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Welcome to Best Practice Jeopardy Continence Care Edition Long Term Care Best Practice Coordinator Program Registered Nurses Association of Ontario 2014 Answers can be found in the Best Practice Guideline, Promoting Continence Using Prompted Voiding and in the Long-term Care Best Practice Toolkit at http://ltctoolkit.rnao.ca/ Powerpoint Jeopardy Going for a record Say it ain’t so Brief Encounters Timing is everything You’re all washed up 10 10 10 10 10 20 20 20 20 20 30 30 30 30 30 40 40 40 40 40 50 50 50 50 50 This will help determine a pattern for establishing prompted voiding Name at least two things that should be recorded in a voiding record Two documents that may give clues to the cause of a resident’s incontinence This document will help ensure everyone knows when the resident needs to go to the bathroom. A prompted voiding protocol document will guide staff in the steps of a prompted voiding interaction with residents. True or False Incontinence is an expected age related challenge that effects the elderly True or False? Once a person has been determined to be incontinent, there is no hope of improving their continence True or False? Inadequate intake of this can be a factor in incontinence. (Hint: residents and care providers might think the opposite is true and limit these) Residents should always be awakened in the middle of the night to be taken to the toilet so their beds remain dry True or False? There is no relationship between constipation and urinary functioning True or False? Bigger is better – residents that are incontinent of a large amount of urine should wear the largest size briefs True or False? If a resident uses a brief at night it means we have failed to keep them continent. True or False? Careful consideration is required when using these to ensure effective absorption of the brief. This product is designed to be used with underwear not to increase the absorption of a brief. Information about brief size should be recorded in _________ and transferred to ________________ so everyone providing care is aware of the plan. Successful prompted voiding programs are always based on a plan of care that is _________ centred. Residents with cognitive impairment should not be considered for a prompted voiding program True or False? Prompting a resident to void should occur within ____minutes of the scheduled time. Two of the three primary behaviours care providers use in supporting prompted voiding Prompted voiding and scheduled toileting are the same thing True or False Skin is considered to be the largest organ in the body. True or False? Name 2 signs that indicate a resident may be at risk of skin breakdown. During skin cleansing, minimizing force and friction on the skin will help prevent skin breakdown. True or False Cleansing products used for residents should have this balance Name 2 reasons why it is important to protect skin from excessive moisture and incontinence