Prompted Voiding for Persons with Urinary Incontinence

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Description

Prompted Voiding for Persons with Urinary Incontinence

Urinary incontinence (UI) is the involuntary loss of urine. The National Association for Continence estimates on the basis of multiple studies and expert opinion that 25 million adult Americans experience transient or chronic UI. UI is one of the most common conditions among residents of extended care settings; post-acute and long-term care (LTC) facilities. UI is seen in at least 55% of nursing home residents and is the second leading cause of institutionalization of the elderly. Urinary incontinence has been shown to be an independent risk factor for unplanned hospitalization of home care individuals.

The purpose of this evidence-based guideline is to provide information for implementing a treatment program of prompted voiding (PV) for individuals who have UI. PV is a toileting program that combines scheduled voiding with “prompting” from a caregiver. In this guideline, a caregiver may be formal (extended care professional and allied health) or informal (family member, companion). Written 1999; Revised 2018.

Toolkit Included in Guideline:

Urinary Incontinence Risk Factor Checklist
Urinary Incontinence Assessment Factors Checklist
Assessment of Urinary Incontinence
Bladder & Bowel Record
Summary & Recommendations from UI Assessment
Communication Techniques for Use with Prompted Voiding Guideline
Prompted Voiding 3-Day Assessment & Intervention Trial
3-Day Prompted Voiding Record
Determining Responsiveness to Prompted Voiding
Nursing Interventions Classification (NIC): Prompted Voiding – 0640
Educational Program for Teaching Staff & Administration on Prompted Voiding
Sample Interactive Educational Modules for Teaching Nursing Assistants about Urinary Incontinence
Knowledge Assessment Test
Sample Policy for Prompted Voiding
Sample Prompted Voiding Standard of Care Sample for extended Care Facilities
Process Evaluation Monitor
Outcomes Monitor
Nursing Outcomes Classification (NOC): Urinary Continence – 0502
Prompted Voiding Quality Monitoring Program: Quarterly Report

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