Urinary Continence Policy

Urinary Continence Policy

Effective Date: [Original NPP Date]
Revised Date: [Current Date]

Goal

Each resident will have the necessary assessments and interventions implemented to maintain the highest level of urinary function.

Policy

I. Assessment

• Each resident will have a urinary assessment on admission, readmission, and with a significant change in continence.
• Changes in continence status will be monitored, and any changes reported to the interdisciplinary team for review.
• If the resident is continent, a care plan will be developed to address any risk factors to maintaining continence, if appropriate.
• If the resident is incontinent, an assessment will be done using an Incontinence tool to identify the type of incontinence and barriers to obtaining the resident’s goals so that appropriate interventions are implemented.

II. Monitoring

• If indicated, the resident’s voiding pattern will be monitored for three days within a seven-day period.

III. Review and Interventions

• All information from the initial assessment and three-day voiding pattern diary will be reviewed by the interdisciplinary team.
• This information from assessment tools will lead to individualized interventions to address incontinence and to meet the resident’s goals.
• The interventions with risks and benefits will be discussed with the resident and/or responsible party.
• The continued appropriateness of the care plan interventions will be reevaluated at the resident’s care plan meeting.

References:

• Centers for Medicare & Medicaid Services. State Operations Manual, Appendix PP - Guidance to Surveyors for Long-Term Care Facilities. [Link to current CMS SOM]
• CMS Requirements of Participation for Long-Term Care Facilities. [Link to current guidelines]