Timed voiding for the management of urinary incontinence in adults
Cochrane Database of Systematic ReviewsPublished 26 January 2004Open access
Joan Ostaszkiewicz, Linda J. Johnston, Brenda Roe
Citations175
SJR quartileQ1
SJR score1.62
SNIP2.04
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
Abstract
The data were too few and of insufficient quality to provide empirical support for or against the intervention of timed voiding.
Keywords
MedicineHealth Professions
Journal of Psychiatric Research“Mini-mental state”
86,858 Citations1975Marshal F. Folstein, Susan E. Folstein +1 more
A simplified, scored form of the cognitive mental status examination, the “Mini-Mental State” (MMS) which includes eleven questions, requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
PubMed[Japanese version of the Neuropsychiatric Inventory--a scoring system for neuropsychiatric disturbance in dementia patients].
20,872 Citations1997Nobutsugu Hirono, Etsuro Mori +6 more
Dementia and Geriatric Cognitive Disorders ExtraSpecial Care Units and Traditional Care in Dementia: Relationship with Behavior, Cognition, Functional Status and Quality of Life - A Review
20,660 Citations2013Jeroen S. Kok, Ina J. Berg +1 more
Overall, patients with dementia who lived at special care units (SCUs) showed a significantly more challenging behavior, more agitation/aggression, more depression and anxiety, more cases of global cognitive impairment and a better psychosocial functioning.
GerontologyOlder Adults' Reasons for Using Technology while Aging in Place
19,749 Citations2015Sebastiaan Theodorus Michaël Peek, Katrien Luijkx +7 more
GerontologySensitivity and False Alarm Rate of a Fall Sensor in Long-Term Fall Detection in the Elderly
18,959 Citations2014Maarit Kangas, Raija Korpelainen +3 more
Evaluating the long-term fall detection sensitivity and false alarm rate of a fall detection prototype in real-life use suggests that automatic accelerometric fall detection systems might offer a tool for improving safety among older people.
Cochrane Database of Systematic ReviewsPharmacological interventions for somatoform disorders in adults
11,355 Citations2014Maria Kleinstäuber, Michael Witthöft +4 more
A systematic review and meta-analysis of placebo-controlled studies examined the efficacy and tolerability of different types of antidepressants, the combination of an antidepressant and an antipsychotic, antipsychotics alone, or natural products in adults with somatoform disorders in adults to improve optimal treatment decisions.
Cochrane Database of Systematic ReviewsPelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women
1,108 Citations2014Chantale Dumoulin, Jean Hay‐Smith +1 more
Support is provided for the widespread recommendation that PFMT be included in first-line conservative management programmes for women with stress and any type of urinary incontinence.
American Journal of PsychiatryBRIEF OBJECTIVE MEASURES FOR THE DETERMINATION OF MENTAL STATUS IN THE AGED
863 Citations1960Robert L. Kahn, Alvin I. Goldfarb +2 more
It is concluded that the face-hand test and the mental status questionnaire are valid measures for the determination of mental status in the aged, particularly for disorders associated with cerebral damage.
JAMABehavioral vs Drug Treatment for Urge Urinary Incontinence in Older Women
644 Citations1998Kathryn L. Burgio, Julie L. Locher +5 more
JAMAEfficacy of Bladder Training in Older Women With Urinary Incontinence
387 Citations1991J. Andrew Fantl
Bladder training reduced the number of incontinent episodes by 57%; the effect was similar for both urodynamic diagnostic groups, and the quantity of fluid loss was reduced by 54%.
Cochrane Database of Systematic ReviewsPelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women
325 Citations2006Jean Hay‐Smith, Chantale Dumoulin
Overall, the review provides some support for the widespread recommendation that PFMT be included in first-line conservative management programmes for women with stress, urge, or mixed, urinary incontinence.
Cochrane Database of Systematic ReviewsBladder training for urinary incontinence in adults
283 Citations2004S Wallace, Brenda Roe +2 more
Bladder training may be helpful for the treatment of urinary urge incontinence, but this conclusion can only be tentative, based on the evidence available.
American Journal of Obstetrics and GynecologyComparative efficacy of behavioral interventions in the management of female urinary incontinence
272 Citations1998Jean F. Wyman, J. Andrew Fantl +2 more
Combination therapy had the greatest immediate efficacy in the management of female urinary incontinence regardless of urodynamic diagnosis, and results suggest that the specific treatment may not be as important as having a structured intervention program with education, counseling, and frequent patient contact.
Journal of the American Geriatrics SocietyTranslating Clinical Research into Practice: A Randomized Controlled Trial of Exercise and Incontinence Care with Nursing Home Residents
248 Citations2002John F. Schnelle, Cathy Alessi +4 more
Clinical outcomes and staffing requirements of an incontinence and exercise intervention are examined and the staffing requirements are described to describe the staff requirements of this intervention.
Annals of Internal MedicineUrinary Incontinence in the Elderly
229 Citations1985Kathryn L. Burgio, WILLIAM E. WHITEHEAD +1 more
Behavioral treatment of urinary incontinence was given to 39 elderly outpatients and 13 of the patients achieved total continence, and 19 had fewer than one accident per week after treatment.
PubMedIncontinence in institutions: costs and contributing factors.
193 Citations1992Michael Borrie, Heather Davidson
Frequency of incontinent events was the strongest predictor of quantity of linen soiled, but immobility was the strong predictor of nursing time spent dealing with incontinence.
BMJUrinary incontinence: prevalence, need for treatment, and effectiveness of intervention by nurse.
181 Citations1991James G. O’Brien, Marie‐Paule Austin +2 more
This condition can be effectively managed by a nurse with limited training and about half the people with regular urinary incontinence took up the offer of treatment.
Cochrane Database of Systematic ReviewsTimed voiding for the management of urinary incontinence in adults
175 Citations2004Joan Ostaszkiewicz, Linda J. Johnston +1 more
Journal of the American Geriatrics SocietyFunctional Incidental Training, Mobility Performance, and Incontinence Care with Nursing Home Residents
170 Citations1995John F. Schnelle, Priscilla G. MacRae +3 more
To determine if an exercise intervention, Functional Incidental Training (FIT), results in improvements in mobility endurance and physical activity when compared with prompted voiding among cognitively and mobility impaired nursing home residents.
Cochrane Database of Systematic ReviewsPrompted voiding for the management of urinary incontinence in adults
162 Citations2000Sharon Eustice, Brenda Roe +1 more
There was suggestive, although inconclusive, evidence of short-term benefit from promptedvoiding and from adding the muscle relaxant, Oxybutinin to prompted voiding, and there was insufficient evidence to reach firm conclusions for practice.
JAMAPredictors of Successful Prompted Voiding Among Incontinent Nursing Home Residents
156 Citations1995Joseph G. Ouslander
A substantial proportion of nursing home residents respond well to prompted voiding and the most responsive residents can be easily identified using data collected during a 3-day trial of the intervention.
Journal of the American Geriatrics SocietyDoes Oxybutynin Add to the Effectiveness of Prompted Voiding For Urinary Incontinence Among Nursing Home Residents? A Placebo‐Controlled Trial
149 Citations1995Joseph G. Ouslander, John F. Schnelle +5 more
To determine if oxybutynin, a bladder relaxant medication, adds to the effectiveness of prompted voiding (PV) in the management of urinary incontinence among nursing home residents.
The LancetBehavioural management in nursing and residential homes: a randomised controlled trial
135 Citations1999Rebekah Proctor, Alistair Burns +6 more
Elderly residents can benefit from improved quality of care achieved by training from a hospital outreach team, as measured by the geriatric mental state schedule, Crichton Royal behaviour rating scale, and Barthel index.
Annals of Internal MedicineIncontinence in the Nursing Home
135 Citations1995Joseph G. Ouslander, John F. Schnelle
An overview of the assessment and treatment of incontinence in the nursing home setting is provided and it is shown that identification and management of these reversible factors may have important benefits for the resident's overall functioning and quality of life.
Journal of the American Geriatrics SocietyDoes an Exercise and Incontinence Intervention Save Healthcare Costs in a Nursing Home Population?
130 Citations2003John F. Schnelle, Kanika Kapur +5 more
To determine whether an intervention that combines low‐intensity exercise and incontinence care offsets some of its costs by reducing the incidence of selected health conditions in nursing home residents.
The GerontologistThe Management of Urinary Incontinence by Community-Living Elderly
130 Citations1987Linda S. Mitteness
International Rehabilitation MedicineThe effects of urinary incontinence in women
127 Citations1982Christine Lynn Norton
In these patients, all of whom had established urinary incontinence, the major problems encountered were in social and mental well-being, including sexual difficulties and embarrassment.
BMJControlled trial of bladder drill for detrusor instability.
126 Citations1980G. J. Jarvis, D. R. Millar
Age and AgeingOxybutynin with Bladder Retraining for Detrusor Instability in Elderly People: A Randomized Controlled Trial
124 Citations1995George Szonyi, David Collas +2 more
It is concluded that oxybutynin with bladder training is superior to bladder training alone in reducing frequency due to detrusor instability in very elderly people living at home.
Family PracticeThe Effects of Treatment of Urinary Incontinence in General Practice
122 Citations1992A.L.M. Lagro‐Janssen, F M Debruyne +2 more
It is concluded that the majority of women with incontinence can be successfully treated by the general practitioner and the effect of this treatment continues after one year.
Journal of the American Geriatrics SocietyUrinary Incontinence in Nursing Homes: Incidence, Remission and Associated Factors
119 Citations1993Joseph G. Ouslander, Mary H. Palmer +2 more
To determine the incidence and remission rates of daytime urinary incontinence in a cohort of newly admitted nursing home (NH) residents, a large number of residents were newly admitted with previous toileting problems.
Journal of the American Geriatrics SocietyIncontinence Among Elderly Community‐Dwelling Dementia Patients
118 Citations1990Joseph G. Ouslander, Steven H. Zarit +2 more
The need to educate community caregivers of dementia patients in the appropriate management of incontinence is emphasized and the need for further research on methods of effectively targeting assessment and treatment strategies to this patient population is emphasized.
Obstetrics and GynecologyThe effect of behavioral therapy on urinary incontinence: a randomized controlled trial
116 Citations2002Leslee L. Subak
A low‐intensity behavioral therapy intervention for urinary incontinence was effective and should be considered as a first‐line treatment for urinaryincontinence in older women.
British Journal of UrologyA Controlled Trial of Bladder Drill and Drug Therapy in the Management of Detrusor Instability
115 Citations1981G. J. Jarvis
Fifty women with urinary incontinence due to derisory instability entered a controlled clinical trial to compare in-patient bladder drill with out-patient drug therapy, and following bladder drill, 84% of patients were continent.
Journal of the American Geriatrics SocietyPrompted Voiding Treatment of Urinary Incontinence in Nursing Home Patients
114 Citations1989John F. Schnelle, Belinda Traughber +4 more
Three behavioral measures that can be easily collected by nursing staff significantly predicted continence levels during treatment and change in incontinence during treatment offer nursing staff a cost‐effective method for selecting the most responsive patients for prompted‐voiding treatment.
Cochrane Database of Systematic ReviewsHabit retraining for the management of urinary incontinence in adults
113 Citations2004Joan Ostaszkiewicz, Tracey Chestney +1 more
Data on habit retraining are few and of insufficient quality to provide a firm basis for practice, andcriptive data on the intervention suggests that habit ret training is a labour-intense activity.
Journal of the American Geriatrics SocietyThe Effects of Patterned Urge‐Response Toileting (PURT) on Urinary Incontinence among Nursing Home Residents
112 Citations1992Joyce Colling, Joseph G. Ouslander +3 more
To test an individualized form of habit training for urinary incontinence among long‐stay cognitively and/or physically impaired elderly nursing home residents over time.
Journal of Advanced NursingThe impact of incontinence on older spousal caregivers
111 Citations2003Colin Cassells, Elizabeth Watt
The research highlighted the interconnectedness of factors in the experiences of carers, reinforcing the need for holistic assessment beyond a focus on the "continence issue" alone, and a framework is proposed which may guide nursing assessment.
JAMAA Clinical Trial of a Behavioral Therapy to Reduce Urinary Incontinence in Nursing Homes
110 Citations1989Teh-wei Hu
Trainees with a high frequency of incontinence during baseline, the more cognitively intact residents, and residents with normal bladder capacity responded better to this behavior therapy program.
Journal of Applied Behavior AnalysisMANAGEMENT OF GERIATRIC INCONTINENCE IN NURSING HOMES
110 Citations1983John F. Schnelle, Belinda Traughber +4 more
A behavioral management system designed to reduce urinary incontinence was evaluated in two nursing homes with a pretest-posttest control group design with repeated measures.
The Journal of UrologyBehavioral Training for Post-Prostatectomy Urinary Incontinence
104 Citations1989Kathryn L. Burgio, Ray E. Stutzman +1 more
It is indicated that biofeedback training is an effective intervention for episodic stress or urge incontinence after prostatectomy, however, its usefulness appears to be limited in patients with postoperativeincontinence characterized by continual leakage.
JAMABladder Training and Related Therapies for Urinary Incontinence in Older People
98 Citations1986Marianne Nygaard
Clinical trials that characterize subjects' urodynamic, neurologic, cognitive, and functional status, as well as the presence of other diseases and medication use, are needed to determine which elderly persons are likely to respond to particular behavioral regimens for urinary incontinence.
Age and AgeingDOUBLE-BLIND STUDY OF IMIPRAMINE AND PLACEBO FOR INCONTINENCE DUE TO BLADDER INSTABILITY
94 Citations1986C M Castleden, H. M. Duffin +1 more
The results revealed that 14 out of 19 patients became dry after imipramine and six out of 14 after placebo treatment, which confirmed the great benefit of habit-retraining which all patients received.
The GerontologistMaintaining Continence in Nursing Home Residents Through the Application of Industrial Quality Control
87 Citations1993J. F. Schnelle, Daniel R. Newman +5 more
Supervisory nurses in seven nursing homes were taught how to implement a quality control management system that permitted the time-efficient assessment of how well a prompted voiding toileting program continued to be implemented by indigenous nursing aides.
Cochrane Database of Systematic ReviewsAbsorbent products for moderate-heavy urinary and/or faecal incontinence in women and men
86 Citations2008Mandy Fader, Alan Cottenden +1 more
There were not enough people in the trials to draw any conclusions about which designs are best for faecal incontinence and no particular design seemed to be better or worse for skin health, and there was no firm evidence that there are differences in skin health between designs.
Journal of the American Geriatrics SocietyReduction of Urinary Incontinence in Nursing Homes: Does It Reduce or Increase Costs?
82 Citations1988John F. Schnelle, V. A. Sowell +2 more
The cost of incontinence during the hourly checking condition was significantly higher than the cost normally incurred in nursing homes, and the rehabilitation program produced significant labor and supply savings only when compared with the hourlychecking and changing system.
Research in Nursing & HealthRisk factors for urinary incontinence one year after nursing home admission
81 Citations1991Mary H. Palmer, Pearl S. German +1 more
Secondary data analysis was conducted from a longitudinal nursing home study to identify nonurologic risk factors for continence outcomes at 1 year after admission to suggest types of residents who might be targeted for early preventive intervention.
Journal of the American Geriatrics SocietyHabit Training and Oxybutynin for Incontinence in Nursing Home Patients: A Placebo‐controlled Trial
72 Citations1988Joseph G. Ouslander, Jenna Blaustein +2 more
The relatively practical and inexpensive interventions employed in this study will need to be modified or intensified in order to substantially reduce the frequency of incontinence among functionally disabled nursing home patients.
Journal of the American Geriatrics SocietyThe Effects of an Exercise and Incontinence Intervention on Skin Health Outcomes in Nursing Home Residents
72 Citations2003Barbara M. Bates‐Jensen, Cathy Alessi +2 more
To examine skin health outcomes of an exercise and incontinence intervention, a skin health study was conducted in women with and withoutinence at baseline and after treatment with a vaginal or laparoscopic excision.
Journal of Applied Behavior AnalysisTHE MANAGEMENT OF DEHYDRATION AND INCONTINENCE IN NONAMBULATORY GERIATRIC PATIENTS
69 Citations1984Paul F. Spangler, Todd R. Risley +1 more
A health care routine designed to decrease incontinence and improve the hydration level of nonambulatory nursing home patients demonstrated a decrease in physical dehydration, as well as in fecal and urinaryincontinence.
Journal of Wound Ostomy and Continence NursingEffectiveness of prompted voiding in treating urinary incontinence in cognitively impaired homebound older adults
62 Citations2002Sandra Engberg
The PV intervention resulted in clinically significant reductions in urinary incontinence for many of the participants, which may be achievable for many cognitively impaired homebound older adults.
The GerontologistManagement of Patient Continence in Long-Term Care Nursing Facilities
60 Citations1990John F. Schnelle, Daniel R. Newman +1 more
Ninety-one urinary incontinent nursing home patients who responded to a 1-hour prompted voiding toileting program were gradually moved to a 2-hour program without a significant change in either continence or appropriate toileting levels.
International Urogynecology JournalOxybutynin and bladder training in the management of female urinary urge incontinence: A randomized study
59 Citations1995M. Colombo, Gerardo Zanetta +2 more
It was concluded that oxybutynin was not well tolerated and gave only early good results; bladder training was well accepted and provided persistent results; it may be suggested as the first-line treatment for urge incontinence.
Journal of the American Geriatrics SocietyManagement of Urinary Incontinence in Veterans Administration Nursing Homes
57 Citations1985Joseph G. Ouslander, Evonne Fowler
The results of the survey reinforce the need for research designed to improve the care of the incontinent NH patient.
Nursing ResearchEFFECT OF OPERANT CONDITIONING ON MODIFICATION OF INCONTINENCE IN NEUROPSYCHIATRIC GERIATRIC PATIENTS
56 Citations1968Jeanette P. Grosicki
Journal of the American Geriatrics SocietyProfile of Urinary Incontinent Elderly in Long‐Term Care Institutions
55 Citations1990Lucy Yu, Thomas J. Rohner +4 more
An important finding in this study is that 34% of the patients had detrusor instability, suggesting that pharmacologic therapy with anticholinergic agents or imipramine could improve incontinence in this group of nursing home patients.
Journal of the American Geriatrics SocietyThe Effects of Changing Prompted Voiding Schedules in the Treatment of Incontinence in Nursing Home Residents
54 Citations1994Louis D. Burgio, Kathleen McCormick +4 more
To determine the effects of different prompted voiding schedules on urinary incontinence on a continence unit (CU) and the maintenance of benefits on normal nursing units, a large number of patients are admitted to CUs on a regular basis.
Journal of Clinical NursingPrevalence of urinary incontinence and its relationship with health status
53 Citations2000Brenda Roe, Helen Doll
The prevalence of urinary incontinence in the adult populations of two communities indicates that it is a sizeable public health and primary healthcare issue.
International Urogynecology JournalQuality of life following bladder training in older women with urinary incontinence
52 Citations1997Jean F. Wyman, J. Andrew Fantl +4 more
It is concluded that bladder training is effective in improving the quality of life of incontinent women regardless of urodynamic diagnosis.
Journal of Investigative DermatologyCorrelates of Pressure Sores in Nursing Homes: Evidence from the National Medical Expenditure Survey.
48 Citations1994William D. Spector
Findings indicate that having diagnoses of Parkinson's disease, diabetes, or paraplegia, being underweight, older, male, unable to walk, needing help feeding or unable to feed, having frequent fecal and urinary incontinence accidents, and being admitted from a hospital increase the likelihood of having had a pressure sore during the stay.
Age and AgeingTHE MANAGEMENT OF URINARY INCONTINENCE IN LOCAL AUTHORITY RESIDENTIAL HOMES FOR THE ELDERLY
48 Citations1986Gerald W. Tobin, J.C. Brocklehurst
Urinary incontinence occurring at least once weekly was found in 32% of residents in 30 Local Authority Residential Homes for the Elderly and this was significantly commoner among female residents.
Applied Nursing ResearchUrinary incontinence in nursing home residents with dementia: The mobility-cognition paradigm
47 Citations1990Mary Marmoll Jirovec, Thelma J. Wells
BMJTerodiline with bladder retraining for treating detrusor instability in elderly people.
47 Citations1991P. Wiseman, James Malone‐Lee +1 more
Although the number of patients in each group was small and may have been insufficient to detect a drug effect, the possible benefit of terodiline is likely to be small.
PubMedThe effects of a continence program on frail community-dwelling elderly persons.
47 Citations2003Joyce Colling, Thomas R. Owen +2 more
Results from this study demonstrate that even in physically and cognitively impaired persons a behavioral treatment program can reduce incontinence, lower costs, and relieve caregiver burden.
British Journal of UrologyThe Management of Urinary Incontinence Due to Primary Vesical Sensory Urgency by Bladder Drill
46 Citations1982G. J. Jarvis
Thirty-three women with frequency, nocturia, urgency, incontinence and a stable bladder were treated by in-patient bladder drill and the results assessed both subjectively and objectively following treatment.
Research in Nursing & HealthPredicting success using individualized scheduled toileting for memory-impaired elders at home
45 Citations2001Mary Marmoll Jirovec, Tom Templin
Cochrane Database of Systematic ReviewsAbsorbent products for light urinary incontinence in women
45 Citations2007Mandy Fader, Alan Cottenden +1 more
Assessment of the effectiveness of different types of absorbent product designs for women with light urinary incontinence finds the disposable insert is the most expensive design and there is no dominant design for cost-effectiveness.
PubMedCost effectiveness of training incontinent elderly in nursing homes: a randomized clinical trial.
39 Citations1990T W Hu, D. Lynne Kaltreider +3 more
A randomized clinical trial with 133 incontinent elderly in seven nursing homes to evaluate the effectiveness of a behavioral training therapy and its cost implications and found an organizational management scheme that will stimulate nursing aides to reduce incontinence among nursing home residents responded better to this behavioral program.
PubMedEffects of an exercise and scheduled-toileting intervention on appetite and constipation in nursing home residents.
39 Citations2004Sandra F. Simmons, John F. Schnelle
An exercise and scheduled-toileting intervention alone is not sufficient to improve oral food and fluid consumption during meals and bowel movement frequency in NH residents.
Journal of the American Geriatrics SocietyAssessment and Quality Control of Incontinence Care in Long‐Term Nursing Facilities
37 Citations1991John F. Schnelle, Daniel R. Newman +3 more
A management system for effective incontinence care is described that involves setting job standards specifying how dry the patients should be if toileted on a 2‐hour schedule and monitoring patients' urine output to assess how well the changing procedures were being implemented.
PubMedBehavioural treatment of urinary incontinence in geriatric patients.
36 Citations1982S. Kolawole Sogbein, Saïd A. Awad
Urinary incontinence and a program to treat it were studied in a geriatric hospital and patients with hyperreflexia completed a timed-voiding routine, which benefited 17 of them (85%).
The GerontologistImpact on Caregivers of Supporting Urinary Function in Noninstitutionalized, Chronically III Seniors
35 Citations1992Joseph H. Flaherty, Douglas K. Miller +1 more
Caregivers' depressive symptoms were associated with perceived burden from providing care for urinary function, a confused care receiver, and post-stroke support.
Journal of Advanced NursingPrompted voiding therapy for urinary incontinence in aged female nursing home residents
32 Citations1989Nancy S. Creason, Judith A Grybowski +4 more
It is suggested that nursing homes incorporate prompted voiding into their care and nursing homes adopting this protocol should be encouraged to keep data that will contribute further to knowledge in this area.
International Urogynecology JournalA prospective, randomized controlled trial of inpatient versus outpatient continence programs in the treatment of urinary incontinence in the female
30 Citations1996I. Ramsay, Hassan Ali +5 more
QRB - Quality Review BulletinCost-Effectiveness of Treating Incontinence in Severely Mobility-Impaired Long Term Care Residents
26 Citations1990Kathleen A. McCormick, Bernard T. Engel +2 more
In this quasi-experimental study of ten subjects, a mechanical lift was used with a two-hour schedule to improve incontinence and subjects showed improvement in not only dryness but also volume of urine voided and the frequency of decubitus ulcers and UTIs.
Journal of Wound Ostomy and Continence NursingHome-based management of urinary incontinence: A pilot study with both frail and independent elders*1
24 Citations1997Mary Bear
Although behavioral management of continence was effective in reducing incontinence among independent, community-dwelling elderly women, there was a marked lack of response to this project by frail elders and their caregivers.
Archives of Family MedicineRisk factors for the development of bacteremia in nursing home patients
24 Citations1995Jonathan P. Richardson
Nursing home patients with urinary incontinence or a urinary catheter are at increased risk of bacteremia, and men and patients with tracheostomies are somewhat more likely to develop bacterenmia.
Nursing ResearchThe Effect of Several Methods of Training on Long-Term, Incontinent, Behaviorally Regressed Hospitalized Psychiatric Patients
24 Citations1960Hazel A. Carpenter, Ralph Simon
PubMedImproving management of urinary incontinence in geriatric centres and nursing homes. Victorian Geriatricians Peer Review Group.
20 Citations1990David Fonda
It is concluded that urinary incontinence is more common than reported in previous studies, largely as a result of the additional group of patients with dependent continence, a condition that often can be achieved.
Journal of Behavior Therapy and Experimental PsychiatryA simplified method of toilet training adults in residential settings
16 Citations1997David A. Wilder, Thomas S. Higbee +2 more
A simplified version of Azrin and Foxx's method of toilet training was evaluated in an adult with profound mental retardation and indicated that the procedure was effective in reducing toileting accidents and in increasing appropriate urinations.
BMJJournal: Journal of Clinical Effectiveness
16 Citations1999A. Liberati
The current enthusiasm for evidence based practice should be regarded with scepticism if it is divorced from appropriate efforts to change the cultural and social basis on which health care is currently practised.
Geriatric Nephrology and UrologyClinical guidelines and cost implications ? the case of stress urinary incontinence
16 Citations1994Teh-wei Hu, Katrina Gabelko +4 more
Using outpatient and inpatient claims data, the current practice patterns, cost variations, and cost implications of implementing a proposed clinical guideline for stress urinary incontinence are reported.
Australian Journal on AgeingThe Continued Success Of Conservative Management For Established Urinary Incontinence In Older People
15 Citations1994David Fonda, Mark Woodward +2 more
Conservative management of elderly community-based patients can be very effective, taking up to four months to see peak benefit which can be sustained over a 12 month period with little additional input.
Journal of Gerontological NursingURINARY INCONTINENCE: An Augmented Prompted Void Approach
15 Citations1992Kathleen McCormick, Louis D. Burgio +3 more
Behavioral treatment strategies improve continence and urinary incontinence in cognitively impaired residents and the volume voided into an appropriate receptacle increased an average of 26 mL per 2 hours.
British Journal of Clinical PsychologyAssessment of a behavioural programme to treat incontinent patients in psychogeriatric wards
14 Citations1984Diana Chanfreau‐Rona, Stuart Bellwood +1 more
Variables such as age, cognitive state and length of stay had no effect upon the continence level at the end of the programme, whereas there was a clear association between the initial level of incontinence and the end results.
Journal of Wound Ostomy and Continence NursingPrompted voiding in the long-term care facility*1
14 Citations1996Peg Serocki Pinkowski
Provision of prompted voiding is labor intensive, and its application in long-term care facilities requires that management systems be in place to develop and maintain staff participation in the program.
Clinical Nursing Practice: the Promotion and Management of Continence
10 Citations1992Brenda Roe
This book presents contributions from individuals who are specialists within this field, who have undertaken individual research or who have a critical command of the research into incontinence along with a critical review of the literature and research evidence from which clinical nursing practice should be based.
Journal of Wound Ostomy and Continence NursingNoninvasive techniques to manage urinary incontinence among care-dependent persons*1
9 Citations1996Joyce Colling
Assessment and treatments for persons in whom urinary incontinence has been detected and who are cognitively or physically impaired that are appropriately performed by nurses with no special expertise in or knowledge of urinaryincontinence are emphasized.
PubMedTreatment of urinary incontinence in homebound older adults: interface between research and practice.
9 Citations1998Sandra Engberg, McDowell Bj +3 more
The assessment and treatment protocols utilized during this study are described and their subsequent application to clinical practice within a large urban home health agency are described.
PubMedAssessment and management of urinary incontinence among homebound older adults: a clinical trial protocol.
9 Citations1997Sandra Engberg, B. Joan McDowell +4 more
The assessment and management protocols utilized in a clinical trial examining the effectiveness of behavioral interventions in treating urinary incontinence in homebound older adults and subjects who were cognitively intact were treated with biofeedback-assisted pelvic floor muscle training.
Clinical Nurse SpecialistAn Overview of Urinary Incontinence in Adults
8 Citations1995Nancy Beckman
The scope of the problem, costs of urinary incontinence and potential cost savings with treatment are discussed and the necessary assessments to be performed by the APN are reviewed.
Physical Medicine and Rehabilitation Clinics of North AmericaLong-term Management of Neurogenic Bladder: Intermittent Catheterization
8 Citations1993Frederick Maynard
Two key practice components for successful use of long-term clean intermittent catheterization (CIC) for management of the neurogenic bladder are described in this article.
Behavioural PsychotherapyBehaviour Treatment of Daytime Incontinence in Elderly Male and Female Patients
8 Citations1986Diana Chanfreau‐Rona, Belinda Wylie +1 more
There were indications that a continence training programme is more likely to be beneficial to those patients who have a low level of incontinence rather than those for whom incontinent is a more severe problem.
Physical Medicine and Rehabilitation Clinics of North AmericaLong-term Management of Neurogenic Bladder: An Eclectic Approach
5 Citations1993L. Keith Lloyd
Whatever form of bladder management is used, there must be careful long-term follow-up and willingness to recognize potential for complications with any management program.
Nursing StandardElderly toileting: is two hourly too often?
5 Citations1993Rodney Jilek
It is concluded that two hourly regimes for urinary incontinence management in elderly nursing home residents are a waste of nurses' time and cause unnecessary discomfort to patients.
Nursing StandardContinence training programmes: Need for standardisation
5 Citations1991Francine Cheater
PubMed[Clinical study of the timed voiding schedule for urinary incontinence in demented elders].
4 Citations1993Seiji Kunikata, Y. C. Park +4 more
The timed voiding schedule is thought to be a useful method to treat incontinence in demented elderly patients, and should be tried first of all, although intermittent catheterization and/or other alternatives would be necessary for those with a large amount of residual urine with poor activities in daily life.
…
