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Urinary incontinence in the long-term care facility

P S Pinkowski1

  • 1LaPorte Hospital, IN 46352, USA.

Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society
|November 1, 1996
PubMed
Summary

Urinary incontinence in long-term care facilities is a significant issue. Effective management requires appropriate assessment and interdisciplinary care planning to prevent learned helplessness and improve resident well-being.

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Prompted voiding in the long-term care facility.

Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society·1996
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Area of Science:

  • Gerontology
  • Healthcare Management
  • Nursing

Background:

  • Urinary incontinence presents a substantial challenge in US long-term care facilities, impacting residents, families, and staff.
  • Factors such as aging, hospitalization, and attitudes influence resident continence.
  • Inadequate staffing, lack of interdisciplinary collaboration, and quality compromises contribute to incontinence.

Purpose of the Study:

  • To highlight the significant impact of urinary incontinence in long-term care.
  • To identify factors exacerbating incontinence, including assessment and management deficits.
  • To emphasize the need for preventative and management interventions.

Main Methods:

  • Review of contributing factors to urinary incontinence in long-term care.

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  • Analysis of the role of immobility and iatrogenesis.
  • Identification of systemic issues within facilities.

    • Main Results:

    • Incontinence is exacerbated by poor assessment and management practices.
    • Learned helplessness and subsequent incontinence are linked to inadequate staffing and care quality.
    • Immobility, influenced by environmental and policy factors, is a key contributor.

    Conclusions:

    • Urinary incontinence management requires comprehensive assessment and interdisciplinary care planning.
    • Addressing factors like immobility, staffing, and care quality is crucial.
    • Interventions are necessary to prevent and manage incontinence effectively in long-term care settings.