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Continence consultation for the rural homebound

M V Palumbo

    Home Healthcare Nurse
    |July 1, 1995
    PubMed
    Summary

    Home care nursing services are crucial for managing urinary incontinence, a common condition affecting millions. This article details a nursing practice developed to provide behavioral therapy for homebound individuals in rural Northern Vermont.

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    Area of Science:

    • Nursing
    • Gerontology
    • Public Health

    Background:

    • Urinary incontinence affects an estimated 10 million Americans, creating significant demand for home care continence services.
    • Behavioral therapy was recommended as a first-line treatment for urinary incontinence by the Agency on Health Care Policy and Research in March 1992.
    • Nurses are uniquely positioned to deliver behavioral therapy for incontinence management in home settings.

    Purpose of the Study:

    • To describe the development of a specialized nursing practice focused on urinary incontinence.
    • To outline the assessment and treatment protocols for homebound individuals with urinary incontinence.
    • To address the need for continence services in rural, underserved areas.

    Main Methods:

    • Development of a nursing practice model for homebound patients.
    • Implementation of assessment tools for urinary incontinence.
    • Application of behavioral therapy techniques for incontinence management.
    • Focus on a rural population in Northern Vermont.

    Main Results:

    • Establishment of a functional nursing practice providing continence care.
    • Demonstration of nurses' capability in delivering behavioral therapy for incontinence.
    • Meeting the needs of homebound individuals in a rural setting.

    Conclusions:

    • A dedicated nursing practice can effectively provide assessment and treatment for urinary incontinence in homebound populations.
    • Nurses play a vital role in delivering behavioral therapy for incontinence, particularly in rural areas.
    • The developed practice model offers a scalable solution for improving continence care access.

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