JAMDA
Volume 8, Issue 4 , Pages 253-261 , May 2007

Introducing a New Incontinence Management System for Nursing Home Residents

  • Nahla R. Al-Samarrai, MS

      Affiliations

    • Statistics Plus, Inc, Torrance, CA
    • Corresponding Author InformationAddress correspondence to Nahla R. Al-Samarrai, MS, Statistics Plus, Inc, 5108 Newton Street, Torrance, CA 90505.
    • ,
  • Gwen C. Uman, RN, PHD

      Affiliations

    • Vital Research, LLC, Los Angeles, CA
    • ,
  • Teeb Al-Samarrai, MD

      Affiliations

    • Yale University School of Medicine, Department of Internal Med, New Haven, CT.
    • ,
  • Cathy A. Alessi, MD

      Affiliations

    • Veterans Administration Greater Los Angeles Healthcare System; Geriatric Research, Education and Clinical Center, Sepulveda, CA
    • University of California, Los Angeles, David Geffen School of Medicine, Los Angles, CA

References 

  1. Ouslander JG, Schnelle JF, Uman G, et al. Predictors of successful prompted voiding among incontinent nursing home residents. JAMA. 1995;273:1366–1370
  2. Ouslander JG, Schnelle JF. Incontinence in the nursing home. Ann Intern Med. 1995;122(6):438–449
  3. Schnelle JF, Ouslander JG, Simmons SF. Predicting nursing-home resident responsiveness to a urinary incontinence treatment protocol. Int Urogynecol J Pelvic Floor Dysfunct. 1993;4:89–94
  4. HCFA (Health Care Financing Administration). Long-term Care Facility Resident Assessment Instrument (RAI) User’s Manual: For Use With Version 2.0 of the HCFA Minimum Data Set, Resident Assessment Protocols, and Utilization Guidelines. Natick (MA): Eliot Press; 1999;
  5. AHCPR (Agency for Health Care Policy and Research). Clinical Practice Guideline: Pressure Ulcers in Adults. Rockville, MD: AHCPR; 1994;
  6. American Medical Directors Association. Urinary Incontinence: Clinical Practice Guideline. Columbia, MD: AMDA; 1996;revised 2005. Available at: http://www.amda.com/tools/clinical/urinaryincontinence.cfm. Accessed August 2006.
  7. Schnelle JF, Cretin S, Saliba D, Simmons SF. Minimum nurse aide staffing required to implement best practice care in nursing homes. In: Report to Congress: Appropriateness of Minimum Nurse Staffing Ratios in Nursing Homes. Vol II:HCFA (Health Care Financing Administration); 2000;p. 14–68
  8. Schnelle JF, Alessi C, Simmons SF, Al-Samarrai RN, Beck J, Ouslander JG. Translating clinical research into practice: A randomized controlled trail of exercise and incontinence care in nursing home residents. J Geriatr Soc. 2002;50:1476–1483
  9. Schnelle JF, Adamson G, Cruise P, Al- Samarrai RN, Sarbaugh F, Uman G, et al. Skin disorders and moisture in incontinent nursing home residents: Intervention implications. J Am Geriatr Soc. 1997;45:1182–1188
  10. Fader M, Clarke-O’Neill S, Cook D, et al. Management of night-time urinary incontinence in residential settings for older people: An investigation into the effects of different pad changing regimes on skin health. J Clin Nurs. 2003;12:374–386
  11. AHCPR. Pressure Ulcers in Adults: Prediction and Prevention. Rockville (MD): US Department of Health and Human Services, Public Health Services, Agency for Health Care Policy and Research; 1992;
  12. Brown DS, Sears M. Perineal dermatitis: A conceptual framework. Ostomy Wound Manage. 1993;39:20–25
  13. Allman RM. Pressure sores among hospitalized patients. Ann Intern Med. 1986;105:337–342
  14. Shannon ML, Skorga P. Pressure ulcer prevalence in two general hospitals. Decubitus. 1989;2(4):38–43
  15. Ersser SJ, Getliffe K, Voegeli D, Regan S. A critical review of the inter-relationship between skin vulnerability and urinary incontinence and related nursing intervention. Int J Nurs Stud. 2005;42:823–835
  16. Jeter KF, Lutz JB. Skin care in the frail, elderly, dependent, incontinent patient. Adv Wound Care. 1996;9:29–34
  17. Lewis-Byers K, Thayer D, Kahl A. An evaluation of two incontinence skin care protocols in a long-term care setting. Ostomy Wound Manage. 2002;48(12):44–51
  18. Mulrow C. Rationale for systematic reviews. In:  Chalmers I,  Altman D editor. Systematic Reviews. London: BMJ Publishing; 1995;p. 1–8
  19. Mohide EA. The prevalence and scope of urinary incontinence. Clin Geriatr Med. 1986;2:639–655
  20. Ouslander JG, Kane RL, Abrass IB. Urinary incontinence in elderly nursing home patients. JAMA. 1982;248:1194–1198
  21. Brown DS. Diapers and underpads, part 1: Skin integrity outcomes. Ostomy Wound Manage. 1994;40:20–32
  22. National Health Statistics Group, Office of the Actuary. National Health Expenditures, 1997 (Health Care Financing Review). vol 20. Washington, DC: US Government Printing Office, Health Care Financing Administration; 1999;no. 1. HCFA Publication 03412
  23. Byers PH, Ryan PA, Regan MB, Shields A, Carta SG. Effects of incontinence care cleansing regimens on skin integrity. J Wound Ostomy Continence Nurs. 1995;22:187–192
  24. Hu TW. The cost impact of urinary incontinence on health-care services. Phoenix, AZ: National Multi-Specialty Nursing Conference on Urinary Continence; 1994;January
  25. Alessi CA, Ouslander JG, Maldague S, et al. Incidence and costs of acute medical conditions in long-stay incontinent nursing home residents. J Am Med Dir Assoc. 2003;4(2 Suppl):S4–S18
  26. Nursing home statistics (AHCA). Available at: http://www.efmoody.com/longterm/nursingstatistics.html. Accessed February 2006.
  27. Clever K, Smith G, Bowser C, Monroe K. Evaluating the efficacy of a uniquely delivered skin protectant and its effect on the formation of sacral/buttock pressure ulcers. Ostomy Wound Manage. 2002;48(12):60–67
  28. Frenchman B. Cost of urinary incontinence in two skilled nursing facilities: A prospective study. Clin Geriatr. 2001;9:49–52

 This research was supported by National Institute on Aging Grant Number 1R43-AG020867.

PII: S1525-8610(06)00530-5

doi: 10.1016/j.jamda.2006.10.001

JAMDA
Volume 8, Issue 4 , Pages 253-261 , May 2007

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