CME Corner

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Program Detail

Program Title

Current Approaches to Incontinence in Long-Term Care
Release Date: June-01-04
Credit Expiration Date: December-31-05


Joseph G. Ouslander, MD
Professor of Medicine and Nursing
Director, Division of Geriatric Medicine and Gerontology
Chief Medical Officer,
Wesley Woods Center of Emory University
Director, Emory Center for Health in Aging
Research Scientist, Birmingham/ Atlanta VA GRECC
Wesley Woods Center of Emory University
Atlanta, GA

Penn Center for Continence and Pelvic Health
Division of Urology
University of Pennsylvania Medical Center
Philadelphia, PA

Credit Hours

Pharmacy and CME, 1 hr, Nursing and NP CE, 1.2 hrs


Online Presentation

Program Description

Practice standards for the assessment and management of urinary incontinence in long-term care facilities are in a state of flux. Federal guidelines mandate the importance of a multidisciplinary approach to incontinence in this setting. Long-term care facilities must pursue the management of urinary incontinence in a thorough and individualized approach, with a combination of behavioral interventions, toileting protocols, and pharmacotherapy when appropriate. Management of this condition is a challenge in long-term care, as toileting protocols and other behavioral interventions are often time-consuming and difficult to implement consistently without enough staff. However, with a targeted and individualized approach, urinary incontinence can be managed effectively with a very positive effect on many residents' quality of life and overall health. This program reviews the current understanding of best practices in the assessment and management of urinary incontinence in the long-term care environment.

Program Developer/Facilitator


Target Audience

Pharmacists, physicians, nurses and nurse practitioners interested in the assessment and management of urinary incontinence in long-term care.

Learning Objectives

Upon completion of this educational activity, the participant should be able to:

  1. Discuss the prevalence, adverse effects and costs associated with urinary incontinence in long-term care.
  2. Describe the common causes of urinary incontinence in long-term care.
  3. Review the federal (MDS and RAPS) and AMDA protocols for assessing and documenting incontinence in LTC.
  4. Identify both pharmacologic and behavioral management approaches to urinary incontinence in long-term care, and the importance of combining the two.


Joseph G. Ouslander, MD, has grant funding from the National Institutes of Health, the Veterans Administration, the John A. Hartford Foundation, and the Donald W. Reynolds Foundation. He has received consultant fees for serving on advisory boards, honoraria, and/or grant funding from the following companies relevant to this presentation in the last two years: Indevus Pharmaceuticals, Inc., Eli Lilly and Company, Novartis Pharmaceuticals Corporation, Pfizer Inc, Pharmacia & Upjohn, Inc., and Yamanouchi Pharmaceutical Co., Ltd.

Diane K Newman, RNC MSN CRNP FAAN discloses that she has received honoraria from Pfizer Inc, research support from Eli Lilly and Company, Watson Pharmaceuticals Inc., and Indevus Pharmaceuticals, Inc., and is on the Speaker's Bureaus for Eli Lilly and Company, Pfizer Inc, Watson Pharmaceuticals Inc., Yamanouchi Pharmaceutical Co., Ltd., and Novartis Pharmaceuticals Corporation.

This activity will include discussions of products or devices that are not currently approved for use by the Food and Drug Administration (FDA), or are currently investigational.

Credit Statements

Pharmacy CE Credit
This program has been approved for 1.0 Contact Hours (0.1 CEU) by the American Society of Consultant Pharmacists (ASCP). ASCP is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education.

ACPE #: 203-999-04-064-H01

A Statement of Credit will be awarded upon satisfactory completion of a post-test with a score of 70% or better.

CME Credit
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of AKH Inc., Advancing Knowledge in Healthcare and Medical Communications Media, Incorporated. AKH Consultant is accredited by the ACCME to provide continuing medical education for physicians.

AKH Consultant designates this educational activity for a maximum of 1 category 1 credit toward the AMA Physician’s Recognition Award. Each physician should claim only those credits that he or she actually spent in the activity.

Nursing CE Credit
This program has been approved for 1.2 hours of continuing nursing education by AKH Inc. AKH Inc. is accredited as a provider of continuing education in nursing by the American Nurses Credentialing Center's Commission on Accreditation, and is an approved provider through the Boards of Nursing in CA, #CEP12070 & IA, #277. Initial release date: June 1, 2004. Participants must successfully complete the post-test (70% or higher) and submit an evaluation to receive credit.

Nurse Practitioner CE Credit
This program has been approved for 1.2 hours of continuing education for nurse practitioners by AKH Consultant. AKH Advancing Knowledge in Healthcare is approved as a provider of nursing and nurse practitioner continuing education by the American Academy of Nurse Practitioners, #030803.

Participants must successfully complete the post-test (70% or higher) and submit an evaluation to receive credit.

AAPA accepts Category I CME credit for the PRA from organizations accredited by ACCME. All programs on which carry ACCME Category I CME credit are acceptable towards the PA Category I (Preapproved) CME requirement.

PAs and NPs requesting credit should check the “Physician” box on the post-test.

Commercial Support Statements

Supported by an unrestricted educational grant from Pfizer Inc


  1. Click on the "Start program" icon.
  2. The next screen will permit you to check for or download the Flash player required to run this program. You will also find buttons which will permit you to start the program presentation, access other program elements, and take the post-test.
  3. Clicking on "start the program" on this screen will begin the program presentation which will take approximately 1 hour to complete.
  4. You must be registered with in order to complete the post-test. When you click on the post-test button you will be brought to a screen which will confirm your registration status and provide an opportunity to register if you haven't done so previously.
  5. Instructions for completing and submitting the post-test are provided on the post-test screen. A minimum score of 70% on the post-test is required for a CME or CE certificate.

Certificate Fee



The information contained in this program does not necessarily reflect the opinions or recommendations of Pfizer Inc, ASCP, AKH Inc., or Medical Communications Media, Inc. Diagnostic procedures or treatments discussed in the program should not be utilized by clinicians without evaluation of patients’ conditions and possible contraindications or risks, and without a review of applicable manufacturer’s product information and comparison with recommendations of other authorities.

By clicking START PROGRAM I acknowledge that I have read the CME/CE information above.

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