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Centre for Policy on Ageing | |
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The prevalence of potentially remediable urinary incontinence in frail older people
— a study using the Minimum Data Set | | Author(s) | Gary H Brandeis, Margaret M Baumann, Monir Hossain |
| Journal title | Journal of the American Geriatrics Society, vol 45, no 2, February 1997 |
| Pages | pp 179-184 |
| Keywords | Incontinence ; Screening ; Residents [care homes] ; Nursing homes ; Evaluation ; United States of America. |
| Annotation | Some 2000 nursing home residents aged 60 and over (75.5% women, 81.9% white) were randomly selected for this evaluation of the Minimum Data Set (MDS) describing the frequency and correlates of potentially treatable causes of urinary incontinence and its management. Incontinence was defined as the presence of at least two episodes of urinary leakage per week in the previous two weeks. Potentially remediable causes available were: medications; congestive heart failure; diabetes mellitus; pedal edema; delirium; depression; and impairments in activities of daily living (ADLs). 49% of residents were incontinent. Of these, 84% were managed by pads/briefs; 38% by scheduled toileting; 3.5% by internal catheter; and 1.2% by external catheter. Of potential reversible causes, bivariate analyses revealed associations with use of antidepressants, anti-psychotics, and anti-anxiety/hypnotics; delirium; bedrails and other restraints; ADL impairment; and dementia. Management practices for urinary incontinence are inconsistent with advocated guidelines. The data confirm the association between incontinence and potentially remediable conditions; and conditions not directly related to bladder function may improve the condition. (RH). |
| Accession Number | CPA-981005002 A |
| Classmark | CTM: 3V: KX: LHB: 4C: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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