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Joseph G. Ouslander M.D. & John F. Schnelle PH.D.

In: Improving Care in the Nursing Home: Comprehensive Reviews of Clinical Research

Chapter 5: Assessment, Treatment, and Management of Urinary Incontinence in the Nursing Home

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Assessment, Treatment, and Management of Urinary Incontinence in the Nursing Home
Assessment, treatment, and management of urinary incontinence in the nursing home
JosephG.OuslanderM.D.
JohnF.SchnellePH.D.
Introduction

Urinary incontinence (UI) is one of the most prevalent, disruptive, and costly conditions that occur in the nursing home (NH) setting. A recent National Institutes of Health (NIH) Consensus Conference (1989) indicated that UI is “epidemic” in NHs and that more needs to be done to assess and manage this condition effectively (52,72). New regulations for NH care under the federal Omnibus Budget Reconciliation Act (1987) include specific standards and recommendations for the assessment and treatment of UI designed to improve the quality of care that incontinent NH residents receive (26,27). Recent studies, summarized later in this chapter, suggest that UI can in fact ...

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