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INCONTINENCE

Continence in nursing homes: a state of irreversible decline?

Continence in nursing home residents declines over time, probably owing to an increase in physical disability and impaired mobility as much as to lower urinary tract dysfunction. A need remains for appropriately skilled assessments of continence care, leading to multicomponent management of continence in this vulnerable group of patients.

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References

  1. Kaye, H. S., Harrington, C. & LaPlante, M. P. Long-term care: who gets it, who provides it, who pays, and how much? Health Aff. 29, 11–21 (2010).

    Article  Google Scholar 

  2. Wagg, A. et al. Urinary incontinence in frail elderly persons: report from the 5th International Consultation on Incontinence. Neurourol. Urodyn. 34, 398–406 (2015).

    Article  Google Scholar 

  3. Jerez-Roig, J. et al. Predicting continence decline in institutionalized older people: a longitudinal analysis. Neurourol. Urodyn. https://doi.org/10.1002/nau.23941 (2019).

    Article  PubMed  Google Scholar 

  4. Klusch, L. The MDS 3.0 and its impact on bladder and bowel care. Provider 38, 33 (2012).

    PubMed  Google Scholar 

  5. Comondore, V. R. et al. Quality of care in for-profit and not-for-profit nursing homes: systematic review and meta-analysis. BMJ 339, b2732 (2009).

    Article  Google Scholar 

  6. Saxer, S. et al. Risk factors for urinary incontinence in nursing home residents. Swiss Med. Wkly 135, 495–502 (2005).

    PubMed  Google Scholar 

  7. Ouslander, J. G. et al. Urinary incontinence in nursing homes: incidence, remission and associated factors. J. Am. Geriatr. Soc. 41, 1083–1089 (1993).

    Article  CAS  Google Scholar 

  8. Palmer, M. H., German, P. S. & Ouslander, J. G. Risk factors for urinary incontinence one year after nursing home admission. Res. Nurs. Health 14, 405–412 (1991).

    Article  CAS  Google Scholar 

  9. Schumpf, L. F. et al. Urinary incontinence and its association with functional physical and cognitive health among female nursing home residents in Switzerland. BMC Geriatr. 17, 17 (2017).

    Article  Google Scholar 

  10. Harrison, T. et al. Quality of care to nursing home residents with incontinence. Geriatr. Nurs. https://doi.org/10.1016/j.gerinurse.2018.09.009 (2018).

    Article  PubMed  Google Scholar 

Download references

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Correspondence to Adrian Wagg.

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Profile of Residents in Residential and Hospital-Based Continuing Care, 2017–2018: https://www.cihi.ca/sites/default/files/document/ccrs-quick-stats-2017-2018-en-web.xlsx

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Wagg, A. Continence in nursing homes: a state of irreversible decline?. Nat Rev Urol 16, 278–279 (2019). https://doi.org/10.1038/s41585-019-0172-8

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