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........or why would they put a person in the facility for
therapy, transfer/ambulation training, on a bedpan instead of taking them to the
bathroom or at least a bedside commode!
Thank you, Delores!!!
This issue grinds me more than almost any
other. Just Saturday, I was informed by a new resident's daughter that
this alert, continent lady had been placed in briefs and instructed to "just
go in the diaper and I will come back and change you".... simply because she
is a big lady who requires 2 person transfers due to non weight bearing
status. After I verbally counselled the CNA (which is nice southern girl
translation for chewed her rear end out), I placed the resident on a toileting
schedule and informed the CNA if I found the resident in briefs again, or
heard about her wearing briefs, the CNA would be terminated.
Someone please tell me why some CNAs would rather
clean up a wet or soiled brief than assist a clean and dry person to the
toilet or bedside commode!!!!!!
Holly
----- Original Message -----
Sent: Monday, January 12, 2004 11:11
PM
Subject: Re: Bowel and Bladder
program
I am concerned about requests for b&b
programs. I am more interested in assessment of the CAUSE of the
incontinence. I urge all list members to look up urinary incontinence
in the ICD-9-CM book. There are many types of incontinence and the
underlying cause should be treated.
Recently I sat in on a care plan
meeting for an alert incontinent resident who wore briefs and was beginning
to have skin problems. The entire discussion focused around her
incontinence, briefs and skin; I finally asked why she was
incontinent. She said it was because she was unable to walk and could
not go to the bathroom herself. She said she knew when she had to
urinate or defecate but could not put herself on the bedpan and no one
answered her light in time. What type of B&B program does she
need? Perhaps the staff need the program.
Delores
Does anyone have a bowel and bladder program that is
working? If so, can you please send me some of the information on
it. I have to get one designed by Thursday or at least
started.
Davina DeMerritt, RN
Delores L. Galias, RN,
RHIT
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privileged information. If you are not the intended recipient, please notify
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