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Assessing Urinary Incontinence Assessing Urinary Incontinence 56% of long term care facility residents experienced urinary incontinence, but only 10% of residents were on a program for bladder training, according to CMS 2010 OSCAR data, derived from the results of long term care facility surveys. The data shows a high rate of incontinence for residents who are actually low risk for incontinence. Surveyors examine how facilities assess urinary function, identify types of incontinence, and implement individualized care plan interventions to address each residents particular needs. The surveyor guidelines stress that identifying the nature of the incontinence is a key aspect of the assessment. Interventions and programs should be specific to the type of incontinence: Urge Incontinence The most common cause of urinary incontinence in elderly persons Urgency, frequency, and nocturia. Resident can feel the need to void, but is unable to inhibit the urge long enough to reach the commode. Causes are: age-related,neurological, bladder infection, urethral irritation. Stress Incontinence Second most common type of urinary incontinence in elderly women Loss of small amount of urine with physical activity such as coughing, sneezing,laughing, walking stairs or lifting. Overflow Incontinence Occurs when the bladder is distended from urine retention. Symptoms may include: weak stream, hesitancy, intermittency, dysuria, nocturia,incomplete voiding, frequent or constant dribbling May be caused by obstruction or neurological condition May mimic urge or stress incontinen ce, but is less common than those Functional Incontinence Secondary to factors other than inherently abnormal urinary tract function. May be related to: physical weakness or poor mobility/dexterity (poor eyesight, arthritis, stroke, contracture, cognitive problems, medications, or environmental factors. Transient Incontinence Related to a potentially improvable or reversible cause. Temporary or occasional incontinence from variety of causes such as delirium, infection,medication, increased urine production. |
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