Abstract

BACKGROUND: Urinary incontinence (UI) in the home care population poses a risk for complications and hospitalization. The aim of this project was to develop and implement a protocol for UI to promote continence in the home health agency UI population.

METHODS: Data were collected from a convenience sample of 26 participants 80 years of age or older in a suburban midsized home care agency. All participants were diagnosed with UI as documeted in the Outcomes and Assessment Information Set (OASIS). OASIS question M1610 was used to identify patients with UI status, and M1650 was used, to identify UI frequency. The outcomes for these questions were assessed to examine chnage over time in UI status and frequency.

INTERVENTION: Eligible patients completed a three-day bladder diary.Then, patient education was conducted on UI, risk factors, bladder training, pelvic floor exercises and hydration/nutrition parameters. Patients then completed three-day bladder diaries post intervention.

RESULTS: At pretest, 100% of the participants were incontinent. At posttest, twenty four participants (92.3%) were incontinent. The results suggested that the median frequency of urinary incontinence declined overtime from 2 (range :1-4) at pretest to 1 (range: 0-4) at posttest. The decline was statistically significant (z = -3.83; p=

CONCLUSIONS: The intervention had a positive effect on UI status and frequency. Future studies should examine changes in the UI complications and hospitalization rates.

Author Details

Maureen Albertson, DNP, MSN, RN

Sigma Membership

Non-member

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Urinary Incontinence, Quality Improvement Plan, Bladder Diary, Pelvic Floor Exercises, Bladder Training

Advisor

Georgann Weissman

Second Advisor

JoAnn Manty

Third Advisor

Julita Lathers

Degree

DNP

Degree Grantor

Capella University

Degree Year

2017

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2017-08-30

Full Text of Presentation

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