Incontinence: Assessment, Diagnosis, and Management in Two Rehabilitation Units for Older People

Coffey, Alice; McCarthy, Geraldine; McCormack, Brendan; Wright, Jayne; Slater, Paul

doi:10.1111/j.1741-6787.2007.00096.x

Cited by 20 publications

(27 citation statements)

References 46 publications

(78 reference statements)

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“…This study of an 80% female population reported an inadequacy of assessment, suboptimal management and an over-reliance on containment as a sole source of management of the problem. These findings have been replicated in Ireland [17]. Figure 2 shows the documented treatment for urinary incontinence in communitydwelling older people from the audit.…”

Section: Lower Urinary Tract Symptoms In Older Womensupporting

confidence: 50%

Recent advances in the treatment of urinary incontinence in older women

Wagg

2008

Current Opinion in Urology

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Section: Lower Urinary Tract Symptoms In Older Womensupporting

confidence: 50%

Recent advances in the treatment of urinary incontinence in older women

Wagg

2008

Current Opinion in Urology

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“…For this reason research was undertaken to investigate the context within which incontinence was managed in a rehabilitation unit in Ireland. This was part of a larger funded study (Coffey et al. , 2007, Wright et al.…”

Section: Literature Reviewmentioning

confidence: 99%

Incontinence: prevalence, management, staff knowledge and professional practice environment in rehabilitation units

McCarthy¹,

McCormack²,

Coffey³

et al. 2009

Int J Older People Nursing

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Background. Bladder and bowel incontinence is a major health care problem, which adversely affects the lives of many individuals living at home or in health service facilities. Current approaches to continence care emphasize comfort, safety and reduction of risk, rather than detailed individualized assessment and management. The literature illustrates a gap between evidence and actual practice and emphasizes the context of care as being a key element for successful implementation of evidence based practice. Aims. To identify prevalence of bowel and bladder incontinence and its management, investigate continence knowledge and describe the professional practice environment within a rehabilitation unit for older people. Method. An integrated evaluation of continence prevalence, staff knowledge and the work environment was adopted. Results. Findings revealed a high incidence of incontinence (60% urinary, 3% faecal, 37% mixed) a lack of specific continence assessment and specific rationale for treatment decisions or continuation of care. The focus was on continence containment rather than on proactive management. Staff demonstrated a reasonable knowledge of incontinence causation and treatment as measured by the staff knowledge audit. The evaluation of the work environment indicated a low to moderate perception of control over practice (2.39), autonomy in practice (2.87), nurse doctor relationship (2.67) and organizational support (2.67).

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“…Older people with urinary incontinence may look to healthcare professionals for someone to talk to and receive individualized, person centred care. They are looking for choices on how to manage their condition and symptoms and many expect active participation in their care programme and decision‐making process (Coffey et al. , 2007; Kincade et al.…”

Section: Patient Perspectivementioning

confidence: 99%

“…, 2008). Equally, quality of life can be markedly affected by the failure to treat and adequately manage urinary incontinence with physical, social, psychological and financial consequences (Coffey et al. , 2007; Jamison et al.…”

Section: Patient Perspectivementioning

confidence: 99%

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Promoting urinary continence with older people: a selective literature review

Agnew

Booth

2009

Int J Older People Nursing

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As the population of older people increases so does the prevalence of urinary incontinence experienced. Despite its complex aetiology most of the contributing factors are reversible, when accurate assessment leads to the development of a person-centred continence care plan. This selective literature review highlights that a change in perspective among older people and healthcare professionals will enable a focus on bladder rehabilitation and proactive approaches to managing urinary incontinence, even in the very frail population. The need to design tools to facilitate such developments is discussed together with the need for greater focus on educational support that considers the wider context and the multiple factors that influence practice.

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Incontinence: Assessment, Diagnosis, and Management in Two Rehabilitation Units for Older People

Abstract: Because incontinence remains an issue for older people and the clinical implications of sustained incontinence are multifaceted, strategies should focus on the development of practice towards evidence-based multidisciplinary approaches to continence promotion and management.

Cited by 20 publications

References 46 publications

Recent advances in the treatment of urinary incontinence in older women

Recent advances in the treatment of urinary incontinence in older women

Incontinence: prevalence, management, staff knowledge and professional practice environment in rehabilitation units

Promoting urinary continence with older people: a selective literature review

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