There are an estimated 1.5 million nursing home patients who suffer from urinary incontinence. These patients require frequent physical checks and staff assistance for toileting and changing. Two-hour toileting and changing schedules can result in improved continence for many patients during waking hours and most nursing homes specify that incontinent patients should be checked on two-hour schedules throughout the twenty-four hour period. The effects of two-hour checking schedules when applied at night are not known. It is possible that a two-hour nighttime check schedule is not necessary, does not lead to improved incontinence management, and may produce severe disruptions in normal sleep-wake cycles. This study proposes a descriptive analysis of nighttime patient incontinence. The effects of nurse checking and changing procedures on patient dryness levels and sleep-wake patterns will be determined. The data will help determine if there is a significant sample of patients whose nighttime incontinence care can be individualized to permit a minimally obtrusive checking, changing and toileting schedule. Physiological measures of skin integrity and sleep, as well as behavioral measures relevant to sleep fragmentation, will be developed in preparation for future potential intervention studies involving nighttime incontinence problems.

National Institute of Health (NIH)
National Institute of Nursing Research (NINR)
Research Project (R01)
Project #
Application #
Study Section
Nursing Research Study Section (NURS)
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
University of California Los Angeles
Schools of Medicine
Los Angeles
United States
Zip Code
Ouslander, J G; Ai-Samarrai, N; Schnelle, J F (2001) Prompted voiding for nighttime incontinence in nursing homes: is it effective? J Am Geriatr Soc 49:706-9
Ouslander, J; Johnson, T; Nasr, S et al. (1999) Atrial natriuretic peptide levels in geriatric patients with nocturia and nursing home residents with nighttime incontinence. J Am Geriatr Soc 47:1439-44
Schnelle, J F; Alessi, C A; Al-Samarrai, N R et al. (1999) The nursing home at night: effects of an intervention on noise, light, and sleep. J Am Geriatr Soc 47:430-8
Schnelle, J F; Cruise, P A; Alessi, C A et al. (1998) Individualizing nighttime incontinence care in nursing home residents. Nurs Res 47:197-204
Ouslander, J G; Nasr, S Z; Miller, M et al. (1998) Arginine vasopressin levels in nursing home residents with nighttime urinary incontinence. J Am Geriatr Soc 46:1274-9
Ouslander, J G; Buxton, W G; Al-Samarrai, N R et al. (1998) Nighttime urinary incontinence and sleep disruption among nursing home residents. J Am Geriatr Soc 46:463-6
Schnelle, J F; Cruise, P A; Alessi, C A et al. (1998) Sleep hygiene in physically dependent nursing home residents: behavioral and environmental intervention implications. Sleep 21:515-23
Cruise, P A; Schnelle, J F; Alessi, C A et al. (1998) The nighttime environment and incontinence care practices in nursing homes. J Am Geriatr Soc 46:181-6
Schnelle, J F; Adamson, G M; Cruise, P A et al. (1997) Skin disorders and moisture in incontinent nursing home residents: intervention implications. J Am Geriatr Soc 45:1182-8
Alessi, C A; Schnelle, J F; Traub, S et al. (1995) Psychotropic medications in incontinent nursing home residents: association with sleep and bed mobility. J Am Geriatr Soc 43:788-92

Showing the most recent 10 out of 12 publications