The effects of an exercise and incontinence intervention on skin health outcomes in nursing home residents

Journal of the American Geriatrics Society

Volumn 51, Issue 3, 2003, Pages 348-355

  Bates Jensen, Barbara M ^a,b,d   Alessi, Cathy A ^a,b,c   Al Samarrai, Nahla R ^b   Schnelle, John F ^a,b,c  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UCLA LA Jewish Home for Aging Borun   (United States)

^c VETERANS AFFAIRS MEDICAL CENTER   (United States)

^d UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Exercise; Incontinence; Pressure ulcer prevention

Indexed keywords

AGED; ARTICLE; CLINICAL OBSERVATION; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DECUBITUS; EXERCISE; FECES INCONTINENCE; FEMALE; GERIATRIC CARE; HEALTH CARE PERSONNEL; HUMAN; INCIDENCE; MAJOR CLINICAL STUDY; MALE; MULTICENTER STUDY; NURSING HOME; PERINEUM; PHYSICAL ACTIVITY; RANDOMIZED CONTROLLED TRIAL; SINGLE BLIND PROCEDURE; SKIN; STANDING; TIME; URINE INCONTINENCE; WALKING;

AGED; AGED, 80 AND OVER; EXERCISE; FECAL INCONTINENCE; FEMALE; HOMES FOR THE AGED; HUMANS; MALE; NURSING HOMES; PRESSURE ULCER; QUALITY INDICATORS, HEALTH CARE; SKIN; TREATMENT OUTCOME; URINARY INCONTINENCE;

EID: 0037345839     PISSN: 00028614     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1532-5415.2003.51108.x     Document Type: Article

References (38)

1. Gosnell DJ. Pressure sore risk assessment: A critique. Part 2. Analysis of risk factors. Decubitus 1989;2:40-43.
2. Norton D. Calculating the risk. Decubitus 1989;2:24-31.
3. Braden B, Bergstrom N. Clinical utility of the Braden scale for predicting pressure sore risk. Decubitus 1989;2:44-51.
4. Gosnell DJ. Pressure sore risk assessment: A critique. Part 1. The Gosnell Scale. Decubitus 1989;2:32-39.
5. Brandeis GH, Morris JN, Nash DJ et al. The epidemiology and natural history of pressure ulcers in elderly nursing home residents. JAMA 1990;264: 2905-2909.
6. Allman RM, Laprade CA, Noel LB et al. Pressure sores among hospitalized patients. Ann Intern Med 1986;105:337-342.
7. Bergstrom N, Braden B, Kemp M et al. Multi-site study of incidence of pressure ulcers and the relationship between risk level, demographic characteristics, diagnoses, and prescription of preventive interventions. J Am Geriatr Soc 1996;44:22-30.
8. Berlowitz DR, Wilking SV. Risk factors for pressure sores: A comparison of cross-sectional and cohort-derived data. J Am Geriatr Soc 1989;37:1043-1050.
9. Allman RM, Goode PS, Patrick MM et al. Pressure ulcer risk factors among hospitalized patients with activity limitation. JAMA 1995;273:865-870.
10. Bergstrom N, Braden B. A prospective study of pressure sore risk among institutionalized elderly. J Am Geriatr Soc 1992;40:747-758.
11. Brandeis GH, Ooi WL, Hossain M et al. A longitudinal study of risk factors associated with the formation of pressure ulcers in nursing homes. J Am Geriatr Soc 1994;42:388-393.
12. Berlowitz DR, Brandeis GH, Morris JN et al. Deriving a risk-adjustment model for pressure ulcer development using the minimum data set. J Am Geriatr Soc 2001;49:866-871
13. Pase MN. Pressure relief devices, risk factors, and development of pressure ulcers in elderly patients with limited mobility. Adv Wound Care 1994;7:38-43.
14. Berg RW, Milligan MC, Sarbaugh FC. Association of skin wetness and pH with diaper dermatitis. Pediatr Dermatol 1994;11:18-20.
15. Berg RW, Buckingham KW, Stewart RL. Etiologic factors in diaper dermatitis: The role of urine. Pediatr Dermatol 1986;3:102-106.
16. Schnelle JF, Adamson GM, Cruise PA et al. Skin disorders and moisture in incontinent nursing home residents: Intervention implications. J Am Geriatr Soc 1997;45:1182-1188.
17. Panel for the Prediction and Prevention of Pressure Ulcers in Adults. Pressure Ulcers in Adults: Prediction and Prevention. Clinical Practice Guideline Number 3 (AHCPR Publication no. 92-0047). Rockville, MD: Agency for Health Care Policy and Research. U.S. Department of Health and Human Services, 1992.
18. American Medical Directors Association. Pressure Ulcers Clinical Practice Guideline. Colombia, MD: American Medical Directors Association, 1996.
19. Consortium for Spinal Cord Medicine. Pressure Ulcer Prevention and Treatment following Spinal Cord Injury: A Clinical Practice Guideline for Health Care Professionals. Washington, DC: Paralyzed Veterans of America, 2000.
20. Cuddigan J, Ayello EA, Sussman C, eds. Pressure Ulcers in America: Prevalence, Incidence, and Implications for the Future. Reston, VA: National Pressure Ulcer Advisory Panel, 2001.
21. Boettger JE. Effects of a pressure-reduction mattress and staff education on the incidence of nosocomial pressure ulcers. J Wound Ostomy Continence Nurs 1997;24:19-25.
22. Regan MB, Byers PH, Mayrovitz HN. Efficacy of a comprehensive pressure ulcer prevention program in an extended care facility. Adv Wound Care 1995;8:49,51-52,54-55.
23. Xakellis GC Jr, Frantz RA, Lewis A et al. Cost-effectiveness of an intensive pressure ulcer prevention protocol in long-term care. Adv Wound Care 1998; 11:22-29.
24. Xakellis GC, Frantz RA, Arteaga Me M et al. A comparison of patient risk for pressure ulcer development with nursing use of preventive interventions. J Am Geriatr Soc 1992;40:1250-1254.
25. Schnelle JF, Alessi CA, Simmons SF et al. Translating clinical research into practice: A randomized controlled trial of exercise and incontinence care with nursing home residents. J Am Geriatr Soc 2002;50:1476-1483.
26. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189-198.
27. Schnelle JF, MacRae PG, Ouslander JG et al. Functional incidental training, mobility performance, and incontinence care with nursing home residents. J Am Geriatr Soc 1995;43:1356-1362.
28. Parmelee PA, Thuras PD, Katz IR et al. Validation of the Cumulative Illness Rating Scale in a geriatric residential population. J Am Geriatr Soc 1995;43: 130-137.
29. Simmons SF, Alessi C, Schnelle JF. An intervention to increase fluid intake in nursing home residents: Prompting and preference compliance. J Am Geriatr Soc 2001;49:926-933.
30. Schnelle JF, Cretin S, Saliba D et al. Minimum nurse aide staffing required to implement best practice care in nursing homes. In: Report to Congress: Appropriateness of Minimum Nurse Staffing Ratios in Nursing Homes. Baltimore, MD: Health Care Financing Administration, 2000, pp. 14-1-14-68.
31. Maklebust J. NPUAP Conference Proceedings: Pressure ulcer staging systems. Adv Wound Care 1995;8:11-14.
32. Blank IH, Maloney J III, Emslie AG et al. The diffusion of water across the stratum corneum as a function of its water content. J Invest Dermatol 1984; 82:188-194.
33. Tagami H, Ohi M, Iwatsuki K et al. Evaluation of the skin surface hydration in vivo by electrical measurement. J Invest Dermatol 1980;75:500-501.
34. Schnelle JF, Cruise PA, Alessi CA et al. Individualizing nighttime incontinence care in nursing home residents. Nuts Res 1998;47:197-204.
35. Ouslander JG, Al-Samarrai NR, Schnelle JF. Prompted voiding for nighttime incontinence in nursing homes: Is it effective? J Am Geriatr Soc 2001;49:706-709.
36. Simmons SF, Osterweil D, Schnelle JF. Improving food intake in nursing home residents with feeding assistance: A staffing analysis. J Gerontol A Biol Sci Med Sci 2001;56:M790-M794.
37. Lyder CH, Preston JA, Ahearn D et al. Medicare Quality Indicator System: Pressure Ulcer Prediction and Prevention Module Final Report. Baltimore, MD: Health Care Financing Administration, 1998.
38. Bates-Jensen BM. Quality indicators for prevention and management of pressure ulcers in vulnerable elders. Ann Intern Med 2001;135:744-751.