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EDUCATIONAL PROGRAMS &TOOLS

Medline/Medical Mart has developed a series of educational DVD programs that targets the front line workers. All programs follow RNAO Best Practice Guidelines and comply with the MOH Standards and the Long-Term Care Act. These programs are to assist homes with their own programs focusing on Residents First. They will enable staff with knowledge, training and tools to support them in making quality improvements aimed at enhancing safety and promoting changes that make a positive difference in the well being of your residents.

• Perineal Care • Preventative Skin Care and Pressure Ulcers • Continence Care and Bowel Management • Falls and Restraints • Oral Care • Catheter Care • Infusion Therapy Program

Our exclusive algorithm provides caregivers with a resident-centered, individualized toileting plan for each resident who is either continent or incontinent to meet the requirements of the Long Term Care Homes Act under the Continence Management Program.

ALGORITHMBASEDONMDSASSESSMENT ALGORITHMPDSA

Urinary&BowelContinenceManagementToiletingFlowChart

(Plan,Do,Study,Act)

RESIDENT'SNAME: _________________________________________________

PLAN

ReviewVoidingandBowelStatus Residentisincontinentofurineandstool: YES NO

ROOM#: _______________________

CompleteControl Document&careplan Reassessquarterly

The information gathered in this document maintains consistency, accuracy, eliminates other documents and saves valuable time for your staff. Your residents will also receive the appropriate treatment necessary for their own restorative care programs.

1. Continencein

Usuallycontinent

last14days SECTIONH

Ocassionallyincontinent incontinent Frequentlycontinent i continent Incontinent

INITIATEAVOIDING/STOOLDIARY

2. Mobility SECTIONG1

DetermineAppropriate ContinenceIntervention

Independent Supervision

LimitedAssistance ExtensiveAssistance TotallyDependent Activitydoesnotoccur

DO

STUDY

1BLADDER&BOWELRETRAINING 2SCHEDULEDTOILETINGPLAN

Startatrial ofprogram

Documentchanges. Modifychangesto ensurethechanges

3PROMPTEDVOIDING

selected

3. Cognitiveskills fordailydecision-­‐

areappropriate

Independent

ModifiedIndependence ModeratelyImpaired

PROGRAMSELECTED:

making

SECTIONB4

SeverelyImpaired (Maybeeligibleforinterventiondependingonseverity)

INTERVENTIONS:

4. Medications

PHYSICIANREFERRAL ModificationRequired Document&CarePlan PharmacyConsultant

YES

NO

Anticholinergic

HYGIENEORTOILETINGSLING eg.Non-­‐weightbearingindividuals orthosewhoarenon-­‐resistive

Sedatives/Hypnotics

Diuretics Narcotics Laxatives

buthaveupperbodycontrol

DO

DetermineAppropriate InterventionandProduct:

IDENTIFYTYPEOFINCONTINENCE: Seereversesideofpaper STRESSUI URGEUI OVERFLOWUI

PROGRAMSELECTED:

STUDY

FUNCTIONALUI

1HABITTOILETING 2CHECK&CHANGE

Documentchanges. Modifychangesto ensurethechanges

Ongoingmonitoring,documentationand

careplanningisessential

LEVELOFINCONTINENCE

areappropriate

LIGHT MODERATE

HEAVY SEVERE N/A

QUARTERLYREVIEW DATE:

ACT

INITIALS:

Reviseplanasneeded

DATEOFINITIALASSESSMENT: _________________________________

SIGNATURE: ________________________________________________

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