Incontinence management
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Modules - Incontinence Management
MANAGEMENT OPTIONS FOR CHRONICALLY INCONTINENT RESIDENTS
Now is the time to mention the next incontinence QI in our series of nine:
- IF a nursing home resident remains incontinent after transient causes are treated,
- THEN the resident should be placed on a three-day toileting assistance trial to assess responsiveness to prompted voiding.
While some residents may improve continence through other treatments, the vast majority, because of their cognitive and physical impairments, will need some type of staff assistance to stay dry. Of the staff management options currently available--prompted voiding, scheduled toileting, habit training, and use of diapers--only prompted voiding has been shown in a controlled trial--the gold standard for research studies--to significantly improve continence. And the only way to reliably identify the 40% to 60% of incontinent residents who respond well to prompted voiding is to offer all otherwise untreated incontinent residents a trial run of the intervention (4). Go to Step 2 to read about procedures for this run-in trial.
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