HealthDay News — The impact and management of urinary incontinence related to overactive bladder is a substantial burden to long-term care residents and staff, according to a study published online in the Journal of Gerontological Nursing.

Richard G. Stefanacci, DO, from Thomas Jefferson University in Philadelphia, and colleagues assessed the impact of urinary incontinence on residents, staff, care processes, and quality measures in long-term care settings. The analysis included responses from directors of nursing who had worked for at least 1 year in a ≥100-bed facility.

The researchers found that of the 62% of residents with urinary incontinence, 40% were always incontinent and 81% used incontinence products for urinary incontinence. Nearly 6 in 10 respondents (59%) reported that urinary incontinence management contributes to certified nursing assistant turnover. More than one-third of resident falls (36%) occur while the resident is trying to get to the bathroom, and long-term care quality measures significantly impacted by urinary incontinence included urinary tract infection and falls with major injury. Few residents with urinary incontinence (14%) were treated with medication.


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“The impact and management of urinary incontinence related to overactive bladder is a substantial burden to long-term care facilities, as well as to their residents and staff,” the authors write. “These results highlight the need for improved urinary incontinence treatment, awareness, and management in this population.”

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