Home Toileting

Select	Name	Description	Delete
	Bladder retraining	TImed voiding builds capacity. training on "just in case" peeing Use distraction, breath, and pressure cues to delay urge Diaphragmatic breathing and pressure regulation: "Breathe into your ribs and belly like an umbrella" -Practice in supine/seated/standing -cue exhale w/ effort (lifting, transitional)
	Education	on cleaning thoroughly after toileting by using wash clothes/wipes and instructions to clean front to back.
	Example	Pt performed toileting with raised toilet seat with rails with minimal verbal and tactile assist due to decreased safety, balance, and coordination.
	Facilitated toileting hygiene	with reach activity. Physical assistance with adjusting posture and body position in squat and cues for increasing ROM with shoulder internal rotation Verbal cues for sequencing and use of UUE support for safety with balance Facilitated visual cue with colored paper to maximize ROM with reach in order to improve independence with toileting hygiene Verbal cues for increasing BOS for more stability with rotation and dynamic standing balance during toileting task
	HEP EMOM 12	MIN 1: 3 x 5 Sit to Stands MIN 2: 3 x 10 Heel Raises MIN 3: 3 x 10 jumping jacks MIN 4: 3 x 10 marches
	HEP suggestions for pt w incontinence	w/ diaphragmatic breathing exercise, glute bridges, standing postural alignment drills, urge suppression techniques, and toileting posture practice.
	Patient	has difficulty reaching posterior to clean body and reaching forward to obtain supplies, requiring physical assistance
	Posterior reach act	Verbal cues for increasing trunk rotation to reach posterior. Physical assist at hips to rotate core/trunk. Facilitated posterior reach for safety with adjusting clothing behind back during toileting./ for peri care. Verbal/visual cues for slight bend in knees for stability while turning and reaching posterior
	Postural training	Pt education on seated/standing posture for bladder support, core activation w/ exhal during transitional tasks. Bladder Retraining: Pt instructed in timed voiding, fluid intake, and urge suppression strategies (breathing, distraction, perineal cueing. Pt trained in toileting posture ( feet supported, slight forward lean, and relaxed breathing)
	Provided	tactile cues for hand placement for use of grab bar during toileting. physical assist for loss of balance immediately upon standing during dressing task. physical assistance during standing to adjust pants over waist. min physical assist due to mild loss of balance to the left upon standing during dressing task. verbal and visual cues to caregiver for proper body mechanics while assisting pt with toileting. increased time due to fatigue. Educated on energy conservation strategies. verbal cues for safety with walker while standing during dressing task. physical assistance during dressing task to donn pants over waist.
	Pt	participates in toileting task, LB clothing management, and grooming act. Doff/donns brief and pants at _. Peri care completed after void/BM at ___. Washes hands standing/w/c level at ___.
	Pt ed	on appropriate peri-hygiene technique with toileting to prevent UTIs. Visual aid and verbal simulation demo for pt to observe and reteach the technique to increase carryover for toileting task.
	Pt engages in toileting task	,LB clothing management, and grooming act. Doffs/donns pants at -----. Tactile cues for hand placement for use of grab bar during toileting. Peri care after void/ Min-- Mod --Max --BM. Hand hygiene completed at w/c level/standing at sink side at ---. Education on unilateral support during clothing management to decrease fall risks.
	toilet	Pt performed toileting with raised toilet seat with arm rest with minimal verbal and tactile assist due to decreased safety, balance, and coordination. Patient has difficulty reaching posterior to clean body and reaching forward to obtain supplies. Provided tactile facilitation on shoulder girdle to maximize ROM.
	toilet txf	Pt completed dressing, toileting, and hygiene w/ ___ a for sitting balance. for sequencing. for activities requiring fine motor dexterity. adhere to hip precautions. adhere to spinal precautions.
	TOILET TXF	Physical assist w/ BLE sequence and guiding hips to descend for safe toilet txf due to postural instability and decreased strength.
	Training on	AD long reach comfort wipe for toileting task. Demo provided for pt to observe.
	VC	Verbal and visual cues provided to caregiver for proper body mechanics while assisting pt with toileting.

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Pt participates in toileting task, LB clothing management, and grooming act. Doff/donns brief and pants at _. Peri care completed after void/BM at ___. Washes hands standing/w/c level at ___.

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