Re: B/B coding

[Holly Sox, RN, RAC-C]

I have had a resident in the past who used a brief for his elimination purely because he did not want to exert the effort of using urinal, bedside commode or toilet.  He recognized the urge, and voided/defecated with full control, but just used the briefs.  Then began raising hell immediately to have them changed.    I coded him as incontinent (I think that I used 3 "some control present but tended to be incontinent daily") as the physical effects of urine and stool against the skin were present.  I did explain thoroughly in the RAPs and Care plan. His chart was pulled in every survey while I was at that facility, and we never got an assessment or care plan tag. Hope this helps.   HS ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Monday, October 27, 2003 3:00 PM Subject: B/B coding Hi everyone,  I have a resident who is aware for the need to void but bec of decrease muscle strength he's unable to use urinal. He refuse to be assisted by staff.urinal to be placed to him. Had polio since he was a child.He said he would rather do it in the diaper. He used to do it when he was previous facility. How would you code this? Incontinent ? Thanks. Faye