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Urinary dysfunction in a geriatric long-term care population: prevalence and patterns.

M A Jewett, G R Fernie, P J Holliday

    Journal of the American Geriatrics Society
    |May 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

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    Urinary dysfunction is common in geriatric patients in long-term care, affecting nearly 70%. Reliable data collection is challenging due to cognitive issues and communication barriers in this elderly population.

    Area of Science:

    • Geriatric Medicine
    • Urology
    • Public Health

    Background:

    • Urinary dysfunction is a prevalent issue in geriatric populations residing in long-term care facilities.
    • Accurate data on the prevalence and types of urinary dysfunction is crucial for effective urologic care management.
    • Geriatric patients often present complex health profiles, including cognitive impairments, complicating data acquisition.

    Purpose of the Study:

    • To investigate the prevalence and types of urinary dysfunction among newly admitted geriatric patients in a long-term care hospital.
    • To assess the challenges in obtaining reliable urologic information from this patient group.
    • To evaluate the accuracy of self-reported data versus observed conditions.

    Main Methods:

    • A prospective study was conducted over 13 months, enrolling all new admissions to a long-term care hospital.

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  • Data was collected on geriatric patients (aged 65 and older), focusing on urinary dysfunction prevalence and characteristics.
  • Patient and staff interviews were used to gather information, with data reliability assessed through cross-verification.

    • Main Results:

    • Of the newly admitted geriatric patients (80% of total admissions), 69.3% exhibited urinary dysfunction.
    • Specific dysfunctions included incontinence (38.3%), urinary diversion devices (20.2%), and symptomatic non-incontinence (10.8%).
    • Significant challenges were noted in data collection, with 27% having mental disorders and 30% unable to provide health history.

    Conclusions:

    • Urinary dysfunction is highly prevalent in geriatric institutionalized patients, necessitating targeted urologic management strategies.
    • The reliability of self-reported urologic history is questionable in this population due to cognitive impairments and communication difficulties.
    • Further research is needed to develop effective methods for assessing and managing urinary dysfunction in long-term care settings.