We first start with a 3 day pattern assessment -what that is - is a q1hour check and a q2hour toilet check - the staff check for incontinence on the q 1hour check - and ask the resident if they are wet or dry (during waking hours) -trying to determine awareness and also try to increase the resident's awareness and then we toilet q2hours and document if the resident was continent in recepticle or not - we measure output- if they were aware of the urge to void - we also ask - was their any leaking on the way to BR, incontinence with urge to void on the way to the BR, pain or strain with voiding, more than 8 seconds to start urination. Then with this 3-days of data -we are able to pick up patterns - what time do they go, when do they not go - when are they wet when are they dry - based on that we come up with a individualized toileting schedule -if that is an appropriate intervention for the type of incontinence the resident has. We have most of our incont. residents on a toileting schedule. Holly QI in CT
> -----Original Message----- > From: Vogt, Kathy [SMTP:[EMAIL PROTECTED] > Sent: Wednesday, November 12, 2003 12:20 PM > To: [EMAIL PROTECTED] > Subject: > > Can you please share with me how in your facility the bladder retaining > works and toileting programs work. I hit a wall every time that I say I > cannot code a toileting program if it is not individual (no toileted q 2 > hours), monitored, and evaluated. I have been told in seminars that the > majority of residents should be coded as having a toileting program. My > facility has very few that can truely be coded. > > Kathy > > NOTE: This e-mail message may contain information that is privileged, confidential, > and exempt from > disclosure. It is intended for use only by the person to whom it is addressed. If > you have received > this message in error, please do not forward or use this information in any way. > Delete it immediately > and contact the sender as soon as possible by the reply option or by telephone at > the telephone number > listed (if available). In the event you cannot fulfill your obligation or there has > been any improper release > of this information, please contact the Privacy Officer at Carondelet Health at > (816) 943-4611. > > > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
