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Incontinence Management

Tips Gleaned from Learning Session 4 of our Collaborative

Discussions among participants at our January 2016 meetings generated a wealth of ideas and best practices related to incontinence. Try some of these peer-tested techniques at your facility!

Free Resources

"How to do it...Incontinence management"
A straightfoward article published in 2012 by McKnight's

Borun Center's training module

Incontinence Management Training Module
Vanderbilt Center for Aging Quality
(and)
Choice and Preference Toileting Assistance (CAPTA) Training Manual

Retirement Research Foundation of Chicago

Both resources provide training and protocols for 1) conducting a basic resident evaluation, 2) assessing resident responsiveness to prompted voiding, 3) implementing time-saving strategies to maintain prompted voiding programs, and 4) conductig periodic control checks to help ensure incontinence care quality

Guideline: Urinary Incontinence: the Management of Urinary Incontinence in Women
AHRQ
Best practice advice on the care of women with urinary incontinence

Urinary Incontinence Toolkit
Practicing Physician Education in Geriatrics
Forms and tools for evaluation, diagnosis and treatment

Urinary Incontinence Assessment in Older Adults Part 1: Transient Urinary Incontinence
Urinary Incontinence Assessment in Older Adults Part 2: Persistent Urinary Incontinence
Patient Symptom: Unable to control urine
Patient Symptom: Unable to control stool
Hartford Institute for Geriatric Nursing

Effective Management of Urinary Incontinence in Long-term Care Facilities Manual
Qualidigm
Tools to educate staff on assessment and effective management of urinary incontinence. Includes a Train the Trainer Manual, with an overview of UI for RNs presentation, and an overview of UI for CNAs presentation.

State Operations Manual, Interpretive Guidelines for F-315 (pages 266-301)
CMS
Urinary incontinence definitions, overview, resident choice, UI assessment, UI types, interventions including catheters and UTI, the investigative protocol and determinations of compliance.  

Practical Management of Urinary Incontinence in the Long-Term Care Setting
Jayna M. Holroyd-Leduc, MD, FRCPC, Courtney H. Lyder, ND, and Cara Tannenbaum, MD, FRCPC, MSc
Key aspects of the revised CMS F-315 regulation; clinical algorithms for the effective management of urinary incontinence in long-term care consistent with the interpretive guidance.

Urinary and Fecal Incontinence in Nursing Home Residents
Felix W. Leung, MD, Professor of Medicine and John F. Schnelle, PhD, Hamilton Chair Professor
Pathophysiology and treatment options for urinary incontinence and fecal incontinence.

Resources Available for a Fee

Guideline: Urinary Incontinence
American Medical Director’s Association
Guides care decisions in the long term care facilities. The document includes a narrative portion that covers terminology, definition, purpose and scope, sites of care, outcomes, HIPPA, cross-cutting issues in transitions of care, implementation of a care transition program.

F315 Incontinence QuickPath 2014 Manual
Pathway Health Service
Assists leaders in reviewing their internal incontinence management program

Core Curriculum: Continence Management
Wound, Ostomy and Continence Nurses Society
Guidance on patient management, pathology and physiology basics, assessment of symptoms, and step-by-step direction on nursing procedures.