Reduce Overflow Incontinence to Prevent Pressure Ulcers in Individuals with Spina Bifida

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dc.contributor.advisorPeck, Jessica
dc.contributor.authorSchumann, Donna Kay
dc.contributor.committeeMemberGarcia, Theresa
dc.contributor.committeeMemberBaldwin, Sara
dc.date.accessioned2020-05-28T20:47:08Z
dc.date.available2020-05-28T20:47:08Z
dc.date.issued2019-08
dc.description.abstractOverflow incontinence has been directly linked to the development of pressure ulcers in individuals with Spina Bifida (SB). The implementation of a bladder diary and educational session to increase awareness of pressure ulcers and decrease overflow incontinence episodes was selected. This Quality Improvement (QI) project was a quasi-experimental design with pre- /post-intervention evaluation. The setting was Camp That Love Built summer camp at Camp For All in Burton, Texas. The participants included 45 campers with SB, five to 60 years old and 16 staff members. Eligibility was dependent on necessity for intermittent catheterization and attendance of camp for the entire week. All participants received an educational session focused on pressure ulcer prevention. Campers were given a bladder diary to document catheterizations and to assist with adherence to a prescribed catheterization schedule. Staff provided verbal reminders to campers to perform catheterizations. The measurement tools included PUKAT 2.0 pre- and post-test, PUAS, and a bladder diary. PUKAT results yielded score increase more than 10% in 35 of the 61 participants. Overflow episodes recorded on the bladder diary decreased by 81% from 37 episodes on day two to seven episodes on day five. PUAS scores increased 2% from pre- to post- intervention. Educational sessions and implementation of a bladder diary decreased the episodes of urinary incontinence.en_US
dc.description.collegeCollege of Nursing and Health Sciencesen_US
dc.description.departmentNursing Practiceen_US
dc.format.extent41 pagesen_US
dc.identifier.urihttps://hdl.handle.net/1969.6/87895
dc.language.isoen_USen_US
dc.rightsThis material is made available for use in research, teaching, and private study, pursuant to U.S. Copyright law. The user assumes full responsibility for any use of the materials, including but not limited to, infringement of copyright and publication rights of reproduced materials. Any materials used should be fully credited with its source. All rights are reserved and retained regardless of current or future development or laws that may apply to fair use standards. Permission for publication of this material, in part or in full, must be secured with the author and/or publisher.en_US
dc.subjectBladder Diaryen_US
dc.subjectIncontinenceen_US
dc.subjectPressure Ulceren_US
dc.subjectSpina Bifidaen_US
dc.titleReduce Overflow Incontinence to Prevent Pressure Ulcers in Individuals with Spina Bifidaen_US
dc.typeTexten_US
dc.type.genreDissertationen_US
dcterms.typeText
dcterms.typeText
thesis.degree.disciplineNursing Practice DNPen_US
thesis.degree.grantorTexas A & M University--Corpus Christien_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Nursing Practiceen_US

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