I think that is the most neglected area; and the most prevalent. I would love to find a better program. Colleen
----- Original Message ----- From: "Charlene Kleman" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Friday, November 14, 2003 10:22 AM Subject: Re: Bladder incont > 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? > > /---------------------------------------------------------- > 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 > -----------------------------------------------------------/ > > > > NOTICE: This confidential message/attachment contains information intended > for a specific individual(s) purpose. Any inappropriate use, distribution or copying > is strictly prohibited. If received in error, notify the sender and immediately delete > this > > /---------------------------------------------------------- > 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 -----------------------------------------------------------/
