Person-Centered Incontinence Care in Residential Care Facilities for Older Adults With Cognitive Decline: Feasibility and Preliminary Effects on Quality of Life and Quality of Care

J Gerontol Nurs. 2018 Nov 1;44(11):10-19. doi: 10.3928/00989134-20181010-04.

Abstract

The current study operationalized, assessed, and evaluated the feasibility and preliminary effects of implementing a person-centered approach to incontinence care for older adults with cognitive decline in residential care facilities (RCFs) in Sweden. Twenty health care workers were purposively sampled from two intervention RCFs. Process outcome was measured as number of assessments conducted for incontinence management. Impact outcome measures were quality of life, basal assessment of incontinence, incontinence actions taken, and personally chosen incontinence aids. A usual care control group RCF was matched by resident case-mix and geographic region. Introduction of a person-centered approach showed an increase in residents' quality of life in the intervention group compared to baseline and the control group. A positive effect was found on the number of urinary incontinence assessments conducted (p < 0.05). In addition, the number of person-centered caring actions (e.g., toilet assistance) was significantly higher during and 6 months after implementation of the person-centered approach. Implementing a person-centered approach in clinical practice focused on incontinence care, quality of care, and quality of life is supported for RCF residents. [Journal of Gerontological Nursing, 44(11), 10-19.].

MeSH terms

  • Aged
  • Aged, 80 and over
  • Assisted Living Facilities
  • Cognitive Dysfunction / complications
  • Delivery of Health Care / standards*
  • Fecal Incontinence / nursing*
  • Female
  • Geriatric Nursing / standards*
  • Homes for the Aged
  • Humans
  • Male
  • Nursing Homes
  • Patient-Centered Care / standards*
  • Practice Guidelines as Topic*
  • Quality of Health Care / standards*
  • Quality of Life
  • Sweden
  • Urinary Incontinence / nursing*