Keywords

Aged, incontinence, nursing, patient participation, rehabilitation

 

Authors

  1. Hunter, Kathleen Frances PhD, RN, NP, GNC(C)

Abstract

Purpose: The aim of this study was to pilot a process of engaging geriatric rehabilitation patients in the assessment and management of their continence concerns.

 

Design: A descriptive study was conducted.

 

Methods: The study has four phases: (1) staff education on continence with a pre-post knowledge quiz, (2) design of patient engagement process by a working group, (3) a 6-week pilot of a patient symptom questionnaire and process of engaging patients with audits of disciplinary admission histories and documentation, and (4) patient and staff feedback surveys.

 

Results: Patients in geriatric rehabilitation identify a range of bladder and bowel symptoms. However, there was little documented evidence from the interprofessional team that corresponded to patients' reported symptoms.

 

Conclusion: Further research into symptoms bothersome to patients and engagement of both patients and the interprofessional team in addressing these in the rehabilitation setting is needed.

 

Clinical Relevance to Rehabilitation Nursing: Patients admitted to geriatric rehabilitation have a range of bladder and bowel symptoms which need to be addressed.