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How Can Occupational Therapists Address Urinary Incontinence in Nursing Homes?

Kathleen Weissberg, OTD, OTR/L, CMDCP, CDP, CFPS, CGCS

October 1, 2023

Question

How can occupational therapists address urinary incontinence in nursing homes?

Answer

Occupational therapists can play a crucial role in addressing urinary incontinence in nursing homes by collaborating with other healthcare professionals to develop individualized care plans for residents. They can focus on behavioral interventions, medication management, and exercises like Kegel exercises to help improve continence outcomes. Additionally, they can work towards reducing the psychosocial costs associated with incontinence by providing support and education to both residents and their families or caregivers. Occupational therapists should be familiar with Tag F690, a significant guideline in state surveys, emphasizing the responsibility of providers to ensure that residents admitted with bladder and bowel incontinence receive the necessary services and assistance to maintain continence, except when their clinical condition makes it impossible. By taking a comprehensive and proactive approach, occupational therapists can significantly contribute to enhancing the quality of life for those affected by urinary incontinence in nursing homes.

 

This Ask the Expert is an edited excerpt from the course, Pelvic Muscle Dysfunction And Continence Improvement: A Primer For Occupational Therapy, by Kathleen Weissberg.


kathleen weissberg

Kathleen Weissberg, OTD, OTR/L, CMDCP, CDP, CFPS, CGCS

Dr. Kathleen Weissberg, (MS in OT, 1993; Doctoral 2014) in her 30+ years of practice, has worked in rehabilitation and long-term care as an executive, researcher and educator.  She provides continuing education support to over 30,000 therapists, nurses, and administrators nationwide as National Director of Education for Select Rehabilitation. She is a Certified Dementia Care Practitioner, Certified Montessori Dementia Care Practitioner, Certified Fall Prevention Specialist, and a Certified Geriatric Care Practitioner.  She serves as the Region 1 Director for the American Occupational Therapy Association Political Action Committee and is an adjunct professor at Gannon University in Erie, PA. 

 


Related Courses

Pelvic Muscle Dysfunction And Continence Improvement: A Primer For Occupational Therapy
Presented by Kathleen Weissberg, OTD, OTR/L, CMDCP, CDP, CFPS, CGCS
Video

Presenter

Kathleen Weissberg, OTD, OTR/L, CMDCP, CDP, CFPS, CGCS
Course: #5938Level: Introductory2 Hours
  'Process of inconsistency- OT role!'   Read Reviews
This seminar provides an overview of anatomy and physiology of normal voiding and muscle function related to continence. Different types of incontinence are identified, and assessment/treatment strategies are offered for each. The role of OT in continence improvement is explored.

Multisensory Stimulation Rooms for Persons with Dementia: Design on a Dime
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Kathleen Weissberg, OTD, OTR/L, CMDCP, CDP, CFPS, CGCS
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  'Pictures and examples were so helpful'   Read Reviews
This session reviews the benefits and limitations of sensory stimulation for persons with dementia and design factors to consider when designing a multi-sensory space. This session will offer a “design on a dime” approach to a sensory room and demonstrates to occupational therapists how they can assist communities in designing a space to impact the quality of life without relying on pharmacology.

Bullying Among Older Adults: Not Just A Playground Problem
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Kathleen Weissberg, OTD, OTR/L, CMDCP, CDP, CFPS, CGCS
Course: #5660Level: Introductory1 Hour
  'Great topic'   Read Reviews
The definition and incidence of bullying in adult living communities and day centers including what older adult bullying looks like in this population are reviewed in this session. Characteristics of older adult bullies as well their targets and gender differences will be explored. The reasons why bullying occurs as well as the five different types of bullies are defined. Interventions for the organization, the bully, and the target will be reviewed to help communities minimize (and prevent where possible) bullying and mitigate the effects on the target. Addressing bullying behavior among older adults is critically important for enhancing quality of life and promoting emotional well-being; strategies to create caring and empathic communities for all residents and staff members are also reviewed.

Fostering Meaning And Purpose For Individuals In Senior Living
Presented by Kathleen Weissberg, OTD, OTR/L, CMDCP, CDP, CFPS, CGCS
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Kathleen Weissberg, OTD, OTR/L, CMDCP, CDP, CFPS, CGCS
Course: #5937Level: Introductory1 Hour
  'Presentation was very clear'   Read Reviews
Despite such positive outcomes of meaningful engagement, recent studies have suggested that elderly residents are inactive most of their time, are engaged in passive activities, and do not experience significant verbal interaction with their caregivers. This session explores meaningful activities by focusing on the intersection of the individual, his/her occupations, and the environment. Participants are offered techniques for soliciting individual preferences, interests, roles, and hobbies and using these to encourage client choice and control over activities and occupations of interest.

A Montessori-Based Approach for Aging and Dementia
Presented by Kathleen Weissberg, OTD, OTR/L, CMDCP, CDP, CFPS, CGCS
Video

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Kathleen Weissberg, OTD, OTR/L, CMDCP, CDP, CFPS, CGCS
Course: #4525Level: Intermediate1 Hour
  'Kathleen is a great presenter'   Read Reviews
In this course, participants will learn about the Montessori principles of independence according to one’s ability and the benefits of the prepared environment. Specifically, participants will learn about the fundamental principles of the Montessori method, how to conduct a Montessori-based session, Montessori-based steps to engagement that reduce unwanted behaviors, issues that may arise with this approach, and using case studies and video examples, how to set up activities/tasks for individuals with dementia using a Montessori Approach.