Exploration of Nursing Care Strategies for the Management of Urinary Incontinence in Hospitalized Women

Karen A. Blanchette, BSN, RN

Disclosures

Urol Nurs. 2012;32(5):256-259. 

In This Article

Recommendations

As a result of this literature review, the author and colleagues made the following suggestions to their hospital staff regarding care of hospitalized women with UI. First, specific education to support appropriate nursing assessment and management of UI is essential to reducing the number of incontinent episodes among this vulnerable population. Nursing staff education should include the identification of transient causes of UI and the best nursing strategies for UI management. Second, nursing strategies for UI management include timed voiding, offering help to reach the toilet, maintaining a clear path to the toilet, prompting individuals to use the toilet every two hours while awake, and avoiding the use of indwelling catheters. Third, nursing staff should also be aware of bladder irritants that exacerbate UI and educate patients about the effect of these irritants on the urinary system. Hospital staff should recognize that some medications cause transient UI, and these medications should be avoided when possible.

Further research is needed to identify best nursing care strategies for the management of UI among hospitalized women. The literature does not identify which factor(s) most strongly influence frequency of incontinent episodes. Future research should focus on the role of interdisciplinary care in the acute care environment and the role of the caregiver in the community setting. Emphasis should be placed on identifying factors most strongly correlated with high incidences of UI and how best to modify these factors.

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