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Nursing home residents used 6 strategies to manage urinary incontinence

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QUESTION: How do residents of nursing homes experience living with urinary incontinence (UI)?


Grounded theory.


3 nursing homes in the metropolitan area of a large, US city.


Primary participants were 6 women and 4 men (age range 69–93 y, 80% white) who were cognitively intact, spoke English, and acknowledged actual or potential UI related to symptoms of frequency or urgency. Most required moderate to extensive assistance with toileting, had urine leakage, and wore some type of absorbent product. 33 secondary participants (82% women) also showed evidence of actual or potential UI and were encountered during recruitment excursions, formal interviews, or follow up visits to primary participants.


Primary participants provided an indepth interview, subsequent opportunities to observe and discuss their methods of bladder control, and access to their healthcare records. Secondary participants were observed and interviewed …

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  • Sources of funding: US National Institute for Nursing Research.

  • For correspondence: Dr J P Robinson, The State University of New Jersey, College of Nursing, 180 University Avenue, Newark, NJ 07102, USA. Fax +1 973 535 1277.