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Establishing a continence service using AHCPR guidelines

R A Mooney, D K Newman, D A Smith

    Ostomy/Wound Management
    |April 1, 1993
    PubMed
    Summary
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    This article outlines assessment and management strategies for adult urinary incontinence, incorporating Agency for Health Care Policy and Research (AHCPR) guidelines. These evidence-based approaches aim to improve the quality and effectiveness of incontinence care in clinical settings.

    Area of Science:

    • Gerontology
    • Urology
    • Public Health

    Background:

    • Adult urinary incontinence is a prevalent condition affecting quality of life.
    • The Agency for Health Care Policy and Research (AHCPR) has issued practice guidelines for incontinence management.
    • Effective assessment and management are crucial for improving patient outcomes.

    Purpose of the Study:

    • To describe assessment and management strategies for adult urinary incontinence.
    • To demonstrate the incorporation of AHCPR guidelines into clinical practice.
    • To highlight the adaptability of these strategies across different healthcare settings.

    Main Methods:

    • Review and synthesis of AHCPR practice guidelines.
    • Description of assessment tools and diagnostic procedures for urinary incontinence.

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  • Outline of evidence-based management options, including behavioral, pharmacologic, and surgical interventions.
  • Adaptation of strategies for a continence clinic within a gynecology practice.

    • Main Results:

    • Implementation of a structured approach to incontinence assessment.
    • Application of AHCPR-recommended management strategies tailored to patient needs.
    • Demonstration of successful integration of guidelines into a clinical workflow.
    • Adaptability of the continence clinic model for nursing homes and home care.

    Conclusions:

    • Continence clinics incorporating AHCPR guidelines can enhance the quality, effectiveness, and appropriateness of adult urinary incontinence care.
    • These evidence-based strategies are applicable in various healthcare settings, including gynecology practices, nursing homes, and home care.
    • Adoption of standardized assessment and management protocols is key to improving outcomes for individuals with urinary incontinence.