... linens, and staffing to manage toileting, soiling, and skin breakdown is of primary concern to LTC administrators and managers (MacDonald & Butler, 2007). In my previous experience as a Director, ... exposure of latent stress incontinence by pushing the prolapse back into the vagina, and asking the patient to cough. “Restoration of form (structure) leads to restoration of function” (Petros 2010). ... of the vagina to the promontorium is too cranial, while fixation of the vagina to the sacrospinous ligament is too caudal. It is a surgical compromise to use these areas for easy and safe fixation...