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https://www.readbyqxmd.com/read/28401955/incontinence-in-the-elderly-normal-ageing-or-unaddressed-pathology
#1
REVIEW
William Gibson, Adrian Wagg
The prevalence of urinary incontinence and other lower urinary tract symptoms (LUTS) increases in association with increasing age. This effect is more noticeable in men after the seventh decade of life and, in women, postmenopausally. However, the changes in the lower urinary tract, peripheral nervous system and central nervous system that underpin this observation are both multifactorial and inadequately understood; much debate exists regarding whether these observed changes are pathological or are a part of the 'normal' ageing process; with both health professionals and older people often holding the view that incontinence is an expected part of normal ageing...
April 11, 2017: Nature Reviews. Urology
https://www.readbyqxmd.com/read/28378111/validation-of-overactive-bladder-questionnaire-1-week-recall-version-in-medically-complex-elderly-patients-with-overactive-bladder
#2
Alexandra I Barsdorf, Martin Carlsson, Andrew G Bushmakin, Sheila Quinn, Joseph C Cappelleri, Andreas Pleil
INTRODUCTION: The 33-item Overactive Bladder questionnaire (OAB-q; 1-week recall version) has been psychometrically validated in middle-aged, generally healthy patients with overactive bladder. The present analysis was conducted to determine the psychometric validity of the OAB-q in medically complex elderly patients. METHODS: OAB-q structure was evaluated using a second-order confirmatory factor analysis (CFA) model with five domains and one aggregated domain, using pooled data from two clinical trials (786 observations) for urgency urinary incontinence (UUI)...
April 4, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28348993/profile-of-elderly-attending-a-general-practice-clinic-in-a-poor-urban-area-a-cross-sectional-study-from-south-india
#3
Dimple Madhukar Jamkhandi, Sara Bhattacharji
INTRODUCTION: In India, the number of elderly is steadily increasing and is likely to reach 301 million by 2051. The increasing number and proportion of elderly will have a direct impact on the demand for health and pension services. As per the Demography of Indian Aging (Rajan et al.), information on morbidity profile of this population is essential to plan health-care facilities. METHODS: A descriptive cross-sectional study was designed to study the morbidity profile of 100 elderly persons reporting to the outpatient clinic of a family practice unit of a tertiary care center in South India between June 2008 and May 2010...
October 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28335792/can-incontinence-be-cured-a-systematic-review-of-cure-rates
#4
Rob Riemsma, Suzanne Hagen, Ruth Kirschner-Hermanns, Christine Norton, Helle Wijk, Karl-Erik Andersson, Christopher Chapple, Julian Spinks, Adrian Wagg, Edward Hutt, Kate Misso, Sohan Deshpande, Jos Kleijnen, Ian Milsom
BACKGROUND: Incontinence constitutes a major health problem affecting millions of people worldwide. The present study aims to assess cure rates from treating urinary (UI) or fecal incontinence (FI) and the number of people who may remain dependent on containment strategies. METHODS: Medline, Embase, PsycINFO, Cochrane Central Register of Controlled Trials (CENTRAL), CINAHL, and PEDro were searched from January 2005 to June 2015. Supplementary searches included conference abstracts and trials registers (2013-2015)...
March 24, 2017: BMC Medicine
https://www.readbyqxmd.com/read/28320676/smartphone-based-rapid-screening-of-urinary-biomarkers
#5
Haakon Karlsen, Tao Dong
An ambulatory pre-screening Point-of-Care (POC) device compatible with commercially available diapers has been developed to rapidly screen urine samples for incontinent or functionally impaired elderly. This POC device consists of a set of colorimetric reaction pads with accompanying reference colors. A smartphone with camera is a convenient tool for analysis of colorimetric assays; and a software application has been developed for smartphones to photograph the colorimetric assay and classify colorimetric reactions according to the reference colors...
April 2017: IEEE Transactions on Biomedical Circuits and Systems
https://www.readbyqxmd.com/read/28288563/is-independence-of-older-adults-safe-considering-the-risk-of-falls
#6
Dorota Talarska, Magdalena Strugała, Marlena Szewczyczak, Sławomir Tobis, Michał Michalak, Izabela Wróblewska, Katarzyna Wieczorowska-Tobis
BACKGROUND: Falls affect approx. 30% of elderly population per year. They cause major injuries and reduce independence of the older adults' functioning. The main objective of the study was to evaluate the degree of independence and find the fall risk factors in the study group. METHODS: The study included 506 - older adults. The study group included patients from GP clinics and members of two senior centers. The study duration was 12 months. Our study tools included EASY- Care Standard 2010 questionnaire, Abbreviated Mental Test Score (AMTS), Index Barthel, Instrumental Activities of Daily Living Scale (IADL), Geriatric Depression Scale (GDS), Timed Up and Go (TUG)...
March 14, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28284822/-algorithms-and-urinary-incontinence-in-the-elderly-assessment-treatment-recommendations-and-levels-of-evidence-review
#7
P Meyer
OBJECTIVES: Search processing algorithms in a primary care setting, analyzing the specifics of care management for seniors suffering from urinary incontinence (UI), described the recommendations and levels of evidence of treatment. METHODS: A literature review carried out via PubMed(®) and websites of scientific societies with search keywords classified according to an algorithm. RESULTS: One hundred algorithms have been discovered in the field of evaluation and treatment of UI...
March 2017: Progrès en Urologie
https://www.readbyqxmd.com/read/28269432/illumination-and-device-independence-for-colorimetric-detection-of-urinary-biomarkers-with-smartphone
#8
Haakon Karisen, Tao Dong
Diaper wearing elderly with functional impairments and/or incontinence is at high risk of contracting urinary tract infections. Nurses struggle with collection of urine samples for analysis. Therefore, a smartphone application is under development as a rapid screening device to work in conjunction with a colorimetric diaper assay that collects and tests urine within a diaper. The focus of this work is to make a practical and useful tool that medical personnel (the user) can use for rapid screening on patients in the field, only with a smartphone and assay available...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28267124/incidence-and-predictors-of-incontinence-associated-skin-damage-in-nursing-home-residents-with-new-onset-incontinence
#9
Donna Z Bliss, Michelle A Mathiason, Olga Gurvich, Kay Savik, Lynn E Eberly, Jessica Fisher, Kjerstie R Wiltzen, Haley Akermark, Amanda Hildebrandt, Megan Jacobson, Taylor Funk, Amanda Beckman, Reed Larson
PURPOSE: The purpose of this study was to determine the incidence and predictors of incontinence-associated dermatitis (IAD) in nursing home residents. METHODS: Records of a cohort of 10,713 elderly (≥65 years) newly incontinent nursing home residents in 448 nursing homes in 28 states free of IAD were followed up for IAD development. Potential multilevel predictors of IAD were identified in 4 national datasets containing information about the characteristics of individual nursing home residents, nursing home care environment, and communities in which the nursing homes were located...
March 2017: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/28256925/markov-chain-decision-model-for-urinary-incontinence-procedures
#10
Sameer Kumar, Nidhi Ghildayal, Neha Ghildayal
Purpose Urinary incontinence (UI) is a common chronic health condition, a problem specifically among elderly women that impacts quality of life negatively. However, UI is usually viewed as likely result of old age, and as such is generally not evaluated or even managed appropriately. Many treatments are available to manage incontinence, such as bladder training and numerous surgical procedures such as Burch colposuspension and Sling for UI which have high success rates. The purpose of this paper is to analyze which of these popular surgical procedures for UI is effective...
March 13, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28255510/risk-factors-for-urinary-retention-following-surgical-repair-of-hip-fracture-in-female-patients
#11
Ron Cialic, Victor Shvedov, Yaffa Lerman
BACKGROUND/OBJECTIVES: Postoperative urinary retention (POUR) is a common event following surgical procedures. An increase in the number of elderly individuals who undergo hip fracture repair procedures is inevitable due to the aging of population. Postoperative urinary retention is associated with both early (infections, delirium) and late complications (urinary incontinence) of surgery. The objective of the current study is to direct attention to the less studied population of patients admitted to a geriatric rehabilitation ward following hip fracture repair who are at risk of POUR...
March 2017: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/28255419/delirium-following-fesoterodine-treatment-for-urgency-incontinence-in-an-89-year-old-man
#12
Jeannie Medeiros Charbonneau, Rania Bisset, Patrick Viet-Quoc Nguyen
We describe the case of an 89-year-old man who developed delirium following the introduction of fesoterodine to treat his urgency incontinence. The patient started experiencing visual hallucinations approximately five days after starting fesoterodine 4 mg once daily. Delirium resolved after fesoterodine was stopped. Despite the apparent safe cognitive profile due to its pharmacodynamic properties, fesoterodine should be used with caution in the elderly, frail population.
July 2016: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28227678/illumination-and-device-independence-for-colorimetric-detection-of-urinary-biomarkers-with-smartphone
#13
Haakon Karisen, Tao Dong, Haakon Karisen, Tao Dong, Tao Dong
Diaper wearing elderly with functional impairments and/or incontinence is at high risk of contracting urinary tract infections. Nurses struggle with collection of urine samples for analysis. Therefore, a smartphone application is under development as a rapid screening device to work in conjunction with a colorimetric diaper assay that collects and tests urine within a diaper. The focus of this work is to make a practical and useful tool that medical personnel (the user) can use for rapid screening on patients in the field, only with a smartphone and assay available...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28214906/-evaluating-the-quality-of-care-in-nursing-homes-comparison-of-three-international-models
#14
Alessandro Rubino, Fabrizio Leigheb, Carmela Rinaldi, Angelo Di Dio, Sanita Knesse, Chiara Donnarumma, Massimiliano Panella
The aim of this observational descriptive study was to identify the main international models evaluating the quality of nursing homes for non self-sufficient elderly persons, and to apply them in the Italian health system. Firstly, a bibliographic search of institutional websites and Pubmed-Medline was performed to identify the main international models. Secondly, three variables were chosen to evaluate the level of implementability of the models: (1) frequency of use of quality indicators in the international models; (2) degree of constructability of the models in two Italian nursing homes; (3) perceived relevance of the indicators used by the chosen models, by nursing home workers...
November 2016: Igiene e Sanità Pubblica
https://www.readbyqxmd.com/read/28180932/-management-of-urinary-incontinence-in-a%C3%A2-geriatric-rehabilitation-department-global-urinary-incontinence-assessment-incorporating-the-international-consultation-on-incontinence-questionnare-urinary-incontinence-short-form-iciq-ui-sf
#15
Sigrid Ege
Although it is generally agree that older people have a high prevalence of urinary incontinence with a significant influence on health and quality of life, there is no standardized generally accepted assessment. The pathophysiology of urinary incontinence in frail elderly people requires a broad medical and functional scope to address the multifactorial nature of urinary incontinence, especially to identify treatable, potentially reversible conditions. To incorporate the multiple aspects into the daily routine, we developed a global urinary incontinence assessment at the Clinic for Geriatric Rehabilitation of the Robert Bosch Hospital including the validated International Consultation on Incontinence Questionnare - Urinary Incontinence Short Form (ICIQ-UI SF), a symptom score and results of a comprehensive geriatric assessment for mobility and cognition...
February 8, 2017: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/28145214/-faecolithiasis-straightforward-to-detect-but-often-missed
#16
B Katerberg, F Ter Borg
Faecal impaction is a problem which is becoming more prevalent now that the number of elderly patients is increasing. When not detected and treated inadequately, it can lead to symptoms such as diarrhoea, faecal incontinence and other serious problems like anorexia, vomiting and rectal ulcers with bleeding or even a bowel perforation. We describe two patients with serious and less common complications of faecolithiasis. Patient A, a 79-year-old woman with signs of dementia, presented with faecal incontinence and unexplained worsening of her cognitive symptoms leading to a situation where she could no longer live in her own home...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28133045/-assessment-of-functional-results-after-sphincter-preserving-surgery-in-elderly-patients-with-low-rectal-cancer
#17
Motoi Koyama, Kenta Kitamura, Tomonori Matsumura, Keigo Okada, Satoshi Inose, Eishi Totsuka, Kazuhiro Karikomi, Hiroyuki Suzuki, Naokazu Nakamura, Shigeru Masamura, Tatsushi Suwa, Hajime Morohashi, Yoshiyuki Sakamoto, Kenichi Hakamada
The aim of this study was to evaluate postoperative dysfunction and potential problems after a sphincter-preserving operation in elderly patients with low rectal cancer. METHODS: Between 2000 and 2012, 307 consecutive patients with low rectal cancer underwent curative sphincter-preserving surgery. We evaluated postoperative anal and urinary dysfunction in 190 patients who responded to a questionnaire by mail. RESULTS: After a median follow-up of 5.7 years, there was no significant difference between the elderly and a younger group in the Wexner incontinence score...
November 2016: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/28128907/minimally-invasive-treatment-of-female-stress-urinary-incontinence-with-the-adjustable-single-incision-sling-system-ajust-%C3%A2-in-an-elderly-and-overweight-population
#18
Ralf Anding, Manuel Schoen, Ruth Kirschner-Hermanns, Christian Fisang, Stefan C Müller, Stefan Latz
INTRODUCTION: The prevalence of urinary incontinence is increasing. Two major risk factors are overweight and age. We present objective and subjective cure rates of elderly and overweight patients treated with an adjustable single-incision sling system (AJUST™, C.R. BARD, Inc.). MATERIALS AND METHODS: Between 04/2009 and 02/2012 we treated 100 female patients with the single incision sling. Patients were retrospectively evaluated by Stamey degree of incontinence, cough test, pad use, and overall satisfaction...
January 27, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/28120284/prevalence-of-fecal-incontinence-and-associated-risk-factors-in-elderly-outpatients-a-cross-sectional-study
#19
Nurhan Demir, Mehmet Yuruyen, Kadri Atay, Hakan Yavuzer, Ibrahim Hatemi, Alper Doventas, Deniz Suna Erdincler, Ahmet Dobrucalı
BACKGROUND: Data on the prevalence of fecal incontinence in elderly patients admitted to outpatient clinics in Turkey are scarce. AIMS: The aim of this study was to assess the prevalence of fecal incontinence and the associated risk factors in the elderly outpatients. METHODS: Patients 60 years and older admitted to a geriatrics outpatient clinic between October 2013 and March 2014 were included. Demographic characteristics, anthropometric measurements, marital status, educational status, parity (for females), fecal incontinence (FI), urinary incontinence (UI), constipation, comorbid conditions, and medications were recorded...
January 24, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28112780/factors-related-to-urinary-incontinence-among-the-malaysian-elderly
#20
S A Eshkoor, T A Hamid, S Shahar, C Y Mun
BACKGROUND: Urinary incontinence is a prevalent condition in the elderly that is the spontaneous leakage of urine. It is an age-related problem and increases especially in people aged above 65 years. It can cause many psychological, behavioral, biological, economic and social effects. The treatment of urinary incontinence can reduce morbidity and mortality. Thus, this study aimed to determine the effects of variables including age, ethnicity, gender, education, marital status, body weight, blood elements and nutritional parameters on urinary incontinence among the Malaysian elderly...
2017: Journal of Nutrition, Health & Aging
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