Incontinence management
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Modules - Incontinence Management
RAISE THE APPROPRIATE TOILETING RATE TO MORE NARROWLY TARGET SERVICES.
As a last resort, use more restrictive criteria to target the prompted voiding intervention to the most responsive residents. For example, instead of using an appropriate toileting rate of 66% or higher, raise the rate to above 75%. (See Step 2 for instructions on how to calculate toileting rates.)
This targeting approach, unfortunately, will exclude some residents who could benefit from prompted voiding. Nevertheless, despite this serious drawback, it is ethically and clinically preferable to providing sub-optimal assistance to all incontinent residents or targeting assistance based on invalid resident characteristics such as cognitive status, both of which are common practices in nursing homes.
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