Linked Life Data

2690250

Source:http://linkedlifedata.com/resource/pubmed/id/2690250

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1990-2-2
pubmed:abstractText
A selective, stepped strategy will diagnose the cause of incontinence in most institutionalized elderly patients. It consists of rectifying the transient causes of incontinence, searching for serious and treatable underlying conditions, and then formulating a differential diagnosis. If the benefit of empiric therapy exceeds the risk it can be initiated, recalling that incontinence in these patients is multifaceted, and that small improvements in many areas unrelated to the urinary tract will often be sufficient to restore continence. If the risk of empiric therapy exceeds the benefit, further urodynamic testing is warranted since it is safe, feasible, and reproducible. Such an approach will minimize the use of invasive testing, indwelling catheters, and toxic medications. Coupled with optimism, creativity, and persistence, it can lead to substantial improvements in the lives of many incontinent institutionalized patients. Ultimately, the optimal care of incontinence in the nursing home will require an increased number of motivated and well-paid nursing assistants, less invasive diagnostic testing, and improved, better targeted therapy. Still, even in 1989, much can be done to "cure sometimes, relieve often, and comfort always."
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0730-9147
pubmed:author
pubmed:issnType
Print
pubmed:volume
7
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
117-23
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1989
pubmed:articleTitle
Diagnosis and treatment of incontinence in the institutionalized elderly.
pubmed:affiliation
Department of Medicine (Gerontology), Brigham and Women's Hospital, Boston, MA 02115.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Review