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Continence Management Improving Resident Outcomes www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
Part 1 www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com Key Definitions
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
Part 2 Regulations  www.MDSCarePlanBuilder.com
[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
www.MDSCarePlanBuilder.com Physical Mental Social Emotional
[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
Part 3 www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
www.MDSCarePlanBuilder.com HOW TO READ PROFILE REPORT Domain Indicator # in QI Total Poss. NF Avg. State Avg. Percentile  Rank Elimination /Incontinence Prevalence of bowel or bladder incontinence 37 64 57.8 53.8% 60% High Risk Low Risk 17 20 17 47 100% 42.6% 91.6% 40.4% 100% 54% Prevalence of occasional or frequent incontinence without a toileting plan 8 19 42.1% 48.1% 45%
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
Part 4 Types of Programs www.MDSCarePlanBuilder.com
www.MDSCarePlanBuilder.com Continence Management Treatment Options Management Program Requirements : Schedule Habit Training ,[object Object],[object Object],[object Object],Fixed. Scheduled Toileting Prompted ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Individualized, tailored to identified voiding pattern.
www.MDSCarePlanBuilder.com Management Program Requirements : Schedule Bladder  Retraining ,[object Object],[object Object],[object Object],Void on a predetermined schedule.  Check  &  Change ,[object Object],[object Object],Based on  assessment risk
Part 5 Continence Management Protocol Components of Documentation www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
Bladder Tracker www.MDSCarePlanBuilder.com 1 2 3 Taken /prompted/voided.  Unaware of need. 4 Self control, voided. Taken /prompted/did not void.  Unaware of need. 5 Self control,  Requires assistance. Taken, dry,  Then incontinent in this time period. 6 Self control, did not need to void in this time period. Day 1 Code In-take Out-put Day 2 Code In-take Out put Day  3 Code In-take Out-put 7 AM to 9 AM 9 AM to 11 AM 11 AM  to 1 PM 1 PM to 3 PM
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com Indwelling Catheters CAA
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com
To see complete care plans go to: http://www.hcmarketplace.com/prod-8700/MDS-30-Care-Plans-Made-Easy.html Problem/need  Related to  Risks/challenges  ❏ Occ. incontinence  ❏ Frequent incontinence  ❏ Always incontinent  Bladder incompetence:  ❏Abrupt loss of urine  ❏ Urine loss with stress  ❏ Uncontrolled leakage  Physical limitation:  ❏ Compromised mobility  ❏ Inability to manage clothing  ❏ Inability :wipe self, wash hands  Medical condition:  ❏Diabetes  ❏ Multiple sclerosis  ❏ CVA  ❏ Quadriplegia  ❏  Depression  ❏  Seizure disorder  ❏  Constipation  ❏  Impaction  ❏  Catheter use  Medication:  ❏ Diuretic  ❏ Narcotic use  ❏ Falls  ❏ Skin irritation  ❏ Urinary tract infections  ❏ Social isolation  ❏ Socially inappro.behavior  ❏ Behavior outburst  ❏ Embarrassment  ❏ Curtailment of fluids  ❏ Curtailment of activities
To see complete care plan for all CAA’s go to: http://www.hcmarketplace.com/prod-8700/MDS-30-Care-Plans-Made-Easy.html Problem/need  Related to  Risks/challenges  Urinary incontinence resulting in the need for:  ——  Indwelling catheter  ——  Suprapubic catheter  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],❏ Chronic bacteria  ❏ Symptomatic infection  ❏ Septicemia, pylonephritis  ❏ Abscesses  ❏ Leakage around the catheter  ❏ Urethral and bladder neck trauma  ❏ Urinary calculi
[object Object],[object Object],[object Object],[object Object],www.MDSCarePlanBuilder.com

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Urinary incontinece 12 2011

  • 1. Continence Management Improving Resident Outcomes www.MDSCarePlanBuilder.com
  • 2.
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  • 22. Part 2 Regulations www.MDSCarePlanBuilder.com
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  • 39. www.MDSCarePlanBuilder.com HOW TO READ PROFILE REPORT Domain Indicator # in QI Total Poss. NF Avg. State Avg. Percentile Rank Elimination /Incontinence Prevalence of bowel or bladder incontinence 37 64 57.8 53.8% 60% High Risk Low Risk 17 20 17 47 100% 42.6% 91.6% 40.4% 100% 54% Prevalence of occasional or frequent incontinence without a toileting plan 8 19 42.1% 48.1% 45%
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  • 48. Part 4 Types of Programs www.MDSCarePlanBuilder.com
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  • 51. Part 5 Continence Management Protocol Components of Documentation www.MDSCarePlanBuilder.com
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  • 54. Bladder Tracker www.MDSCarePlanBuilder.com 1 2 3 Taken /prompted/voided. Unaware of need. 4 Self control, voided. Taken /prompted/did not void. Unaware of need. 5 Self control, Requires assistance. Taken, dry, Then incontinent in this time period. 6 Self control, did not need to void in this time period. Day 1 Code In-take Out-put Day 2 Code In-take Out put Day 3 Code In-take Out-put 7 AM to 9 AM 9 AM to 11 AM 11 AM to 1 PM 1 PM to 3 PM
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  • 68. To see complete care plans go to: http://www.hcmarketplace.com/prod-8700/MDS-30-Care-Plans-Made-Easy.html Problem/need Related to Risks/challenges ❏ Occ. incontinence ❏ Frequent incontinence ❏ Always incontinent Bladder incompetence: ❏Abrupt loss of urine ❏ Urine loss with stress ❏ Uncontrolled leakage Physical limitation: ❏ Compromised mobility ❏ Inability to manage clothing ❏ Inability :wipe self, wash hands Medical condition: ❏Diabetes ❏ Multiple sclerosis ❏ CVA ❏ Quadriplegia ❏ Depression ❏ Seizure disorder ❏ Constipation ❏ Impaction ❏ Catheter use Medication: ❏ Diuretic ❏ Narcotic use ❏ Falls ❏ Skin irritation ❏ Urinary tract infections ❏ Social isolation ❏ Socially inappro.behavior ❏ Behavior outburst ❏ Embarrassment ❏ Curtailment of fluids ❏ Curtailment of activities
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