2.00
Hdl Handle:
http://hdl.handle.net/10755/622557
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Other
Research Approach:
Translational Research/Evidence-based Practice
Title:
Decreasing Urinary Incontinence in the Home Health Setting
Author(s):
Albertson, Maureen
Additional Author Information:
Maureen Albertson MSN, RN
Advisors:
Weissman, Georgann; Manty, JoAnn; Lathers, Julita
Degree:
DNP
Degree Year:
2017
Grantor:
Capella University
Abstract:

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.

Keywords:
urinary incontinence; quality improvement plan; bladder diary; pelvic floor exercises; bladder training
CINAHL Headings:
Urinary Incontinence--Prevention and Control--In Old Age; Urinary Incontinence--Prevention and Control; Urinary Incontinence; Home Health Care; Quality Improvement; Diaries; Diaries--Utilization; Diaries--Utilization--In Old Age; Kegel Exercises
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2017-08-30T19:07:04Z
Date of Publication:
2017-08-30

Full metadata record

DC FieldValue Language
dc.contributor.advisorWeissman, Georgannen
dc.contributor.advisorManty, JoAnnen
dc.contributor.advisorLathers, Julitaen
dc.contributor.authorAlbertson, Maureenen
dc.date.accessioned2017-08-30T19:07:04Z-
dc.date.available2017-08-30T19:07:04Z-
dc.date.issued2017-08-30-
dc.identifier.urihttp://hdl.handle.net/10755/622557-
dc.description.abstract<p>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.</p> <p>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.</p> <p>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.</p> <p>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 (<em>z = -3.83; p=</em></p> <p><em></em>CONCLUSIONS:The intervention had a positive effect on UI status and frequency. Future studies should examine changes in the UI complications and hospitalization rates.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.subjecturinary incontinenceen
dc.subjectquality improvement planen
dc.subjectbladder diaryen
dc.subjectpelvic floor exercisesen
dc.subjectbladder trainingen
dc.titleDecreasing Urinary Incontinence in the Home Health Settingen_US
dc.typeDNP Capstone Projecten
thesis.degree.grantorCapella Universityen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
dc.primary-author.detailsMaureen Albertson MSN, RNen
thesis.degree.year2017en
dc.type.categoryFull-texten
dc.evidence.levelOtheren
dc.research.approachTranslational Research/Evidence-based Practiceen
dc.subject.cinahlUrinary Incontinence--Prevention and Control--In Old Ageen
dc.subject.cinahlUrinary Incontinence--Prevention and Controlen
dc.subject.cinahlUrinary Incontinenceen
dc.subject.cinahlHome Health Careen
dc.subject.cinahlQuality Improvementen
dc.subject.cinahlDiariesen
dc.subject.cinahlDiaries--Utilizationen
dc.subject.cinahlDiaries--Utilization--In Old Ageen
dc.subject.cinahlKegel Exercisesen
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.