Systematic review of descriptive studies that investigated associated factors with the management of incontinence in older people in care homes

Background. Incontinence is prevalent among older populations and residents incare homes.Aim and objectives. This paper is a review of descriptive studies that investigatedassociated factors related to managing urinary incontinence in older people in carehomes. A systematic literature review was undertaken. MEDLINE and CINHALwere searched from 1996-2010 using the Cochrane Incontinence Review Groupsearch strings for urinary and faecal incontinence including all research designs.Results. Sixteen studies were identified that reported on associated factors related tocomorbidities, management preferences, policies, staff views and knowledge or methodological studies. Non-invasive methods involving toileting and use of padswere common management approaches. No studies aimed at maintaining continencewere identified.Conclusions. Factors associated with incontinence need to also be considered whenplanning and managing care for individuals, and developing and designing systemsof care within care homes. Further study in care home populations to change orinform practice and provide effective care is warranted. Preventive studies thatmaintain continence are required.Implications for practice. Older people and their families should be involved withdecisions regarding their preferred care, goals, management and outcomes formanaging incontinence, promoting or maintaining continence.