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Continence management

Quality statement

Patients with stroke who have continued loss of bladder control 2 weeks after diagnosis are reassessed to identify the cause of incontinence, and have an ongoing treatment plan involving both patients and carers.

Quality measure

Structure

Evidence of local arrangements to ensure that patients with loss of bladder control at 2 weeks are reassessed and have treatment plans implemented involving both patients and carers.

Process

The proportion of patients with loss of bladder control at 2 weeks who were reassessed to identify the cause, and had a treatment plan implemented involving patients and carers.

(a) Numerator: the number of patients reassessed to identify the cause.

Denominator: the number of stroke patients with loss of bladder control at 2 weeks.

(b) Numerator: the number of patients with a treatment plan involving both patients and carers.

Denominator: the number of patients with stroke who have loss of bladder control at 2 weeks.

Description of what the quality statement means for each audience

Service providers ensure that all patients with loss of bladder control at 2 weeks are reassessed to identify the cause and have treatment plans implemented, involving both patients and carers.

Health and social care professionals ensure that all patients with loss of bladder control at 2 weeks are reassessed to identify the cause and have a treatment plan implemented, involving both patients and carers.

Commissioners ensure that services are in place to ensure that service providers reassess and treat all patients with loss of bladder control at 2 weeks appropriately.

Patients with loss of bladder control at 2 weeks can expect to be reassessed to identify the cause, and have a treatment plan implemented involving both patients and carers

Definitions

Patients with stroke who have continued loss of bladder control 2 weeks from diagnosis should only be discharged home with continuing incontinence after carers (family members) or patients are fully trained and adequate arrangements for social services and a continuing supply of continence aids are confirmed and in place.

Data source

Structure

Local data collection.

Process

Local data collection. Trusts can collect data via the Sentinel Stroke Audit and local data collection.

Stroke
Ambulance screening and transfer to an acute stroke unit
Neuro-imaging
Admission of patients with suspected stroke
Swallowing screening and nutrition management
Assessment and management of patients with stroke
Ongoing inpatient rehabilitation
Ongoing rehabilitation
Continence management
Mood disturbance and cognitive impairments
Ongoing outpatient rehabilitation assessment
Carer provisions

This page was last updated: 22 November 2010

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Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright @ 2012 National Institute for Health and Clinical Excellence. All rights reserved.