Monday, March 19, 2012

BLADDER MANAGEMENT-LEVEL OF ASSIST


Extra Extra read all about it: 


*If you are toileting the patient every two hours and they are dependent on you to remain continent score 1 (total assist) Please indicate that your patient is on a schedule on the IDD. (Believe it or not...there is a space for it.)


*If you have to flush the toilet, the patient becomes supervision or setup.


*If you have to position the urinal or bedpan the patient becomes a min assist.



BLADDER MANAGEMENT - Level of Assistance: Bladder Management - Level of Assistance includes the safe use of equipment or agents for bladder management. 

NO HELPER
7  Complete Independence—The patient controls bladder completely and intentionally without equipment or devices, and is never incontinent (no accidents).

6     Modified Independence—The patient requires a urinal, bedpan, catheter, bedside commode, absorbent pad, diaper, urinary collecting device, or urinary diversion, or uses medication for control. If catheter is used, the patient cleans, sterilizes, and sets up the equipment for irrigation without assistance. If the individual uses a device, (s)he assembles and applies an external catheter with drainage bags or an ileal appliance without assistance of another person; the patient also empties, puts on, removes, and cleans leg bag, or empties and cleans ileal appliance bag.

HELPER
5 Supervision or Setup—The patient requires supervision (e.g., standing by, cueing, or coaxing) or setup (placing or emptying) of equipment to maintain either a satisfactory voiding pattern or an external device in the past 3 days.

4 Minimal Contact Assistance—The patient requires minimal contact assistance to maintain an external device, and performs 75% or more of bladder management tasks in the past 3 days.

3 Moderate Assistance—The patient requires moderate assistance to maintain an external device, and performs 50% to 74% of bladder management tasks in the past 3 days.

2 Maximal Assistance—Patient performs 25-49% of bladder management tasks in the past 3 days.

1 Total Assistance—Patient performs less than 25% of bladder management tasks in the past 3 days.


COMMENT: The functional goal of bladder management is to open the urinary sphincter only when needed and to keep it closed the rest of the time. This may require devices, medications (agents), or assistance for some individuals. This item deals with the level of assistance required to complete bladder management tasks. If the subject does not void (e.g., subject has renal failure and is on hemodialysis or peritoneal dialysis), then code level 7 - Complete Independence.



8 comments:

  1. It was during my research on HIV/Herpes that I stumbled upon the Hiv/Herpes information; information which is quite easy to find when doing a search for STD on google. I was into conspiracy at the time thought of HIV/Herpes Cured' being a conspiracy was something Ignorance though,I found pretty interesting about herbal medicine. I asked questions about the Herbal cure's on official HIV/Herpes websites and I was banned for doing so by moderators who told me that I was parroting Hiv/Herpes propaganda. This reinforced my belief that there is a cure for Hiv/Herpes Then i found a lady from germany name Achima Abelard Dr Itua Cure her Hiv so I send him a mail about my situation then talk more about it and send me his herbal medicine I drank for two weeks.And today I'm Cured no Hiv/Herpes in my life,I searched for Hiv/Herpes groups to attempt to make contact with people in order to learn more about Hiv/Herpes Herbal Cure's I believed at this time that you with the same disease this information is helpful to you and I wanted to do the best I could to spread this information in the hopes of helping other people.That Dr Itua Herbal Medicine makes me believes there is a hope for people suffering from,Parkinson's,Alzheimer’s disease,Bechet’s disease,Crohn’s disease
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  4. I found out, that taking herbal treatment is the best to get rid of hpv as soon as i feel the symptoms of hpv is appearing, i took the healing process by contacting Dr onokun for natural treatment it works wonders, amazingly ever since I had the herbal treatment i have not feel these horrible disease anymore and my doc told me the virus is gone, i am glad i finally got cured out from this horrible disease. every hpv or herpes patients should also get in touch with this herbalist Dr to get ride of these disease forever his email address; dronokunherbalcure@gmail.com 

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  5. Great Dr. imoloa herbal medicine is the perfect cure for the HIV virus, I was diagnosed of HIV for 8 years, and every day I always looking for research to find the perfect way to get rid of this terrible disease because I always know that what we need because our health is on earth . So, on my internet search I saw several testimonies about how Dr. imoloa can cure HIV with powerful herbal medicines. I decided to contact this man, I contacted him for herbal medicines that I received via DHL courier service. And he guided me how. I asked him for a solution to take herbal medicine for two weeks. And then he instructed me to go check what I was doing. Look at me (HIV NEGATIVE). Thank God for Dr. Imoloa for using a powerful herbal remedy to cure me. he also has a cure for diseases such as Parkison's disease, vaginal cancer, epilepsy, anxiety disorders, autoimmune diseases, back pain, sprains, bipolar disorder, brain tumors, malignant, bruxism, bulimia, cervical disc disease, cardiovascular disease, cardiovascular disease, sprains, bipolar disorder, brain tumors, malignant, bruxism, bulimia, cervical disc disease, cardiovascular disease, cardiovascular disease, sprains, bipolar disorder, brain tumors, malignant, bruxism, bulimia, cervical disc disease, cardiovascular disease , chronic respiratory diseases, mental and behavioral disorders, Cystic Fibrosis, Hypertension, Diabetes, asthma, autoimmune mediated arthritis. Chronic kidney disease, arthritis, back pain, impotence, feta alcohol spectrum, Dysthymic Disorders, Eczema, skin cancer, tuberculosis, Chronic Fatigue Syndrome, constipation, inflammatory bowel disease, bone cancer, lung cancer, mouth sores, oral cancer, body pain, fever, hepatitis ABC, syphilis, diarrhea, Huntington's disease, back acne, chronic kidney failure, Addison's disease, Chronic Disease, Crohn's Disease, Cystic Fibrosis, Fibromyalgia, Inflammatory Bowel Disease, Fungal Nail Disease, Paralysis, Celia Disease , Lymphoma, Major Depression, Malignant Melanoma, Mania, Melorheostosis, Meniere's Disease, Mucopolysaccharidosis, Multiple Sclerosis, Muscle Dystrophy, Rheumatoid Arthritis, Alzheimer's Disease email- drimolaherbalmademedicine@gmail.com / or {whatssapp..+2347081986098} website- www.drimolaherbalmademedicine.wordpress.com

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  6. good day everyone. I am Sarah Wilson from France, i have been totally cured from a deadly disease called Fibrodysplasia Ossificans Progressiva {FOP} from a great herbalist, Sakura, he has brought happiness to my life.
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    if any of you out there leaving with (FOP) please contact herbalist via mail drsakuraspellalter@gmail.com or Whats-app +2348110114739
    You can also mail me for more information    good day everyone. I am Sarah Wilson from France, i have been totally cured from a deadly disease called Fibrodysplasia Ossificans Progressiva {FOP} from a great herbalist, Sakura, he has brought happiness to my life.
    i came to know about him on internet when taking a research on {FOP} cure,i found a post of David Clara testifying about the great work of this herbalist Doctor, that was when i got to know about the Herbalist Doctor ,i make contact with him and i told him my problem, we made a little conversation and send me his herbal medicine through {EMS DELIVERY SERVICE} few weeks i receive the medicine from the (EMS) at my doorstep.
    I used the herbs as the herbalist Doctor instructed me to, after some days of taking the herbal treatment all the pain was gone and my back bone became normal.
    herbalist sakura has restored my life .
    if any of you out there leaving with (FOP) please contact herbalist via mail drsakuraspellalter@gmail.com or Whats-app +2348110114739
    You can also mail me for more information sarahwilson33312@gmail.com

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  7. God bless Dr. Agbonhale for his marvelous work in my life, I was diagnosed of HERPES since 2018 and I was taking my medications, I wasn't satisfied i needed to get the HERPES out of my system, I searched about some possible cure for HERPES i saw a comment about Dr. Agbonhale, how he cured HERPES with his herbal medicine, I contacted him and he guided me. I asked for solutions, he started the remedy for my health, he sent me the medicine. I took the medicine as prescribed by him and 14 days later i was cured from HERPES you can reach him through his whatsapp +2349073130326 OR Email: dragbonhaleherbalhome@gmail.com

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  8. There is now a potent cure to this sickness but many are unaware of it. I discovered that I was infected with the virus 3 months ago, after a medical check-up. My doctor told me and I was shocked, confused and felt like my world has crumbled. I was dying slowly due to the announcement of my medical practitioner but he assured me that I could leave a normal life if I took my medications (as there was no medically known cure to Herpes) found that my case needed urgent attention as I was growing lean due to fear of dying anytime soon. In a bid to look for a lasting solution to my predicament, I sought for solutions from the herbal world. I went online and searched for every powerful trado-medical practitioner that I could severe, cos I heard that the African Herbs had a cure to the Herpes syndrome. It was after a little time searching the web that I came across Dr Oyama, A powerful African Herbal Doctor), who offered to help me at a monetary fee. I had to comply as this was my final bus-stop to receiving a perfect healing. My last resolve was to take my life by myself, should this plan fail. At last it worked out well. He gave me some steps to follow and I meticulously carried out all his instructions. Last month, to be precise, I went back to the hospital to conduct another test and to my amazement, the results showed that negative, Page: Can As Well Cure The Following Disease… Cancer, Hiv, Herpes, Shingles, Hepatitis ,Diabetes, Fibroid, Parkinson's, Alzheimer’s disease, Bechet’s disease, Crohn’s also with Autism kindly contact Oyama directly droyamasolutiontemple@gmail.com also WhatsApp +2348108264684 .













    There is now a potent cure to this sickness but many are unaware of it. I discovered that I was infected with the virus 3 months ago, after a medical check-up. My doctor told me and I was shocked, confused and felt like my world has crumbled. I was dying slowly due to the announcement of my medical practitioner but he assured me that I could leave a normal life if I took my medications (as there was no medically known cure to Herpes) found that my case needed urgent attention as I was growing lean due to fear of dying anytime soon. In a bid to look for a lasting solution to my predicament, I sought for solutions from the herbal world. I went online and searched for every powerful trado-medical practitioner that I could severe, cos I heard that the African Herbs had a cure to the Herpes syndrome. It was after a little time searching the web that I came across Dr Oyama, A powerful African Herbal Doctor), who offered to help me at a monetary fee. I had to comply as this was my final bus-stop to receiving a perfect healing. My last resolve was to take my life by myself, should this plan fail. At last it worked out well. He gave me some steps to follow and I meticulously carried out all his instructions. Last month, to be precise, I went back to the hospital to conduct another test and to my amazement, the results showed that negative, Page: Can As Well Cure The Following Disease… Cancer, Hiv, Herpes, Shingles, Hepatitis ,Diabetes, Fibroid, Parkinson's, Alzheimer’s disease, Bechet’s disease, Crohn’s also with Autism kindly contact Oyama directly droyamasolutiontemple@gmail.com also WhatsApp +2348108264684 .

    ReplyDelete