Retrospective document survey: identification, assessment and management of urinary incontinence in medical and care of the elderly wards

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Abstract
Urinary incontinence is a common problem experienced by patients in hospital As part of a series of studies, a retrospective survey was earned out of 229 nursing and medical records of patients identified as incontinent of urine by the nurses‐in‐charge, in 14 acute medical wards and 26 health care of the elderly wards The aims of the survey were to investigate the extent to which urinary incontinence had been identified as a problem, and to examine the nature of its assessment and management The recording of the problem was found to be inconsistent and there was a paucity of information which might have contributed towards its assessment The causes of incontinence were rarely recorded and in approximately half of the nursing and medical records examined there was a complete absence of any information related to a management plan Where recorded, interventions reflected predominantly palliative measures such as routine toileting regimens and the use of continence aids The implications of these findings are discussed