Continence: adults with urinary dysfunction

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Continenceadults with urinary dysfunction

• Linda Morrow

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What is Continence?

• The ability to control/pass urine/faeces at
  will

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What is Incontinence?

• Inability to control passage of urine/faeces

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Does it Matter?

• Yes

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Best Practice

• Promoting continence awareness
• Access to toilet facilities
• Assessment of urinary dysfunction
• Continence care planning

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Continence Awareness

• Staff are aware of
• Effect of their practice
• Potential for improvement
• Opportunity for reflection
• Team meetings
• Policy development

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Access to Toilet Facilities

• All patients should have access to appropriate
  toileting facilities
• Opportunities for review
• Admission assessment
• Review of patient journey
• Risk assessment of premises
• Facilities audit

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Assessment of Continence

• Assess
• All patients continence status
• If problems use an appropriate tool
• Opportunities for review
• Audit of records
• Review of printed documentation

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Continence Care Planning

• Analyse information gathered, clinical judgement,
  nursing diagnosis, care plan
• Aim to restore continence
• Evaluate effect of continence plan, amend as
  appropriate

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Continence Care Planning

• Opportunities for review
• Reflective practice supervision
• Skills audit patient dependency
• Audit of outcomes
• Audit of documentation

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Key Messages

• Continence matters to patients
• Continence care is a core nursing skill