Prevalence and Correlates of Perineal Dermatitis in Nursing Home Residents

Bliss, Donna Z; Savik, Kay; Harms, Susan; Qiao, Fan; Wyman, Jean F.

doi:10.1097/00006199-200607000-00004

Cited by 85 publications

(112 citation statements)

References 23 publications

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“…The first World Continence Week (June [22][23][24][25][26][27][28]2009) sponsored by the International Continence Society 31 is one example of coordinating global awareness of incontinence and showcasing the scientific and clinical contributions of multidisciplinary professionals. As urinary and fecal incontinence occur concurrently in many patients, 32,33 there is an unexploited potential for collaborative research on awareness and prevention of both conditions, which have been investigated separately for the most part.…”

Section: Increasing Awareness Of Fecal Incontinence Continence Literacymentioning

confidence: 99%

Raising awareness about fecal incontinence

Norton

Vodušek

2010

Neurourology and Urodynamics

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There is a lack of awareness about fecal incontinence despite its prevalence and adverse impact on quality of life. Inadequate knowledge about fecal incontinence deters help-seeking, therapeutic consultation, and clinical research about effective prevention and management strategies. A systematic, evidenced-based approach to raise awareness of fecal incontinence is essential to forward progress and overcome multiple barriers. In this manuscript, strategies of this approach are prioritized and focus on increasing continence literacy and communication, emphasizing prevention and screening, disseminating evidenced-based management interventions, and promoting larger scale impact through effective partnerships.

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Section: Increasing Awareness Of Fecal Incontinence Continence Literacymentioning

confidence: 99%

Raising awareness about fecal incontinence

Norton

Vodušek

2010

Neurourology and Urodynamics

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“…The model was originally developed for a study of PD in hospital patients, but Bliss et al (2006) saw a potential use for guiding analysis of PD in nursing home residents. They added the use of restraints as an indicator of toileting ability because of its high relevance to nursing home residents and operationalized its components using the MDS after the analysis described in this study was completed.…”

Section: Variablesmentioning

confidence: 99%

“…Yet, few studies about PD or its associated factors in older adults in any setting have been conducted. Bliss, Savik, Harms, Fan, and Wyman (2006) investigated the prevalence and correlates of PD in nursing home residents, guided by a conceptual model of PD (Brown & Sears, 1993). Minimum Data Set (MDS) items were used to represent the factors in the model.…”

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confidence: 99%

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Validating MDS Data about Risk Factors for Perineal Dermatitis by Comparing with Nursing Home Records

Tóth¹,

Savik²,

Wyman³

2008

J Gerontol Nurs

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Perineal dermatitis is one of the main complications of incontinence and increases the cost of health care. The Minimum Data Set (MDS) contains data about factors associated with perineal dermatitis identified in a published conceptual model of perineal dermatitis. The purpose of this study was to determine the validity of MDS data related to perineal dermatitis risk factors by comparing them with data in nursing home chart records. Findings indicate that MDS items defining factors associated with perineal dermatitis were valid and supported use of the MDS in further investigation of a significant, costly, and understudied health problem of nursing home residents.Perineal dermatitis (PD) is an inflammation of the skin in the genital, buttock, and thigh areas that can result in decreased well-being and increased health care costs. In mild cases, PD manifests as redness and discomfort. In more severe cases, there is loss of superficial skin layers, a rash or oozing vesicles, and pain. Secondary fungal infection may also occur (Brown & Sears, 1993). It is estimated that 35% of older adults who are incontinent have a rash or redness requiring treatment; the estimated annual cost of such skin irritations in nursing home residents with urinary incontinence is $6.6 billion (Wilson, Brown, Shin, Luc, & Subak, 2001). Yet, few studies about PD or its associated factors in older adults in any setting have been conducted. Bliss, Savik, Harms, Fan, and Wyman (2006) investigated the prevalence and correlates of PD in nursing home residents, guided by a conceptual model of PD (Brown & Sears, 1993). Minimum Data Set (MDS) items were used to represent the factors in the model. Because numerous items from the MDS could be used to define each PD factor, composite variables of MDS items needed to be developed (Savik, Fan, Bliss, & Harms, 2005). This study reports the preliminary analysis of the validity of the MDS items used to operationally define those PD factors. Determining the validity of sources of data or measures of variables Address correspondence to Anna M. Toth, RN, BAN, MSN, 517 Deer Trail, Montgomery, MN 56069; atoth@frontiernet.net. HHS Public Access Author ManuscriptAuthor Manuscript Author ManuscriptAuthor Manuscript is important to show the degree to which they measure what they intend to measure. Criterion validity is determined by comparing the relationship between a data source and an external criterion (Polit & Beck, 2004). When the data obtained within the instruments agree or correlate highly with those of the external criterion, the instrument is validated.The purpose of this study was to ascertain the validity of items on the MDS that are postulated to be associated with PD. This was done by determining the agreement between data on the MDS and in the medical and nursing records of nursing home residents. Determining the validity of the MDS items was an important step before the PD factors they defined could be used in any subsequent analysis (Bliss et al., 2006). LITERATURE REVIEWThe MDS is a stan...

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“…In health care settings, most skin maceration is related to incontinence. It has been reported that urinary and/ or fecal incontinence is prevalent in more than half of nursing home residents [5] and in 28% of elderly people living at home [6]. The prevalence of incontinence is higher in the elderly [6,7], who also comprise a population with skin vulnerabilities due to senescence [8].…”

Section: Introductionmentioning

confidence: 99%