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) | ||
| Example | Pt performed toileting with raised toilet seat with rails with minimal verbal and tactile assist due to decreased safety, balance, and coordination. | ||
| 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 | ||
| 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 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. | ||
| VC | Verbal and visual cues provided to caregiver for proper body mechanics while assisting pt with toileting. |
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