Clinical Burden and Nonpharmacologic Management of Nursing Facility Residents with XXXX and/or Urinary Incontinence.

@entity1 @entity322 @entity73 @entity2182 @entity272 @entity293 @entity4822
OBJECTIVE: To identify clinical characteristics of residents with a diagnosis of @entity2182 ( @entity2182 ) and/or @entity322 ( @entity322 ) to determine the prevalence of comorbidities, severe @entity73 (SMI), @entity73 ( @entity73 ), and a toileting program and the response to that program. DESIGN: Cross-sectional retrospective analysis. SETTING: Skilled nursing facilities. @entity1 , @entity1 : Residents with a diagnosis of @entity2182 and/or @entity322 and an age range, and gender frequency-matched 1:1 control cohort without @entity2182 and/or @entity322 . INTERVENTIONS: None. MAIN OUTCOME MEASURE(S): De-identified Minimum Data Set data 3.0 records (October 1, 2010, to September 30, 2012). RESULTS: Of the 175,632 residents, 65% had a diagnosis of @entity322 and 1% had a diagnosis of @entity2182 . Those with @entity322 and/or @entity2182 were more likely to have @entity73 (mean Brief Inventory of Mental Status score 10.2    4.5 vs. 12.5    3.6; P = 0.001) and SMI (49.4% vs. 26.4%; P < 0.001), multiple comorbid conditions, falls and falls with @entity4822 (5.5% vs. 4.9%; P < 0.001), @entity293 (21.4% vs. 16.5%; P = 0.001), and moisture-associated @entity272 (5.2% vs. 2.6%; P = 0.001) than the control cohort. Toileting programs were attempted more often (17.0% vs. 5.1%; P < 0.001) in those with @entity322 and/or @entity2182 but were only minimally successful, with 4.2% having decreased wetness and 0.9% being completely dry. CONCLUSION: Residents with @entity322 and/or @entity2182 exhibit a higher burden of @entity73 , SMI, and comorbidities than do residents without these diagnoses. Nonpharmacologic therapies such as toileting programs should be a primary focus in the nursing facility.
