Urinary incontinence poses burden to long-term care

The impact and management of urinary incontinence (UI) associated with an overactive bladder is a major burden for long-term care (LTC) residents and staff, according to a study published online July 1 in Journal of Gerontological Nursing.

Richard G. Stefanacci, DO, from Thomas Jefferson University in Philadelphia, and colleagues assessed the impact of UI on residents, staff, care processes, and quality standards in LTC settings. The survey included responses from directors of nursing who had worked at least one year in a facility with ≥100 beds.

The researchers found that of the 62 percent of residents with UI, 40 percent were always off limits and 81 percent used inconsistent products for UI. Nearly six in 10 respondents (59 percent) reported that UI management contributes to skilled nursing assistants. More than one-third of resident falls (36 percent) occur while the resident is trying to go to the bathroom, and LTC quality measures include UI significantly. urinary tract infection and he fell with a great wound. Few residents with UI (14 percent) were treated.

“Effects and related UI controls an overactive bladder is a significant burden for LTC facilities, as well as their residents and staff,” the authors wrote. “These results highlight the need for improved UI treatment, awareness, and management in this population.”

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Additional information:
Richard G. Stefanacci et al, Impact of Urinary Incontinence Associated with Overactive Bladder on Long-Term Care Residents and Facilities: Perspectives from Nursing Directors, Journal of Gerontological Nursing (2022). DOI: 10.3928/00989134-20220606-06

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