Unit 4222-224 Support Individuals to manage continence
Difficulties with continence can affect an individual in many ways. One of the ways it can affect an individual is their self-esteem. An individual may become withdrawn or appear to be low. It can also affect their health and day to day activities. The fear of being found out can make an individual fell ashamed of their condition. These feelings alone can impact negatively on and individuals life.
Family outings or sports activities may be affected due to the fear of incontinence accidents or products being noticed by others. If incontinence issues are due to a urinary tract infection, this could cause intimacy issues and ...view middle of the document...
If it is unavoidable, knock and wait. Ensure that items others may need to access are not stored in rooms where intimate and personal care is provided. Consider developing a system that prevents others from entering a room while intimate and personal care is being carried out, such as catches that stop doors from being pushed open easily but can be opened in an emergency.
Make time where intimate issues, such as continence care, can be discussed with other staff in private. A good example would be in another room away from the individual and family members. If you must discuss these issues within the ear shot of others, be sensitive about language used, and your tone and volume of voice. Avoid drawing attention to a person’s incontinence and refrain from speaking about it unnecessarily or in front of people who do not need to know. Enable service users to wear clothing that is easy to take off and put on therefore promotes their independence. Allow time for service users to use the toilet to urinate and defecate in private, provide seating in the bathroom so service users do not have to sit on the toilet to be shaved or have teeth cleaned and adhere to toileting guidelines and respond promptly to incidents of incontinence.
Consider developing systems to enable service users to take control of their intimate and personal care. A service user who is non-verbal may be able to ring a bell or press a buzzer next to their bed to alert staff when they need help. Allow service users to make choices as much as possible and be aware that non-verbal behaviour may be meaningful communication and indicate preferences and wishes.
One of the best ways to deal with incontinence issues is to encourage the individual to express preferences and concerns about their continence needs. In this case AD’s continence needs have changed in the last 18months. AD use to be slightly mobile, when this was the case we would assist AD to the bathroom and onto the toilet and leave AD there until AD advised us that they had finished. AD’s mobility went downhill after going into hospital. AD is now unable to walk or transport themselves. This means that AD now wear a continence pad as AD is unable to get to the toilet without carers. We now use a steady to assist AD out of her chair and onto a commode. We then assist AD onto the commode and leave the room until AD advises us they are ready. With the change in AD’s ability to walk or get themselves to the toilet we had to discuss with AD how they would like us to attend to their continence issues now their circumstances had changed. This allows AD to be happy and comfortable with the help that we are providing.
We also speak to AD about how their lifestyle can affect their continence. For example, to avoid or help prevent any urinary tract infections we suggest that AD drinks plenty of water and also offer things such as Cranberry juice to keep a balance and regularity. We also talk about diet as we do not want...