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No two individuals experience incontinence in exactly the same way – so why should they all use the same incontinence management product?
Guides from the Centers for Medicare and Medicaid Services (CMS) require individualized care plans for each incontinent resident. Concerns about dignity and privacy mean these plans need to be discreet.
Shown below is an example of an easy, discreet
system for selecting and distributing appropriate incontinence management
products. The system uses a variety of stickers to match products to
residents. These stickers can be placed outside the door to the resident’s
room, inside the room or in a closet. A legend indicating the product
each sticker represents can be kept at the nursing station.
In this
system, a sticker with a blue fish on it designates a large-sized
brief. All employees, whether delivery staff, nurses or nursing assistants,
should be able to identify the blue fish and know which product
it represents.
Step-by-Step Instructions for Use
The product identification system (below) is designed to
promote product selection, fit and comfort.
Step 1: Identify resident’s
continence categories by using MDS 2.0 definition of
continence self-control (section H.1)
Step 2: Assess resident’s
status regarding mobility, contractures, chronic diarrhea, combative behavior
and size
Step 3: Identify the proper product type using the decision
tree for disposable incontinence products
Step 4: Measure the resident and identify proper size using
the sizing
guide or matrix
Step 5: Select sticker with symbol representing product and
size
Step 6: Place sticker next to resident’s nametag or designated
location
Step 7: Instruct staff to use proper product and size for
each resident
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