Re: bladder assessment

[JenVo]

In our facility we attempted to make our bladder and bowel assessment as easy as possible to evaluate ability to start a toilet program.

We incorporated the MDS since we already had to do the assessment, so not to repeat same questions.

We created a policy which says basically if ST memory loss is triggered and transfer ability is a 3 or 4 then program is not going to be appropriate- we rap to the fact /reason ie; diagnosis etc. I don't have the exact policy with me right now, I am at home, however if you would like to e-mail me at [EMAIL PROTECTED] and leave your fax number I can fax a copy to give you some ideas.

Jennifer Volkman RN MDS Coordinator

[EMAIL PROTECTED] wrote:

I've worked for a facility where we did a cognitive assessment before we did a bowel/bladder incontinence assessment.  Our policy stated if the cog. score was 18 or less the resident was cognitively unable to participate in a bowel/bladder assessment and therefore any tolieting program.  It makes sense not to put someone through something they can't understand and possibly triggering anxiety symptoms or behavior disturbances.  The policy has been through two state surveys and passed without any problems.  Just something to think about before you do a lot of work or stress the resident for nothing.   In a message dated 1/6/2004 1:39:17 PM Eastern Standard Time, [EMAIL PROTECTED] writes: In order to not reinvent the wheel, would anyone out there be willing to share a bowel / bladder incontinence assessment that has worked for them?     Susann Irwin, RN MDS Coordinator Garner, NC

As always-Jen

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