Jane Spencer Mental Health Continence Nurse Specialist

1
Jane Spencer Mental Health Continence Nurse
Specialist

• Rapid Access Service/Memory Service
• Home Based Treatment Team
• RMN
• Mismanagement of incontinence within inpatient
  units
• Widely recognised that dementia and incontinence
  are the two major reasons relating to admissions
  into 24 hour care

2
Why Should I Be Treated Differently?

• The continence assessment should identify any
  psychological, physiological, environmental and
  social factors which may affect a persons ability
  to remain continent.
• 3 categories of a client
• Those who will regain continence
• Those whose continence will improve
• Those whose intractable incontinence can be
  managed

3
Why Should I Be Treated Differently?

• Does your bladder or bowel ever/sometimes cause
  you problems? (Essence of Care 2001)
• Assessment
• Physiological Causes
• Behavioural Reasons
• Avoid!
• diagnostic overshadowing
• (Faecal Incontinence NICE 2007)

4
Why Should I Be Treated Differently?

• Diet and lifestyle advice
• Reduce Caffeine
• Appropriate Fluid Intake
• Treat constipation/UTI
• Prompted voiding regime/timed toileting
• 2 to 3 hourly toileting programme
• Orientation Cues
• Pictorial Toilet Signs
• Accessible, Private Facilities

5
Why Should I Be Treated Differently?
6
Why Should I Be Treated Differently?

• Education Clinicians, Clients, Carers
• Improve Quality of Life
• Promote and Maintain Dignity
• Remain at Home
• Final thought..
• Everybody has the right to remain
  continent
• (nurse2nurse)