Re: Section H- Incontinence - plan of attack-clarification

[dfrias]

I would disagree to a point...or shall I say a clarification to a point. If a person has a F/C and upon removal of the F/C...if the facility finds the resident is incontinet a toilet plan should be put in place...of course this is all under the assumption the removal of the F/C was done with some type of a Re-training to begin with and not just D/C'd. Either way regardless if a person is capable of retraining or if the facility will only need to require a toilet plan for dignity one of these should be put in place.   The Nose ----- Original Message ----- From: Brenda Chance To: [EMAIL PROTECTED] Sent: Tuesday, November 11, 2003 12:06 PM Subject: RE: Section H- Incontinence - plan of attack 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     CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: dfrias [mailto:[EMAIL PROTECTED] Sent: Tuesday, November 11, 2003 10:54 AM To: [EMAIL PROTECTED] Subject: Re: Section H- Incontinence - plan of attack   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 ----- Original Message ----- From: Marilou Caponong To: '[EMAIL PROTECTED]' Sent: Tuesday, November 11, 2003 9:35 AM Subject: Section H- Incontinence     A resident had an indwelling catheter during the first 8 days of the 14-day time frame.  On the 8th day, the Foley catheter was discontinued, after which the resident was incontinent of urine.  How should I code the resident on section H1b?