The Rainier School is an institution in Buckley, Washington where 394 developmentally disabled adults reside. After seeing patients and talking with doctors in their clinic, it was apparent that a common pattern of urinary symptoms was being observed among many of the older male residents. Due to their level of disability, these residents were unable to communicate their symptoms of urinary distress. Primary care physicians, nurses, and direct care staff members were interviewed to document these symptoms and identify some possible etiologies. After interviewing staff and reviewing the literature, it was determined that benign prostatic hyperplasia (BPH) may be the underlying problem for some of these residents. BPH is the largest cause of urinary symptoms in aging males. To address possible BPH problems at Rainier School, a PowerPoint presentation was given to the health care staff and direct care staff. A BPH symptom-scoring sheet was also adapted specifically for direct care staff to use as a screening tool for the developmentally disabled older males. Implementation of the scoring sheet is now occurring campus wide. Follow-up with primary care physicians has begun and treatment options are being considered for five new patients.
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