Abstract
Purpose: This study intended to assess the feasibility of an individualized voiding program in Japan aimed at improving the sense of micturition control in older people with functional urinary incontinence. Method: Following the interview guide, FGIs were conducted in two groups (4 - 6 participants) consisting of nurses and care workers with more than 5 years of experience as practitioners of urination care. Data were analyzed using a qualitative descriptive approach. Results: We determined that the program purpose is to “enable caregivers to work as a well-coordinated team to humanely facilitate excretion independence in older people, which is essential for living with dignity”, as this confirmed the importance of maintaining the sense of micturition control in older people for their well-being. In the program outline, we extracted the following five categories: 1) setting selection criteria for recipients considering the status of micturition induction, 2) careful collection of information and assessment of lower urinary tract symptoms in older people in case of environmental changes, 3) examination of methods used for assessing lower urinary tract symptoms according to the facility environment, 4) confirmation of the recipient’s micturition habits and request for assistance, and 5) conducting necessary examination for setting the intervention period and evaluation period according to the target condition. The feedback on the program guide was summarized in the statement—specific successful cases help frame and implement the micturition induction plan. Conclusion: We confirmed the feasibility of the micturition induction plan for improving the sense of control in older people with functional urinary incontinence. Upon evaluating the program guide, we deemed that referring to specific successful cases helps frame and implement the micturition induction plan. It is extremely important to verify the effectiveness of the program going forward.
Highlights
The population in Japan is aging much faster than in the rest of the world
We determined that the program purpose is to “enable caregivers to work as a well-coordinated team to humanely facilitate excretion independence in older people, which is essential for living with dignity”, as this confirmed the importance of maintaining the sense of micturition control in older people for their well-being
Purpose of an individualized voiding program (Table 2): We analyzed opinions regarding the purpose of an individualized voiding program and concluded that the purpose is: to enable caregivers to work as a well-coordinated team to humanely facilitate excretion independence in older people which is essential for living with dignity
Summary
The high aging rate is accompanied by a rising number of people with dementia who require long-term care and support. Since urinary dysfunction aggravates with age, the rate of urinary incontinence is high in facilities for older people [1]. Psycho-emotional, and social problems adversely affect urinary incontinence in older people. The percentage of functional urinary incontinence is high [2], and facility-admitted older people are affected by communication disorders such as dementia and aphasia. Individualized urination care is important because aside from diseases, physical functions (such as ADL), psychological and mental functions, and social factors influence each other. The caregiver must strive to grasp older people’s urinary urgency and build a support method that aims to maintain and improve the sense of urinary control in them
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