinary incontinence in nursing home residents. Staff motivation and tailored treatments for specific urologic conditions remain key challenges for better patient continence.
Area of Science:
- Gerontology
- Urology
- Nursing Science
Background:
- Urinary incontinence is a prevalent and often reversible condition in nursing home residents.
- Effective nursing management strategies can improve continence rates in this population.
- Identifying patient subgroups that benefit most from nursing interventions is crucial.
Purpose of the Study:
- To identify patient characteristics that predict positive responses to nursing management of urinary incontinence.
- To describe diagnostic, rehabilitative, and treatment procedures for nursing professionals in long-term care.
- To highlight challenges and areas for further research in managing incontinence in nursing home settings.
Main Methods:
- Review and synthesis of existing literature on nursing management of urinary incontinence in long-term care.
- Identification of patient profiles responsive to specific nursing interventions.
- Description of practical assessment and treatment techniques for nursing staff.
Main Results:
- Specific patient types amenable to nursing management for incontinence have been identified.
- Practical, usable techniques for nursing professionals are detailed.
- Prompted voiding is highlighted as an effective nursing implementation strategy.
Conclusions:
- Nursing implementation of prompted voiding can dramatically improve continence in geriatric inpatients.
- Staff motivation to provide consistent toileting assistance is a critical factor for success.
- Further research is needed for patients with specific urologic conditions like high residual urine volumes or low bladder capacities.