{"id":478,"date":"2011-10-23T04:55:45","date_gmt":"2011-10-23T04:55:45","guid":{"rendered":"http:\/\/thewoundcentre.com\/a\/?p=478"},"modified":"2011-10-23T04:55:45","modified_gmt":"2011-10-23T04:55:45","slug":"more-on-incontinence","status":"publish","type":"post","link":"http:\/\/thewoundcentre.com\/a\/478\/more-on-incontinence\/","title":{"rendered":"More on Incontinence…….."},"content":{"rendered":"

I could find no publications that reported a statistically significant causal link between incontinence <\/em>and pressure injury (PI) development. An examination of the literature and the risk factors for incontinence, included in many tools reveals the potential\u00a0 difficulty screening poses for healthcare workers. Most PI risk screening tools, as well as the studies that have reported on\u00a0 incontinence as a potential risk factor for PU development, [1]<\/a> do not differentiate between \u2018urinary incontinence<\/em>\u2019 (UI) and \u2018faecal incontinence<\/em>\u2019 (FI), nor between the different types of UI, stress or functional incontinence.[2]<\/a><\/p>\n

Many assessment tools have combined urinary incontinence and faecal incontinence, into one risk factor, \u2018incontinence<\/em>.\u2019\u00a0 It is therefore, difficult to objectively assess \u2018incontinence<\/em>\u2019 as a causal risk factor, or an intervening variable coming after a predictive factor, prior to PI development. However bivariate analysis has shown UI to be associated with a significantly higher rate of PI development.[3]<\/a> Berlowitz (2001) reported continent residents had a higher rate of PI 90 days after the initial screening than those coded as \u2018usually continent\u2019 or \u2018incontinent\u2019. This prospective study was carried out on 14,607 nursing home residents who were without a Stage 2 PI, or larger, although these Stages were not defined.<\/p>\n

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[1]<\/a> Allman <\/strong>RM, Goode PS, Patrick MM, Burst N. & Bartolucci\u00a0AA.\u00a0 Pressure ulcer risk factors among hospitalized patients with activity limitation. JAMA<\/em> <\/em>1995; 273(11): 865- 70; Fisher <\/strong>AR, Wells G. & Harrison MB. Factors Associated with Pressure Ulcers\u00a0in Adults in Acute Care Hospitals. Advances in Skin & Wound Care 2004; 17(2): 80-90; Papanikolaou <\/strong>P. Lyne PA. & Lycett EJ. Pressure ulcer risk screening: application of logistic analysis. <\/em>J Adv Nurs<\/em> 2<\/em>003; 44(2):128-36; Pase<\/strong> MN. Pressure relief devices, risk factors, and development of pressure ulcers in elderly patients with limited mobility. Adv Wound Care 1994; 7: 38\u201343; \u00a0Maklebust <\/strong>J, Siggreen MY. Pressure Ulcers. Guidelines for Prevention and Nursing Management<\/em>. <\/em>Springhouse PA: Springhouse Corporation, 1996, 24; Versluysen <\/strong>M. Pressure sores in elderly patients. The epidemiology related to hip operations. J Bone Joint Surg Br<\/em> 1985; 67(1): 10-3; Brandeis <\/strong>GH, Morris JN, Nash DJ et al. The epidemiology and\u00a0natural history of pressure ulcers in elderly nursing home residents. JAMA 1990; 264:2905\u20132909.<\/p>\n

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[2]<\/a>\u00a0Klingler<\/strong> HC & Marberger M. Incontinence after radical prostatectomy: surgical treatment options. Urology 2006; 16(2): 60-64<\/p>\n<\/div>\n

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[3]<\/a>\u00a0Berlowitz<\/strong>, DR; Brandeis, GH; Morris, J; Ash, AS; Anderson, JJ; Kader, B; Moskowitz, MA. Deriving a Risk-Adjustment Model for Pressure Ulcer Development Using the Minimum Data Set. Journal of the American Geriatrics Society 2001; 49(7): 866-871<\/p>\n

This is an excerpt from Sharp CA and McLaws M-L. Estimating the risk of pressure ulcer development: is it truly evidence-based? International Wound Journal December 2006 Volume 3 Issue 4 Pages 344 \u2013 353 and part of\u00a0my Master of Public Health (res) (UNSW) thesis \u2018Pressure Ulcers: risk, physiology and the magnitude of the problem in a Sydney home nursing service.\u2019 (available on Google)<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

I could find no publications that reported a statistically significant causal link between incontinence and pressure injury (PI) development. An examination of the literature and the risk factors for incontinence, included in many tools reveals the potential\u00a0 difficulty screening poses for healthcare workers. Most PI risk screening tools, as well as the studies that have […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-478","post","type-post","status-publish","format-standard","hentry","category-wound-management-articles"],"_links":{"self":[{"href":"http:\/\/thewoundcentre.com\/a\/wp-json\/wp\/v2\/posts\/478","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/thewoundcentre.com\/a\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/thewoundcentre.com\/a\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/thewoundcentre.com\/a\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/thewoundcentre.com\/a\/wp-json\/wp\/v2\/comments?post=478"}],"version-history":[{"count":15,"href":"http:\/\/thewoundcentre.com\/a\/wp-json\/wp\/v2\/posts\/478\/revisions"}],"predecessor-version":[{"id":537,"href":"http:\/\/thewoundcentre.com\/a\/wp-json\/wp\/v2\/posts\/478\/revisions\/537"}],"wp:attachment":[{"href":"http:\/\/thewoundcentre.com\/a\/wp-json\/wp\/v2\/media?parent=478"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/thewoundcentre.com\/a\/wp-json\/wp\/v2\/categories?post=478"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/thewoundcentre.com\/a\/wp-json\/wp\/v2\/tags?post=478"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}