Urinary incontinence and its management in patients aged 65 and older in orthopaedic care – what nursing and rehabilitation staff know and do

Nyman, Maria Hälleberg; Forsman, Henrietta; Ostaszkiewicz, Joan; Hommel, Ami; Eldh, Aann Catrine

doi:10.1111/jocn.13686

Cited by 28 publications

(45 citation statements)

References 34 publications

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“…According to Hälleberg Nyman, Forsman, Ostaszkiewicz, Hommel, and Eldh (), current research on UI in older people reflects an incomplete picture, as the evidence on how to prevent, assess and manage UI is limited. UI is often overshadowed by other diagnoses (Milne & Moore, ; Villoro et al, ).…”

Section: Introductionmentioning

confidence: 99%

Registered nurse’s experiences of continence care for older people: A qualitative descriptive study

Borglin

Thach²,

Jeppsson

et al. 2019

Int J Older People Nursing

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Aim This study aimed to illuminate nurses’ experience of continence care for older people receiving home care, either in their own home or in an assisted living facility. Background Registered Nurses (RNs) have a major role to play in identifying and establishing appropriate actions regarding continence care for older people. However, the crucial nursing care pathway for continence care is commonly described as poor. Methods Interviews were conducted with 11 RNs providing home care, and the transcribed texts were analysed using inductive content analysis. Result The impressions of RNs were categorised according to four themes: perceptions of continence care, an open approach to continence care, the need for personalised aid fittings and the importance of teamwork in continence care. Key findings were the importance of teamwork; the need for nurses to embrace leadership at the point of care and be more visible in terms of the provision of direct care; substantiation that evidence‐based interventions, such as scheduled toileting and prompted voiding, should constitute the norm in continence care within the context of home care; and the need for nurses to support the right of older persons to receive an assessment of their continence problems, deemed to be the minimum standard of quality care. Conclusion The provision of continence care that is based on key nursing standards, such as evidence‐based and person‐centred care, as well as individualised continence care that is based on evidenced‐based guidelines, would ensure an improvement in the continence care that is presently on offer to older people. Implications for practice Nurses need to embrace leadership at the point of care and to be more visible with the provision of direct care in order to improve continence care for older people receiving home care.

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Section: Introductionmentioning

confidence: 99%

Registered nurse’s experiences of continence care for older people: A qualitative descriptive study

Borglin

Thach²,

Jeppsson

et al. 2019

Int J Older People Nursing

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show abstract

“…Structure -Deficit of material and human resources to meet the needs of the hospitalized elderly person and physical structure of the hospital institutions that do not favor the safe mobility for bathrooms use. Authors cited low illumination, lack of support bars, non-slip flooring and high beds as an example of this adverse structure (4,7) . -Lack of institutional protocols and validated scales to guide the practice of using absorbent urinary devices such as diapers, used, most of the time, indiscriminately and without justification recorded in medical records (5)(6)(7)(8)(14)(15)20) .…”

Section: Hospital Care and Urinary Incontinence In The Elderlymentioning

confidence: 99%

“…Authors cited low illumination, lack of support bars, non-slip flooring and high beds as an example of this adverse structure (4,7) . -Lack of institutional protocols and validated scales to guide the practice of using absorbent urinary devices such as diapers, used, most of the time, indiscriminately and without justification recorded in medical records (5)(6)(7)(8)(14)(15)20) . -Institutional routine that favors the use of diaper and permanent bladder catheter, in detriment to encouragement of autonomy with the use of toilets, urinals and trimers (4)(5)(6)8,(13)(14)(15)(16)20) .…”

Section: Hospital Care and Urinary Incontinence In The Elderlymentioning

confidence: 99%

“…-Non-recognition of the problem, resulting in lack of actions to promote continence and prevention of UI by the care team (7,13,(15)(16)(17)(18)20) . -Deficit of professional knowledge and misconceptions about UI in the elderly (4,7,(16)(17)(18) .…”

Section: Processmentioning

confidence: 99%

“…Studies (4)(5)(6)(7) have revealed that factors related to the structure of hospital units and care are strongly associated with the onset and worsening of UI. In addition, when associated with extrinsic factors, it can be considered an adverse event, as it results more from health care management than from the process underlying the disease, giving visibility to the quality of care offered (8) .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Hospital care and urinary incontinence in the elderly

et al. 2019

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Objective: to identify factors inherent in hospital care that favor urinary incontinence in the elderly. Method: an integrative review with Scopus, CINAHL and Pubmed searches. Includes original articles, no language restriction, published between 2008 and 2018. Rated level of recommendation and level of evidence were assessed using the Oxford Center for Evidence-Based Medicine classification. Exploited content through thematic analysis in light of the Donabedian model. Results: 13 articles constituted the sample. There were factors such as the unjustified and indiscriminate use of devices such as the geriatric diaper; hospital structure adversely affecting the needs of the elderly; and deficit in screening, risk identification and underreporting of the problem favor urinary incontinence in the hospitalized elderly. Conclusion: modifiable factors related to hospital structures and care processes favor both the onset and worsening of urinary incontinence in the elderly.

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Promoting urinary continence in people suffering a stroke: Effectiveness of a complex intervention—An intervention study

et al. 2022

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According to Béjot et al. (2016), stroke is a devastating disease and approximately 1.1 million Europeans suffered a stroke each year. More than 80% of stroke survivors report one or more abnormal urinary symptoms at 3 or 12 months, with nocturia being the most frequent (Williams et al., 2012). Further, more than 50% of stroke survivors suffer from urinary incontinence in the acute stage; this value is reduced to 33% after 1 year (Kolominsky-Rabas et al., 2003). Urinary incontinence is defined as the complaint of any involuntary leakage of urine (Abrams et al., 2002). Urinary frequency, urgency and urge incontinence are the predominant symptoms in stroke survivors (Marinkovic & Badlani, 2001). Incontinence negatively affects the course of the disease; incontinent patients showed a worse functional outcome compared to continent patients (Pizzi et al., 2014).Urinary incontinence is a prognostic factor in the subacute phase after stroke for daily living activities (Meijer et al., 2003). Stroke survivors who are incontinent in the acute stage have a fourfold higher risk of institutionalization after a year, and urinary incontinence as initial presentation in acute stroke is associated with a high mortality rate (Kolominsky-Rabas et al., 2003;Marinkovic & Badlani, 2001).Urinary incontinence further negatively impacts the quality of life in persons with underlying neurologic conditions (Tapia et al., 2013).

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Urinary incontinence and its management in patients aged 65 and older in orthopaedic care – what nursing and rehabilitation staff know and do

Abstract: An increased focus on knowledge on urinary incontinence and evidence-based guidelines is needed. To secure evidence-based practice, the team of nursing and rehabilitation staff and managers must be aligned and work actively together, also including the patient in the team.

Cited by 28 publications

References 34 publications

Registered nurse’s experiences of continence care for older people: A qualitative descriptive study

Registered nurse’s experiences of continence care for older people: A qualitative descriptive study

Hospital care and urinary incontinence in the elderly

Promoting urinary continence in people suffering a stroke: Effectiveness of a complex intervention—An intervention study

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