Obesity and Indwelling Catheter use Among Long-term Care Facility Residents
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The methodology used by this research exhausted divergent analytic methods in displaying a specific pattern among the variables used in testing the subject matter, that is, the effect of obesity on the indwelling urinary catheter indicator over time. Generalized Estimating Equation (GEE) model () was used to examine the effect of obesity on the indwelling urinary catheter indicator over time (Holly, Jeffrey, Zoran, & B, 2013). These results were spread over four quarters of the base time to distinguish various levels of this phenomenon. It was found that obese residents had a significant higher prevalence rate of indwelling urinary catheters than non-obese residents at admission and a borderline significantly higher prevalence rate at the second quarter than non-obese residents (Flegal, Carrol, Ogden, & Curtin, 2008). The GEE model indicated that residents with severe obesity had an increased odds of having an indwelling urinary catheter (Flegal et al., 2008). Generally, as observed from the trend depicted in the research, along with severe obesity, gender, race and time also had significant statistical effects with respect to indwelling urinary catheters. A research of Older Arkansas long-term care facility is used to demonstrate patterns on the relationship between the weight of the patients with respect to admission and association with indwelling urinary catheters. A time span of one year is used as the base time factor. The results were tabled in percentages of older long-term care facility residents with indwelling urinary catheters in relation to obesity status, spread into four quarters. This research is an explanation of the relationship, through a case study, between the patients’ weight and the administration of the indwelling catheters.
As shown by the results in the research, indwelling urinary catheter use can increase the risk of infections, other medical complications or even death; hence, long-term administration is not recommended. For instance, the link with obesity, as proven by the research, puts patients in long term care in great danger. Is it advisable to use the medical service to patients with lower weight in comparison to those with obese conditions (Rogers et al., 2008)? This question can only be answered if a perfect relationship is established between weight and this medical activity. However, the factor of time introduces a partial remedy for this condition with respect to the obese population. These findings indicate that quality improvement efforts (consistent continence care monitoring and treatment by nursing staff) can improve long-term care and resident outcomes. Though, further discussions are encouraged to help display clear results on the patterns and relationships related to using indwelling urinary catheter use. For instance, it was not known where the residents resided prior to admission in the research. h, where the residents who were admitted resided. There could be a situational trend that would link the patterns observed with their locations of settlement, hence introducing a newer variable to the equation.
In the context of science and health studies, there is little evidence on the consequences or potential advantages of indwelling urinary catheter in an obese long-term care facility population. There are other challenges associated with this phenomenon that are not unique to obese patients, which might account for the odds in the results. However, the study did not analyze patient preferences with respect to Urinary Incontinence (UI). It is, therefore, expected that future research should examine indwelling urinary catheter use with respect to obese long-term patients and embed the cases of patient specific preferences in UI administration (Flegal et al., 2008).
Essentially, male long-term care facility residents were more likely than female long-term care facility residents to have an indwelling urinary catheter, and African-American long-term care facility residents were more likely than Caucasian long-term care facility residents to have an indwelling urinary catheter. This is according to this specific research (Holly et al., , 2013). It shows that there are numerous other factors that determine how severe the consequences of the administration would be. The factors of age, race, weight, and gender can be considered as the most important factors with respect to indwelling urinary catheter as far as the research is considered.
In conclusion, statistical analysis and the evaluation of another population will depict divergent factors and the introduction of new variables; this is not only unique to professional activities in the health sector but also a characteristic of other activities. As a matter of fact, the observable consequences depicted by this research is a course of worry given that no scientific evidence can be attached to indwelling urinary catheter with respect to obesity(Holly et al., 2013). . Therefore, the research provides the slightest of evidence that can be used to support this relationship.
References
Flegal, K., Carrol, M., Ogden, C., & Curtin, L. (2008). Prevalence and trends in obesity
among US adults. Journal of the Medical Association, 5, 235-241.
Holly, C., Jeffrey, D., Zoran, B., & B, C. (2013). Effect of weight on indwelling catheter use
among long-term care facility residents. , Urologic Nursing, 3, 194-200.
Rogers, M., Mody, L., Kaufman, S., Fries, B., MacMahon, L., & Saint, S. (2008). Use of
urinary collection devices in skilled nursing facilities in five states. Journal of the
American Geriatrics Society, 2, 854-861.
