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You don’t automatically need to begin a B&B program on this resident. You need to first assess if this resident is appropriate cognitively and physically for such a program using your facility policy and forms. If the resident is appropriate for a bladder retraining program, then I would begin one. If not, you may want to assess, if appropriate for a toileting program. Just a heads up, before you remove a foley, if possible, assess the resident to see if he/she if appropriate for a bladder retraining program. If so, do clamping and releasing of the foley retraining the bladder this way before the foley is removed. This does work on cognitively intact residents that have been usually continent prior to use of the foley.
Brenda W. Chance, RN, RAC-C MDS Coordinator
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Go to your RAI manual and you will find the answer....but in saying that I would:
As per your question and only knowing what you have written I would code incontinece, begin a B&B plan and do an extensive care plan with an FYI statement included in C/P and RAP...."Admitted with F/C and since D/C of F/C find resident incontinet of urine, will begin B&B re-training program, will code on this assessment incontinence of urine. However this incontinece problem may correct itself with the B&B retraining program, staff will seek recommendation for medication from physician to assist resident's incontinence if needed".
The trick here is talking to resident and close family members and reviewing H&P to find any incontience with the resident prior to admit. Acknowledging that the problem exist and have a plan of attact to assist with this problem.
The Nose
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