Urinary Incontinence Clinical Trial
Official title:
A Pilot Clinical Trial of TENA Identifi in the Nursing Home Setting
The purpose of this study is to prospectively compare a standard of care manual toileting protocol (e.g., "check and change" strategy) to toileting patterns recorded by the TENA Identifi system in identifying incontinence patterns and events, and, whether such data differentially improve a care planning strategy, nursing effort, product use, and wet-time for urinary incontinence.
Urinary incontinence in nursing homes influences resident dignity and quality of life. It
also drives significant use of healthcare resources, including time and caregiver assistance,
and costs of care. Various toileting programs are used to address urinary incontinence,
including habit training, bladder training, prompted voiding, and check and change
procedures. Clinical trials have found that 33% to 60% of residents either became continent
or reduced the frequency of incontinence episodes to less than one per day with the
introduction of a prompted voiding program.
There are several drawbacks to current programs. Manually recorded wet checks do not identify
when incontinence occurs, only when wetness is detected, reducing the precision of time of
incontinence to the window of time between checks. Nursing home staff create individualized
care plans for each resident, based on standard check and change procedures, but poor
precision in ascertaining timing and quantity of incontinence episodes can contribute to less
frequent resident toileting or changing.
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