Systematic review of descriptive studies that investigated associated factors with the management of incontinence in older people in care homes

Abstract

Older people and their families should be involved with decisions regarding their preferred care, goals, management and outcomes for managing incontinence, promoting or maintaining continence.

Interventions to Reduce Inappropriate Prescribing of Antipsychotic Medications in People With Dementia Resident in Care Homes: A Systematic Review

“…40e44 Other studies that have looked at implementation of interventions for other purposes in care home settings have identified the importance of involving family members in decision-making in the successful management of behavioral problems 45 and the management of incontinence. 46 A systematic review of the implementation of psychosocial interventions for people with dementia in care homes found that active engagement of care-home staff and family members played a crucial role in successful implementation. 47 Similarly, systematic reviews on the more general topic of improving prescribing practice in care homes 48e53 also have been unable to make clear recommendations for future practice due to the varied nature of the design, interventions, outcomes, and results 49,50,53 and the poor quality of included studies.…”

Incontinence care in nursing homes: a cross‐sectional study

“…Until now, little data have been collected in Europe with regard to incontinence care in nursing homes and most existing studies have been conducted in the USA (Roe et al . ). The result of this study provides an initial insight into the quality of incontinence care with respect to structural, process level and outcome indicators in Austrian nursing homes.…”

Managing Urinary Incontinence in Patients with Dementia: Pharmacological Treatment Options and Considerations

“…In addition to the morbidity associated with UI in older people, its presence with co-existent dementia increases the likelihood of institutionalization [9]. Unfortunately, once present, there is evidence of institutional practices making incontinence more likely [10]. Likewise, caregivers identify looking after an older person with dementia and incontinence as being burdensome [11,12].…”