The Effect of Urinary Incontinence on Quality of Life in Older Nursing Home Residents

OBJECTIVES: To determine whether nursing home residents with urinary incontinence (UI) have worse quality of life (QoL) than continent residents, whether the relationship between UI and QoL differs across strata of cognitive and functional impairment, and whether change in continence status is associated with change in QoL.

[1]  S. Simmons,et al.  The Minimum Data Set Urinary Incontinence Quality Indicators: Do They Reflect Differences in Care Processes Related to Incontinence? , 2003, Medical care.

[2]  B. Álvarez-Fernández Estimating prognosis for nursing home residents with advanced dementia. , 2004, JAMA.

[3]  P. Macrae,et al.  Functional Incidental Training, Mobility Performance, and Incontinence Care with Nursing Home Residents , 1995, Journal of the American Geriatrics Society.

[4]  M. Albert,et al.  Longitudinal study of quality of life in people with advanced Alzheimer's disease. , 2001, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[5]  Brenda Roe,et al.  Incontinence in the Frail Elderly , 2009 .

[6]  C. Dubeau,et al.  Quality of Life Impact of Urge Incontinence in Older Persons: A New Measure and Conceptual Structure , 1999, Journal of the American Geriatrics Society.

[7]  B E Fries,et al.  Scaling ADLs within the MDS. , 1999, The journals of gerontology. Series A, Biological sciences and medical sciences.

[8]  J. Schnelle,et al.  Use of the Minimum Data Set to Rate Incontinence Severity , 1995, Journal of the American Geriatrics Society.

[9]  A. Hartzema,et al.  Labor costs associated with incontinence in long-term care facilities. , 2003, Urology.

[10]  Geri Adler,et al.  Quality of Life in Nursing Homes , 2006 .

[11]  R. Kane,et al.  Quality of life measures for nursing home residents. , 2003, The journals of gerontology. Series A, Biological sciences and medical sciences.

[12]  J. Fleishman,et al.  The structure of social engagement among nursing home residents. , 1995, The journals of gerontology. Series B, Psychological sciences and social sciences.

[13]  J. Morris,et al.  Reliability estimates for the Minimum Data Set for nursing home resident assessment and care screening (MDS). , 1995, The Gerontologist.

[14]  J. Ouslander,et al.  Implementation of a nursing home urinary incontinence management program with and without tolterodine. , 2001, Journal of the American Medical Directors Association.

[15]  M. Lawton A multidimensional view of quality of life in frail elders , 1991 .

[16]  N R Sahyoun,et al.  The changing profile of nursing home residents: 1985-1997. , 2001, Aging trends.

[17]  B Bates-Jensen,et al.  Predictors of successful prompted voiding among incontinent nursing home residents. , 1995, JAMA.

[18]  C. Dubeau Improving Urinary Incontinence in Nursing Home Residents: Are We FIT to Be Tied? , 2005, Journal of the American Geriatrics Society.

[19]  D. McClish,et al.  Short forms to assess life quality and symptom distress for urinary incontinence in women: The incontinence impact questionnaire and the urogenital distress inventory , 1995, Neurourology and urodynamics.

[20]  D. Feeny,et al.  HEALTH-RELATED QUALITY OF LIFE MEASURE BASED ON THE MINIMUM DATA SET , 2003, International Journal of Technology Assessment in Health Care.

[21]  Julie Hruschak Rn Cnor,et al.  Urinary Incontinence in Adults: Acute and Chronic Management , 1996 .

[22]  T. Hu,et al.  Cost effectiveness of training incontinent elderly in nursing homes: a randomized clinical trial. , 1990, Health services research.

[23]  J. Wyman,et al.  Quality of life in geriatric patients with lower urinary tract dysfunction. , 1997, American Journal of the Medical Sciences.

[24]  D. Kiely,et al.  The protective effect of social engagement on 1-year mortality in a long-stay nursing home population. , 2003, Journal of clinical epidemiology.

[25]  S. Simmons,et al.  A Standardized Quality Assessment System To Evaluate Incontinence Care in the Nursing Home , 2003, Journal of the American Geriatrics Society.

[26]  G. Brandeis,et al.  Evaluating a national assessment strategy for urinary incontinence in nursing home residents: Reliability of the minimum data set and validity of the resident assessment protocol , 1996, Neurourology and urodynamics.

[27]  J. Duckett,et al.  A new questionnaire to assess the quality of life of urinary incontinent women , 1998, British journal of obstetrics and gynaecology.

[28]  J. Schnelle,et al.  Policy without technology: a barrier to improving nursing home care. , 1997, The Gerontologist.

[29]  M. Schroll,et al.  An international study of social engagement among nursing home residents. , 1997, Age and ageing.

[30]  C. Alessi,et al.  Translating Clinical Research into Practice: A Randomized Controlled Trial of Exercise and Incontinence Care with Nursing Home Residents , 2002, Journal of the American Geriatrics Society.

[31]  R. Mayer,et al.  Use of the Agency for Health Care Policy and Research Urinary Incontinence Guideline in Nursing Homes , 2003, Journal of the American Geriatrics Society.

[32]  James E. Birren,et al.  The Concept and measurement of quality of life in the frail elderly , 1991 .

[33]  J Popay,et al.  Is the short form 36 (SF-36) suitable for routine health outcomes assessment in health care for older people? Evidence from preliminary work in community based health services in England. , 1996, Journal of epidemiology and community health.

[34]  D. Mehr,et al.  MDS Cognitive Performance Scale. , 1994, Journal of gerontology.

[35]  M. Palmer,et al.  Quality of Incontinence Management in U.S. Nursing Homes: A Failing Grade , 2003, Journal of the American Geriatrics Society.

[36]  C. Alessi,et al.  Does an Exercise and Incontinence Intervention Save Healthcare Costs in a Nursing Home Population? , 2003, Journal of the American Geriatrics Society.

[37]  Teh-Wei Hu,et al.  Costs of urinary incontinence and overactive bladder in the United States: a comparative study. , 2004, Urology.