This bundle includes the following guidelines:
- Hydration Management
- Management of Constipation
- Prompted Voiding for Persons with Urinary Incontinence
Hydration Management [HERE]
Water is an essential component of body composition. However, hydration problems rarely involve body water alone, but rather are a water and electrolyte problem. Older individuals are at increased risk for hydration problems for a variety of reasons.
The purpose of this evidence-based guideline is to help health care providers in all settings determine adequate oral fluid intake for elders and to use strategies that will improve and maintain hydration. Ultimately, this guideline focuses on the prevention of dehydration through careful assessment, identification of elders at risk for hydration problems, and implementation of individualized nursing interventions based on a risk profile. Written 1998; Revised 2011.
Management of Constipation [HERE]
The purpose of this evidence-based guideline is to reduce the frequency and severity of constipation among older adults. The guideline may be used as a reference guide to assist clinicians who care for older adults. The goal is to maintain bowel frequency within normal limits for each individual. This will vary with the individual's perception. Regular bowel movements are commonly defined in the literature as at least two-three times per week with straining at stool less than 25 % of the time. This guideline is applicable to older adults who are hospitalized, residing in long-term care or skilled care facilities, or living in the community. This guideline is not intended for the populations of enterally fed, paraplegic, or quadriplegic individuals. Written 1996; Reviewed 2001; Revised 2009.
Prompted Voiding for Persons with Urinary Incontinence [HERE]
Urinary incontinence (UI) is the involuntary loss of urine. The National Association for Continence estimates on the basis of multiple studies and expert opinion that 25 million adult Americans experience transient or chronic UI. UI is one of the most common conditions among residents of extended care settings; post-acute and long-term care (LTC) facilities. UI is seen in at least 55% of nursing home residents and is the second leading cause of institutionalization of the elderly.
The purpose of this evidence-based guideline is to provide information for implementing a treatment program of prompted voiding (PV) for individuals who have UI. PV is a toileting program that combines scheduled voiding with “prompting” from a caregiver. In this guideline, a caregiver may be formal (extended care professional and allied health) or informal (family member, companion). Written 1999; Revised 2018.
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