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If patients with urologic problems are not identified, then our providers cannot help them. In the Uroguidance program, we only want to see the residents with current urologic issues, but it is very important to accurately and efficiently locate the residents who could benefit from our care. We try to identify residents who are experiencing one or more of the following urologic problems:
1) Recent/Recurrent Urinary Tract Infection (UTI)
2) Recent poor bladder emptying
3) Indwelling urinary catheter (Foley or suprapubic) or percutaneous nephrostomy tube
4) Urinary incontinence with abnormal anatomy and/or neurologic issues at risk for
overflow incontinence (e.g. diabetes mellitus, multiple sclerosis, malignancy,
trauma, Parkinson’s disease)
5) Bothersome overactive bladder (OAB)/Urge incontinence and failed prior treatment
6) Hematuria, dysuria
It has been our consistent experience over the years that when the identification of residents with urologic problems is left exclusively to the nursing facility staff, the program has not been successful in addressing the urinary health needs of its residents. In most every nursing facility, the nursing staff is extremely busy with their own work, and trying to identify and keep track of every resident with urologic problems every week of the year just does not get done. In response to this reality, we have formulated a protocol in conjunction with the local hospital system for effectively identifying the residents with urologic issues that could benefit from the Uroguidance program. This protocol includes:
a) Consent forms filled out on every resident as part of their admissions packet
b) Weekly list of urine cultures that were ordered at that facility
c) MDS 672 report to identify current long term residents with urinary problems such as
indwelling urinary catheters and urinary incontinence
d) Referrals from nursing and medical staff of patients with known urologic problems
We have found that this protocol accurately identifies most of the residents with urologic problems, while placing minimal extra work on the nursing facility staff.
Please see the links below for a copy of the Criteria for Resident Evaluation and the Uroguidance Consent Form.