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I think our facility is quite lacking in incont
programs and I think there is a heavy impact in our falls then restraint
use......but no one (administratively) wants to hear this (negitive thinking)
folks get old...fall...pee on themselves..dehydrate.quit eating .and die..can't
be helped (facility motto)
----- Original Message -----
Sent: Thursday, November 13, 2003 8:39
PM
Subject: Bladder incont
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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