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INSERT LOGO Continence Assessment Form and Care Plan Name: Likes to be called: Room number: Date of Birth: Service user signature: Signature of Deputy/Lasting Power Attorney Prepared by: Print name:

How to fill out continence assessment form and

How to fill out continence assessment form:

1. Start by reading the instructions on the form carefully to understand the purpose and requirements of the assessment.
2. Provide accurate personal information in the designated sections, such as your name, age, gender, and contact details.
3. Answer the questions about your medical history, including any previous or current conditions or surgeries that may impact your continence.
4. Indicate the frequency and severity of your bladder and bowel movements, including any incontinence issues you may be experiencing.
5. Describe any medications or treatments you are currently undergoing that may affect your continence.
6. If applicable, provide information about any assistive devices you use, such as catheters or pads.
7. Be honest and thorough when answering all questions to ensure an accurate assessment.

Who needs continence assessment form:

1. Individuals who are experiencing bladder or bowel control issues, such as incontinence or frequent urination.
2. People with chronic health conditions, such as diabetes, multiple sclerosis, or spinal cord injuries, which might affect their continence.
3. Elderly individuals who may experience age-related changes in bladder or bowel function.
4. Patients preparing for surgeries or medical procedures that may have an impact on their continence.
5. Healthcare professionals who need to assess and monitor their patients' continence levels for diagnostic or treatment purposes.

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What is continence assessment form?

The continence assessment form is a document used to evaluate a person's ability to control their bladder and bowels.

Who is required to file continence assessment form?

Individuals who are receiving medical treatment or care that may impact their continence are required to file the continence assessment form.

How to fill out continence assessment form?

The continence assessment form can be filled out by a healthcare professional or caregiver who is responsible for monitoring the individual's continence.

What is the purpose of continence assessment form?

The purpose of the continence assessment form is to track changes in an individual's ability to control their bladder and bowels over time.

What information must be reported on continence assessment form?

The continence assessment form may require information such as frequency of urination, presence of incontinence, and any treatments or interventions being used.