It is amazing, isn't it! Last week I was on the Secured Dementia Unit of one of our facilities and the staff were all excited telling me that none of the 16 residents on the unit had had "an accident" for the past 4 days. When I questioned them about what they meant, they told me that they had determined ways to keep each resident from being wet or soiled by taking them to bathroom either at specific times or watching for signals, etc.! They told me about each resident's plan and how well it was working - DA! (Of course the Care Plans don't tell me any of this but...) The staff on that unit work with these same residents every day quite intensely but I really took advantage of telling everyone in the rest of the building about the success of learning the residents patterns, determining the cause of incontinence, planning and following through to provide the interventions residents need to be continent. ----- Original Message ----- From: Holly Sox, RN, RAC-C Sent: Monday, January 12, 2004 11:00 PM To: [EMAIL PROTECTED] Subject: Re: Bowel and Bladder program 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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The information contained in this electronic message and any attachments to this message are intended for the exclusive use of the addressee(s) and may contain confidential or privileged information. If you are not the intended recipient, please notify D. Galias, RN, RHIT immediately at [EMAIL PROTECTED] and destroy all copies of this message and any attachments. Thank you for your cooperation
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