As shown in Table 1, only a few residents were self-reliant in toileting. The larger Nordic study was designed to
accept most residents in order to include a case-mix with a
wide range of medical diagnoses and functional limitations.9
The population in our smaller Norwegian UI study was frail
according to the definition of frailty,
which is often the
case for residents in NH.
Evidence-based guidelines for the
assessment and treatment of UI in the frail elderly in NH are
available.
The guidelines recommend active screening for UI
along with screening for the person’s frailty.
The treatment
guidelines recommend basing interventions on the resident’s
preferences for UI care and treatment. Residents’ preferences
for UI care are of great importance because even cognitively
impaired persons can express treatment preferences and
treatment satisfaction