Using a conceptual model for practice in a nursing wellness centre for seniors.

The use of a conceptual model to guide practice is critical to the maturation of the profession. Distinguishing between nursing and other health care professions rests, in part, on nursing's ability to articulate what it offers to clients. The nursing paradigm, comprising the essential components of the individual (client), health, environment, and nursing, provides general rules of thumb for the profession (Fawcett, 1984).

Simple urodynamic evaluation of incontinent elderly female nursing home patients. A descriptive analysis.

We present a descriptive analysis of the functional, mental, and urodynamic status of a population of incontinent elderly female nursing home patients. One hundred fifty-five intermediate care female patients with a mean age of 85.5 years were identified as being incontinent of urine at least once daily.

Cost effectiveness of training incontinent elderly in nursing homes: a randomized clinical trial.

This study used a randomized clinical trial with 133 incontinent elderly in seven nursing homes to evaluate the effectiveness of a behavioral training therapy and its cost implications. The training program lasted three months, and a 22-week follow-up period examined the durability of the treatment effect. The therapy became effective after six weeks of training.

Profile of urinary incontinent elderly in long-term care institutions.

This article presents a profile of incontinent elderly in long-term care institutions. One hundred thirty-three frail elderly women were recruited from seven nursing homes in central Pennsylvania for a three-year clinical trial to test the effectiveness of a behavioral therapy on urinary incontinence. All of the patients had more than one medical diagnosis.

The cost-effectiveness of disposable versus reusable diapers. A controlled experiment in a nursing home.

Because caring for incontinent elderly in nursing homes is so time-consuming and costly, this topic is of interest to nursing home administrators. A comparison of disposable products with reusable cloth diapers suggests that the disposable product used in the controlled study could save nursing homes approximately $161 to $248 per year per person. Although product costs were similar, the cost savings on laundry favored the disposable product.

A clinical trial of a behavioral therapy to reduce urinary incontinence in nursing homes. Outcome and implications.

One hundred thirty-three incontinent women in seven nursing homes were assigned randomly to a 13-week behavior therapy program for urinary incontinence or to a control group that received usual incontinence-related care. The therapy became effective after 6 weeks of training. By the final month of training, the treatment women's wet episodes had been reduced by 0.

The ISQ-P tool: measuring stress associated with incontinence.

1. ISQ-P is a useful tool in measuring psychological stress associated with urinary incontinence. 2.

Medication discharge planning for the elderly.

The purpose of this study was to investigate the status of medication discharge planning for the elderly in relationship to readmission rates to the hospital. Registered nurses were surveyed regarding their practice of medication discharge planning. The study group consisted of 102 medical records for patients 65 years of age and over with congestive heart failure who had been discharged to their homes on one or more medications.

Incontinence in nursing homes. Research and treatment issues from the nursing perspective.

While bladder training appears to be a feasible modality for treating urinary incontinence in long-term care patients, many issues exist that prevent effective use of such a program. Multiple factors, including staff, patient, and environmental variables influence the outcome of treatment and research protocols and therefore must be addressed before any protocol can be effectively implemented. This article addresses and examines such issues in long-term care settings.