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Decreasing Urinary Incontinence in the Home Health Setting
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....