scholarly journals Understanding the Impact of Urinary Incontinence in Persons with Dementia: Development of an Interdisciplinary Service Model

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Patrick Juliebø-Jones ◽  
Elizabeth Coulthard ◽  
Elizabeth Mallam ◽  
Hilary Archer ◽  
Marcus J. Drake

Introduction. Prevalence of urinary symptoms such as incontinence (UI) in patients with dementia is estimated to exceed 50%. The resultant psychological and socio-economic burden can be substantial. Our aim was to develop a dedicated urology service within a cognitive impairment clinic in order to treat and better understand the bothersome urinary symptoms suffered by persons with dementia. Methods. Patients attending this clinic were invited to be assessed and interviewed by urologist, together with their family and/or carer. In addition, formal history, examination and relevant investigations, themes of importance such as quality of life, and select question items were drawn from validated questionnaires. Multidisciplinary team (MDT) meeting was carried out on the same day. Outcomes of the first 75 patients with UI and dementia have been reported. Results. Average age was 70 years (range 58–98). Majority of persons had a diagnosis of Alzheimer’s disease (n = 43, 57%). Average score for how much urine leakage interferes with everyday life was 7.7/10 (range 2–10). 58.7% (n = 44) revealed some degree of sleep disturbance due to UI. 83% (n = 62) stated daily activities were limited due to UI. Two-thirds of persons with dementia (n = 50) stated their bladder problem makes them feel anxious. 88% (n = 67) felt the topic was socially embarrassing. All carers stated that the person’s continence issues affect the care they provide. Less than one-third of carers (30.7%, n = 23) were aware of or had been in contact with any bladder and bowel community service. More than half of the carers (n = 46, 65%) were concerned incontinence may be a principal reason for future nursing home admission. Conclusion. UI can be distressing for persons with dementia. Care partners were concerned about loss of independence and early nursing home admission. Awareness of bladder and bowel services should be increased.

1997 ◽  
Vol 11 (5) ◽  
pp. 304-313
Author(s):  
W. O. George ◽  
A. N. Hill

In this paper, the origins and characteristics of the 102 current UK universities are briefly traced and the outcomes of recent assessments of research quality are summarized for all universities and for the 69 subject units within which assessment was made. The quality of research in a subject unit, group of subject units or complete institution is measured by a weighted average score based on a peer rating of submitted subject units from each university and the numerical values obtained are described within the limitations of the methodology developed. The authors consider the scores in terms of the characteristics of each university and the broad subject areas, science, engineering, social sciences and humanities. They then discuss the industrial link with research in terms of recent government policy inputs, university research outcomes and the impact of market forces on universities from diminishing patterns of some income streams.


2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Anne Marie Mork Rokstad ◽  
Knut Engedal ◽  
Øyvind Kirkevold ◽  
Jūratė Šaltytė Benth ◽  
Geir Selbæk

Author(s):  
Nazim Hajiyev, Sardar Shabanov, Yadulla Hasanli

The article is dedicated to study of the impact of the quality of education on the economic growth in Azerbaijan. The quality index of education has been selected for two levels: a) up to higher education; b) higher school and post higher school. The indicator of average score (if available) that an applicant obtained in the current year on the country in student admission to the higher schools as a quality index of education in the country at the pre-higher education is offered as an alternative to the number of upper grades (10-12) in the secondary education. In the higher and post-higher education level, the number of articles printed on basic science and engineering per million people in Azerbaijan, and indexed on the Web of Science is taken as a quality index of education. Semi-linear type regression equations were made to assess the dependence of the indicators characterizing economic development.


2021 ◽  
Author(s):  
Nicole Bachmann ◽  
Andrea Zumbrunn ◽  
Lucy Bayer-Oglesby

Abstract Background: If hospitalisation becomes inevitable in the course of a chronic disease, discharge from acute hospital care in elderly individuals is often associated with temporary or persistent frailty, functional limitations and the need for help with daily activities. Thus, acute hospitalisation represents a particularly vulnerable phase of transient dependency on social support and health care. This study examines how social and regional inequality affect the decision for an institutionalisation after acute hospital discharge in Switzerland. Methods: The current analysis uses routinely collected inpatient data from all Swiss acute hospitals that was linked on the individual level with Swiss census data. The study sample included N=60,209 patients 75 years old and older living still at a private home and being hospitalised due to a chronic health condition in N=199 hospitals between 2010 and 2016. Random intercept multilevel logistic regression was used to assess the impact of social and regional factors on the odds of a nursing home admission after hospital discharge. Results: Results show that 7.8% of all patients were admitted directly to a nursing home after hospital discharge. We found significant effects of education level, insurance class, living alone and language regions on the odds of nursing home admission in a model adjusted for age, gender, nationality, health status, year of hospitalisation and hospital-level variance. The language regions moderated the effect of education and insurance class but not of living alone.Conclusion: Acute hospital discharge in elderly is a critical moment of transient dependency. Social and health care should work closely and coordinated together for a well-supported hospital discharge to avoid unnecessary institutionalisations of socially disadvantaged patients.


2000 ◽  
Vol 12 (S1) ◽  
pp. 125-127 ◽  
Author(s):  
Martin Haupt

Agitated behaviors occur frequently in patients with dementia. These behaviors affect the quality of life of the dementia sufferers and their caregivers. For example, these behaviors can greatly complicate everyday management in familiar surroundings and in institutional care, and they predict premature nursing home admission.


Author(s):  
Jorge Lorenzo-Calvo ◽  
Alfonso de la Rubia ◽  
Daniel Mon-López ◽  
Monica Hontoria-Galán ◽  
Moises Marquina ◽  
...  

This systematic review aimed to examine the prevalence of the relative age effect (RAE) in swimming and its impact on competition performance according to different types of interacting constraints. A systematic literature search, following the PRISMA guidelines for preparing systematic reviews, was performed through four electronic databases, and nine studies met the inclusion criteria. The quality of the selected studies was evaluated using STROBE, and an average score of 16.2 points was obtained. In these studies, the prevalence of the RAE in swimming was observed in more than half (58.65%) of the participants analysed, and the effect of the RAE was more accentuated in young categories (decreased as age increased and was inverted in older ones) and in male swimmers (double that in female swimmers).The impact of the RAE on competitive performance appeared to be related to the strength demands of the event, as the performance in simultaneous strokes, in shorter events, and of swimmers in the postadolescence period seems to be more affected by the RAE. These results indicate that the RAE in competitive swimming relies on individual and environmental (the swimmer’s age group and gender) but also task (the competitive events) determinants or limitations. This should serve as a guide for a more effective design of selection and development procedures for young athletes.


2020 ◽  
Vol 19 (1) ◽  
pp. 8-14
Author(s):  
Katarzyna Kanadys ◽  
Katarzyna Szczekala ◽  
Grażyna Stadnicka ◽  
Ewelina Woźnica ◽  
Henryk Wiktor

AbstractIntroduction. Urinary incontinence (UI) constitutes involuntary leakage of urine and concerns an increasing number of women. It usually occurs in perimenopausal period; however, it may occur any time. Symptoms typical of incontinence cause massive discomfort that can affect the quality of life (QoL).Aim. The assessment of the QoL in women suffering from UI dependent on sociodemographic variables.Material and methods. The research encompassed 102 patients of the gynaecological wards of the Independent Clinical Hospital No 1 in Lublin and the Independent Public Clinical Hospital No 4 in Lublin. The inclusion criterion was as follows female patients diagnosed with urinary incontinence and treated in hospital. The study was voluntary and anonymous. The research project was approved by the Bioethics Committee of the Medical University of Lublin (No KE-0254/25/2016). The method of diagnostic survey was applied by means of the authors’ own questionnaire and the King’s Health Questionnaire (KHQ). The statistical analysis of the data results was carried out and p<0.05 was assumed as statistically significant.Results. Age conditioned the QoL in the females researched regarding the influence of the urinary tract symptoms on their general health, partner relations and sleep. The females over 65 years of age showed worse QoL in comparison with the younger ones. Education did not affect the impact of urinary symptoms on the domains of the QoL using the KHQ. The marital status was a variable that influenced the respondents’ QoL. The married women had better QoL than the widowed or divorced ones. The financial situation conditioned the impact of the urinary symptoms on their general health, physical condition and sleep. The females with the average financial situation had worse QoL than those with good financial situation.Conclusions. The QoL of women with UI depended on their age, marital status and financial situation. The females over 65 years of age who were widowed or divorced with the average financial situation were characterised by worse QoL than the younger and married women with good financial situation.


2018 ◽  
Vol 5 (1) ◽  
pp. 37
Author(s):  
Rina Hidayati Pratiwi

<p>Almost of unspecifically studying methods have been applied teacher for teaching activities. That methods have effected unefficiency for knowledge transferring to student. That is the reason how we need studying methods that efficient, creative and innovative. The purpose of this study is for knowing the studying methods  “Make A Match” and how the impact to result study specifically for natural science. We use purpose sampling technics to definite research class and simple random sampling to definite part of sample of each class. The average score of experiment class are higher than control class. The different of both class is three point with normal distribution for each class and from homogeneity test showed that F hit = 1,163. Both of them have homogeneous varians. The average point of experiment class are higher than control class too. T-test showed  t hit &gt; t table (3,614 &gt; 1,69). Thus, the studying methods  “Make a Match” could raised the study results better than conventional methods. As the result, the quality of education can be more improved agree with contain and the purpose of studying in the school.</p>


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