Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Urinary incontinence associated with dementia

J Skelly1, A J Flint

  • 1Geriatric Psychiatry Program, Toronto Hospital, Canada.

Journal of the American Geriatrics Society
|March 1, 1995
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Evolution of the Torso activation cassette, a pathway required for terminal patterning and moulting.

Insect molecular biology·2018
Same author

Stabilization treatment of remitted psychotic depression: the STOP-PD study.

Acta psychiatrica Scandinavica·2018
Same author

Abdominal obesity and hip fracture: results from the Nurses' Health Study and the Health Professionals Follow-up Study.

Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·2016
Same author

Rating scales measuring the severity of psychotic depression.

Acta psychiatrica Scandinavica·2015
Same author

Measuring psychotic depression.

Acta psychiatrica Scandinavica·2013
Same author

Sensitivity and specificity of mammographic screening as practised in Vermont and Norway.

The British journal of radiology·2012

Urinary incontinence is common in dementia patients, affecting males and females equally. While prompted voiding shows promise, comprehensive assessment and individualized care are crucial for managing this condition.

Area of Science:

  • Gerontology
  • Neurology
  • Urology

Background:

  • Urinary incontinence (UI) is highly prevalent in individuals with dementia, often exceeding rates in non-demented older adults.
  • Unlike the general older population, UI in dementia occurs with equal or greater frequency in males compared to females.
  • The multifactorial nature of UI in dementia necessitates a thorough assessment of both urinary tract and extragenitourinary factors.

Purpose of the Study:

  • To review the current understanding and management strategies for urinary incontinence in patients with dementia.
  • To evaluate the efficacy of different treatment modalities, including behavioral interventions and pharmacotherapy.
  • To highlight the need for further research into diagnostic tools and treatment effectiveness in varying stages of cognitive impairment.

Main Methods:

Related Experiment Videos

  • Comprehensive literature review of studies on urinary incontinence in dementia patients.
  • Analysis of research focusing on behavioral interventions like toileting programs and prompted voiding.
  • Examination of pharmacological treatments, particularly anticholinergic and antispasmodic medications for detrusor hyperactivity.

Main Results:

  • Prompted voiding regimens demonstrated an average reduction in incontinence by 32%, suggesting efficacy in some patients.
  • Anticholinergic and antispasmodic medications have not yet proven effective for UI in demented individuals, possibly due to study populations being severely impaired.
  • Staff compliance and labor costs can limit the long-term applicability of toileting programs in institutional settings.

Conclusions:

  • Clinical evaluation is often sufficient for guiding treatment of UI in dementia.
  • Less impaired individuals may benefit more from pharmacological interventions than severely deteriorated patients.
  • For severely impaired, immobile patients with frequent incontinence, palliative measures may be more appropriate than intensive toileting programs.