title: Silent no more: elderly women's stories of living with urinary incontinence in long-term care.
abstract: Urinary incontinence (UI) is a prevalent health issue affecting the quality of life of many elderly women living in long-term care. Minimal consideration has been given to understanding the lived experience from women's perspectives. Using one-to-one interviews, this study explored elderly women's experiences with UI while living in long-term care facilities. Data were analyzed using thematic analysis that revealed three themes related to the meaning of UI to the women, physical implications of UI, and institutional culture of UI in long-term care. Within these three themes, the women expressed common concerns. The results of this study provided information that could influence changes in nursing practice related to individualized UI care, empowering women experiencing UI, and dispelling ageism in long-term care. The study also suggests opportunities for improving health care education related to the quality of life of women who experience UI, and the need to make the experience more visible and openly discussed as a health issue rather than the traditional condition of aging.
authors.affiliation: Saint Francis Xavier University, Antigonish, Nova Scotia, Canada. cdmacdon@stfx.ca
authors.forename: Cathy D
authors.initials: CD
authors.lastname: MacDonald
authors.forename: Lorna
authors.initials: L
authors.lastname: Butler
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000223:Adaptation, Psychological; D000368:Aged / Q000523:psychology*; D001294:Attitude to Health; D002170:Canada; D005260:Female; D005851:Geriatric Nursing; D006301:Health Services Needs and Demand; D006801:Humans; D007389:Internal-External Control; D008134:Long-Term Care / Q000458:organization & administration / Q000523:psychology; D008960:Models, Psychological; D009735:Nursing Homes / Q000458:organization & administration; D015404:Nursing Methodology Research; D015279:Organizational Culture; D011209:Power, Psychological; D011287:Prejudice; D036301:Qualitative Research; D011788:Quality of Life / Q000523:psychology; D012649:Self Concept; D012934:Social Isolation / Q000523:psychology; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000517:prevention & control / Q000523:psychology; D014930:Women / Q000523:psychology*