Mobility Decline Prevention
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Modules - Mobility Decline Prevention
PV ADVANTAGE: TARGETING PROCEDURES
And there are additional advantages to offering prompted voiding. One is that we have developed a simple, valid procedure for identifying residents who are responsive to prompted voiding. You can review it in Step 2 of our incontinence management training module.
Briefly, here's how the screening procedure works: Provide prompted voiding to incontinent residents for a few days, and then analyze the results. Those who use the toilet appropriately at least two-thirds of the time are "responsive" to the intervention and should continue to receive it; those who don't are "unresponsive" and can be placed on check-and-change programs. The rationale behind this "run-in" approach is simple common sense: Residents either respond to prompted voiding, or they don't, and there is no reason to expect different results unless there is a significant change-for better or worse-in the resident's condition.
Our studies show that between 25% and 40% of incontinent residents will respond to prompted voiding, with a reduction in their incontinence frequency from three to four episodes per day to one per day (3, 4).
This ability to identify responders and non-responders enables staff to use their time more effectively and efficiently. They don't waste time trying to toilet some residents who are unresponsive to their help while better candidates go without proper assistance.
To the best of our knowledge, comparable valid targeting procedures do not exist for any of the other incontinence management strategies.
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