Mobility Decline Prevention
::
::
::
::
::
::
::
::
::
::
::
::
|
|
Modules - Mobility Decline Prevention
PV ADVANTAGE: PROGRAM MONITORING PROCEDURES
Another advantage to prompted voiding is that there is a tested procedure for monitoring its results. We discuss this in more detail later on (see Step 4), but basically, if you don't continuously monitor a program's implementation, especially one administered by non-professional staff, then there's a good chance that the program's procedures will be compromised and its positive effects diluted. As a general rule, nursing home programs that are implemented in residents' rooms at various times throughout the day are difficult to monitor through objective means. It's not feasible, for example, for supervisors to conduct regular observations of the care being provided. Prompted voiding programs, however, are the exception to this rule.
With prompted voiding programs, supervisors can conduct periodic control checks that allow them to continuously monitor the care provided. We tell you how to conduct control checks, and analyze the results, in Step 4 of our incontinence management module.
These control checks won't tell you whether or how well nurse aides are carrying out the exercise component of FIT. But they do allow you to assess the intervention's other key component (toileting assistance). And if this care activity is being accomplished, then that's some small assurance that the other component, exercise, also is being accomplished.
We are unaware of any valid control checks for the other incontinence management strategies.
(prev | next)
|
|
|
