Essay: Urinary Incontinence

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Sample Essay – Urinary Incontinence

Words 1,210

This essay is on urinary incontinence. A number of scholars have considered risk factors for urinary incontinence  in nursing home patients  Jirovec & Wells, 1990 ; Nelson, Furner & Jesudason, 2001 ; Palmer, German, & Ouslander, 1991 ). Impaired mobility and cognitive impairment were constantly recognized as risk factors for urinary incontinence in this population.

A number of scholars have considered risk factors for urinary incontinence in nursing home patients  Jirovec & Wells, 1990 ; Nelson, Furner & Jesudason, 2001 ; Palmer, German, & Ouslander, 1991 ). Impaired mobility and cognitive impairment were constantly recognized as risk factors for urinary incontinence in this population.

However, some research has considered the effects of treating identified risk factors on urinary incontinence severity. Jirovec (1991) studied the affects of a everyday exercise program on urinary incontinence in a sample of 15 nursing home patients and showed considerable positive improvements in incontinency.

Schnelle and colleagues (2002) examined the effectiveness of a mutual prompted voiding and exercise program in nursing home patients and shown major decreases in urinary incontinence frequency in addition to improvements in many functional measures.

Urinary Incontinence

The researcher’s estimate, however, that a nurse “assistance to patient” ratio of 1:5 would be needed to put this intervention in effect. For the huge majority of nursing homes this would call for an increase in staffing.

Watson, Brink, Zimmer, and Mayer (2003) observed the degree to which 52 nursing homes in upstate New York use the Agency for Health Care Policy and Research (currently the Agency for Healthcare Research and Quality) strategy in the assessment and execution of new onset urinary incontinence in a sample of 200 patients.

Generally, they realized that only 20 percent of the standards were up to the par. merely 15 percent of patients had certification of their urinary incontinence history. While 86 percent had an unusual exam and 84 percent were assessed for edema, only 15 percent had a rectal examination and only 2 percent of female elders were undergone pelvic examination.

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