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Restorative Care01:19

Restorative Care

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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,...
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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Nursing Assessment of the Genitourinary System I: Health History01:21

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The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
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The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
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Related Experiment Video

Updated: May 5, 2026

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
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Incontinence in the nursing home

J G Ouslander1, J F Schnelle

  • 1University of California, Borun Center for Gerontological Research, Los Angeles.

Annals of Internal Medicine
|March 15, 1995
PubMed
Summary

Urinary and fecal incontinence affect many nursing home residents. Prompted voiding and bowel training are effective management strategies, alongside treating reversible causes.

Area of Science:

  • Geriatrics
  • Urology
  • Gastroenterology

Background:

  • Urinary and fecal incontinence are common, disruptive, and costly issues in nursing homes.
  • These conditions significantly impact the quality of life for residents.

Purpose of the Study:

  • To outline diagnostic assessments for urinary incontinence in nursing home residents.
  • To describe effective management strategies for both urinary and fecal incontinence.

Main Methods:

  • Basic diagnostic assessment for urinary incontinence includes history, bladder record, physical exam, urinalysis, and postvoid residual measurement.
  • Identification and treatment of reversible causes like fecal impaction and drug side effects are crucial.
  • Behavioral interventions such as prompted voiding and bowel training protocols are key management tools.

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Main Results:

  • Prompted voiding effectively manages daytime urinary incontinence in 25-33% of residents when targeted appropriately.
  • Fecal incontinence management involves excluding reversible causes and implementing bowel training.
  • Long-term catheterization should be reserved for specific indications due to associated morbidity.

Conclusions:

  • A systematic approach to diagnosis and management is essential for urinary and fecal incontinence in nursing home residents.
  • Noninvasive behavioral interventions are effective for a significant proportion of incontinent residents.
  • Addressing reversible conditions and utilizing targeted interventions improve resident outcomes.