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. Author manuscript; available in PMC: 2012 Jan 1.
Published in final edited form as: J Wound Ostomy Continence Nurs. 2011 Jan–Feb;38(1):77–87. doi: 10.1097/won.0b013e318202e4a6

Table 1.

Urinary Incontinence Interventions from Systematic Reviews and Guidelines

Action Problem/ Target Full Intervention
Monitoring Genito-urinary Function
Nutrition
Functional Status
Cognition
Comprehensive assessment of incontinence and contributing factors, including fluid intake, bowel status, functional status, and cognition23, 24
Monitoring Bowel Function Medical & surgical problems that might affect bowel status 23
Monitoring Medications Medications which may have an impact on the incontinence23, 24
Monitoring Environment Proximity and availability bathrooms or commode and adequacy of lighting23, 24
Monitoring Genito-urinary Function Use of voiding record23
Treatment Integument Skin cleansing after in incontinent episode and utilizing barrier ointments24
Treatment Bladder Care Provide bladder training / prompted voidings with gradual increasing time between voidings23, 24, 28-30
Teach Nutrition Minimize foods that irritate the bladder24
Teach Nutrition Adequate level of fluid intake, minimize the use of caffeinated and alcoholic beverages 23
Teach Nutrition Weight reduction13
Teach Bladder care Pelvic floor muscle exercises13, 24, 25
Teach Bladder Care Absorbent products consistent with patient preferences24, 31, 31
Teach Medications Teach about use of anticholinerics for overactive bladder, including side effects32
Coordinate Community Resources Nurses should be knowledgeable about community resources for personal development, referral, and ongoing assistance23, 24
Coordinate Community Resources Refer to specialist nurse for incontinence management33