Bladder management in adult care homes. Review of a program in North Carolina.
In North Carolina there are approximately 34,000 residents in adult care homes (ACHs). Approximately 40% of these residents have urinary incontinence, and others require assistance with toileting. High prevalence of cognitive impairment, few licensed staff, and low staff-to-resident ratios in ACHs make behavioral techniques used in community-dwelling populations and toileting programs used in nursing homes inappropriate for these residents. This program was implemented using a two-level approach (facility and individual resident) and uses an education consultation approach for implementation.
Kincade
Jean E
JE
School of Medicine Program on Aging, CB#7550, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7550, USA.
Boyington
Alice R
AR
Lekan-Rutledge
Deborah
D
Ashford-Works
Carolyn
C
Dougherty
Molly C
MC
Busby-Whitehead
Jan
J
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D004509:Education, Nursing, Continuing / Q000458:organization & administration*; D005851:Geriatric Nursing / Q000193:education* / Q000379:methods*; D006801:Humans; D033181:Information Dissemination; D007318:Inservice Training / Q000458:organization & administration*; D009657:North Carolina; D024802:Nurse's Role; D009730:Nursing Assessment; D015402:Nursing Education Research; D015403:Nursing Evaluation Research; D009735:Nursing Homes; D009740:Nursing Staff / Q000193:education*; D010347:Patient Care Planning; D016730:Program Development; D015397:Program Evaluation; D014549:Urinary Incontinence / Q000453:epidemiology / Q000451:nursing*