Urinary incontinence affects at least 10 million Americans [1, 2]. It is estimated that that more than half of the 1.5 million residents of nursing homes are incontinent of urine [2, 3]. While data for acute-care settings are few, there are reports of incidence rates of 35% for elderly persons during hospitalization . The incidence and prevalence of urinary incontinence in the non-institutionalized elderly is not well documented, but it has been reported at 15–30% for those persons over the age of 60 years . Fecal incontinence affects an estimated 17%–66% of the hospitalized elderly and 10%–30% of the nursing home population . Expenditures by the federal government on skin care are estimated at $10 billion annually . These costs are conservative estimates and may not include all of the costs associated with complications resulting from incontinence.
KeywordsBurning Permeability Catheter Hydration Urea
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- 2.Urinary Incontinence Guideline Panel (1992) Urinary incontinence in adults: clinical practice guidelines. AHCPR publ no 92–0038. Agency for Health Care Policy and Research, Public Health Service, US Department of Health and Human Services, RockvilleGoogle Scholar
- 5.Lavien DH (1992) Sympathetic approach to fecal incontinence in the elderly. Participate 1:3Google Scholar
- 18.Oot-Girimini BA (1993) Pressure ulcer prevalence, incidence and associated risk factors in the community. Decubitus 6:24–32Google Scholar
- 26.Cooke JV(1921) The etiology and treatment of ammonia dermatitis of the gluteal region of infants. Am J Dis Child 22:481–492Google Scholar
- 32.Lyder CH, Clemes-Lowrance C, Davis A, Sullivan L, Zucker A (1992) Structured skin care regimen to prevent perineal dermatitis in the elderly. Nurs 19(1):12–16Google Scholar
- 35.Schnelle JF, Adamson G, Cruise PA, AL-Samarrai N, Sarvanjh F, Uman G, Ouslander JG (1996) Skin disorders and moisture in incontinent nursing home residents: intervention implications (in review)Google Scholar
- 37.Kane RL, Ouslander JG, Abrass IB (eds) Essentials of clinical geriatrics, 2nd edn., chap. 6: incontinence. McGraw-Hill Information Services, Newyork, pp 139–190Google Scholar
- 38.Basch A, Jensen L (1992) Management of fecal incontinence. In: Doughty D (ed) Urinary and fecal incontinence: nursing management. Mosby Year Book, St Louis, pp 235–268Google Scholar
- 39.Jensen LL (1990) Fecal incontinence. In: Jeter KF, Faller N, Norton C (eds) Nursing for continence. Saunders, Philadelphia, pp 223–240Google Scholar
- 40.Gray M (1992) Assessment of patients with urinary incontinence. In: Doughty D (ed) Urinary and fecal incontinence: nursing management. Mosby Year Book, St Louis, pp 47–94Google Scholar
- 42.Panel for the prediction and prevention of pressure ulcers in adults (1992) Pressure ulcers in adults: prediction and prevention. Clinical practice guideline, no 3. AHCPR publ no 92–0047. Agency for Health care policy and Research, Public Health Service, US Department of Health and Human Services, RockvilleGoogle Scholar
- 45.Jeter KF (1990) The use of incontinence products. In: Jeter KF, Faller N, Norton C (eds) Nursing for continence. Saunders, Philadelphia, pp 209–220Google Scholar