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National audit of continence care for older people
 — management of faecal incontinence
Author(s)Jonathan Potter, Penny Peel, Sarah Mian
Journal titleAge and Ageing, vol 36, no 3, May 2007
Pagespp 268-273
Sourcehttp://www.ageing.oupjournals.org
KeywordsFaecal incontinence ; Medical care ; Evaluation.
AnnotationContinence care quality standards were previously subject to a pilot audit in primary, secondary care and care homes, to allow providers to compare the care delivered by their service to others and to monitor the development of integrated continence services as set out in the National Service Framework for Older People (NSF). This study reports the results of the national audit. Data were returned by 141 primary care sites, 159 secondary care trusts (involving 198 hospitals), and 29 care homes. Data on the care of 3,059 patients or residents with bowel problems were analysed. 58% of primary care trusts (PCTs), 48% of hospitals and 74% of care homes reported that integrated continence services existed in their areas. Whilst basic provision of care appeared to be in place, the audit identified deficiencies in the organisation of services and in the assessment and management of faecal incontinence. The audit's results indicate that the NSF's requirement for integrated continence services have not yet been met. Basic assessment and care by the professionals directly looking after older people is often lacking. There is an urgent need to re-establish the fundamentals of continence care into the daily practice of medical and nursing staff, and for truly integrated, quality services to be established in this neglected area of practice. (RH).
Accession NumberCPA-070521213 A
ClassmarkCTMF: LK: 4C

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