Richard L Nelson1, Sylvia E Furner. 1. Department of Surgery, University of Illinois at Chicago, Room 2204, Mail Code 957, 1740 West Taylor Street, Chicago, IL 60612, USA. altohorn@uic.edu
Abstract
PURPOSE: To determine factors associated with the development of urinary and fecal incontinence in nursing homes. DESIGN AND METHODS: Residents of Wisconsin skilled nursing facilities reported in the Wisconsin annual nursing home survey continent to both urine and stool in 1992 were re-assessed 1 year later for the development of urinary and/or fecal incontinence. Independent variables were elements of the HCFA minimum data set found to be significantly associated with incontinence in cross-sectional surveys of Wisconsin nursing home residents. RESULTS: Dementia and advancing age were consistently associated with the development of incontinence, but the strongest associations were impairment of activities of daily living and the use of patient restraints. IMPLICATION: Adjusting for the major reasons to apply patient restraint: dementia, blindness, arthritis and stroke, along with other risk factors for incontinence, the use of patient restraints is the most significant cause for the development of incontinence in nursing homes.
PURPOSE: To determine factors associated with the development of urinary and fecal incontinence in nursing homes. DESIGN AND METHODS: Residents of Wisconsin skilled nursing facilities reported in the Wisconsin annual nursing home survey continent to both urine and stool in 1992 were re-assessed 1 year later for the development of urinary and/or fecal incontinence. Independent variables were elements of the HCFA minimum data set found to be significantly associated with incontinence in cross-sectional surveys of Wisconsin nursing home residents. RESULTS:Dementia and advancing age were consistently associated with the development of incontinence, but the strongest associations were impairment of activities of daily living and the use of patient restraints. IMPLICATION: Adjusting for the major reasons to apply patient restraint: dementia, blindness, arthritis and stroke, along with other risk factors for incontinence, the use of patient restraints is the most significant cause for the development of incontinence in nursing homes.
Authors: Alayne D Markland; Patricia S Goode; Kathryn L Burgio; David T Redden; Holly E Richter; Patricia Sawyer; Richard M Allman Journal: J Am Geriatr Soc Date: 2010-06-01 Impact factor: 5.562