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D - Bladder Continence

Suggested Best Practice Indicators are: Best Practice Indicators How is it measured? Who measures it? Where? When is it idealy measured? 1. The organization conducts an initial bladder function assessment, at admission, that includes urgency/ frequency and urodynamics (including cystometry, urethral pressure profile, post-void residuals). Counts Program Quarterly 2. The organization implements documented protocols and procedures to maintain and sustain bladder function and kidney health, annually for five years, and every second year thereafter. Counts Program Annual 3. The organization educates staff on neurogenic overactive bladder and management strategies. Counts Program Quarterly 4. Prior to discharge, 100% of patients receive, understand and apply bladder management methods, as provided through a structured and individualized educational program (one-on-one or group workshops, demonstrations, technique practice and written materials), mediated by SCI specialist health professionals. Counts Program Annual 5. The organization monitors its success in maintaining and sustaining bladder continence, and incorporates data into continuous, rapid quality-improvement cycles for inpatients. Incidence of deteriorating renal function long term is monitored. Incidence/ Prevalence Program Quarterly Anticipated Outcomes of a Culture of BPI and Knowledge Innovation through Establishment of Accreditation Canada’s SCI Distinction Program (AC-DSCI): If a neurogenic bladder and renal healthcare policy platform exists to facilitate BPI, knowledge innovation and AC-DSCI compliance (as the ultimate goal for SCI rehabilitation), these are the anticipated results: • Standardized and consistent best practices across continuum of care, including acute care, subacute rehabilitation and long-term follow up • Improved quality of life of all individuals, including those living in the community • Improved renal and bladder health for those living in the community • Enabled individual self-management • Decreased healthcare costs • Increased economic contribution of individuals and in the community. BLADDER CONTINENCE | BODY STRUCTURE AND FNUCTION 59


D - Bladder Continence
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