Related Experiment Video
Updated: May 21, 2025
06:52
Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
9.6K
Clinical Consultation Guide: A Patient-tailored Approach to Managing Overactive Bladder in Nursing Home Residents.
Omer Anis1, Stacy H Jeong1, Sandip P Vasavada1
1Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.
European Urology Focus
|March 21, 2025
Summary
Managing overactive bladder in nursing home residents needs individualized care, considering patient frailty and health conditions. Tailored treatments, including careful medication use and alternative therapies, can enhance their quality of life.
Area of Science:
- Gerontology
- Urology
- Pharmacology
Background:
- Overactive bladder (OAB) is a prevalent condition affecting nursing home residents.
- Management challenges include high rates of frailty and multiple comorbidities in this population.
Purpose of the Study:
- To outline a patient-specific approach for managing overactive bladder in nursing home residents.
- To emphasize the importance of considering individual patient factors in diagnostic and treatment strategies.
Main Methods:
- Review of current literature and clinical guidelines for OAB management in elderly and frail individuals.
- Emphasis on individualized assessment of bladder symptoms, functional status, and cognitive impairment.
- Discussion of non-pharmacological and pharmacological treatment options, with a focus on cautious prescribing.
Main Results:
- A tailored approach is essential, integrating patient-specific frailty and comorbidity profiles.
- Non-pharmacological interventions and alternative therapies should be prioritized or used adjunctively.
- Pharmacological treatments require careful selection and titration to minimize adverse effects in this vulnerable group.
Conclusions:
- Effective overactive bladder management in nursing home residents necessitates a personalized strategy.
- Considering frailty and comorbidities is crucial for optimizing treatment outcomes and improving quality of life.
- A multidisciplinary approach involving cautious medication use and alternative therapies can significantly benefit this population.
Related Concept Videos
01:29Documentation in Long-Term and Home Healthcare Setting
864
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
864
01:30Irritable Bowel Syndrome III: Medical and Nursing Management
131
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
131
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
3.5K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
3.5K
01:30Pneumonia V: Nursing management and Prevention
1.8K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
1.8K
01:21Planning Nursing Care I
4.2K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.2K
01:19Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K