I find trying to improve resident's incontinency a very frustrating endeavor. It might
be our monitoring system, but I think its very hard to show improvement with regards
to the QI.
Unless I am misunderstanding the logic.
On the MDS, the resident can be either 0,1,2,3,4. So you can measure improvement if
the resident goes from 3 to 2 or 1. But on the QI everyone is bunched together (2,3,4)
under occasionally and frequently incontinent.
So how are you supposed to show improvement in a 90 year old woman with senile
dementia whose been incontinent since she was 80. (heavy sigh)
>>> [EMAIL PROTECTED] 11/13/03 09:39PM >>>
About 10 years ago I worked in a facility where we had a great incont assessment
protocol.It was developed ,I believe,at the Hebrew Rehab in Massachusetts.We really
were able to decide if we had urge,overflow with retention ,or func incont due to
decreased cog,etc.I felt we really made a difference in improving the problem.I
haven't seen this attention to the problem any where else that I have been since
then.I am seeing trackers done [not well either]and a toileting schedule on careplans
pre and post meals,upon arising and at bedtime.I am after ny Don for us to become more
aggressive with incont,asking for a bladder scanner and a class from one of our
younger Urologist in the area that are active with this issue.Do you all feel in your
facility that you are doing a good job on improving incont?
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The Case Mix Discussion Group is a free service of the
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"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
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