Continence Product Assessment

**Continence Pad Assessment/Reassessment** Location Patient's home. Patient given consent for assessment Carers present if appropriate Carers were present during the assessment. Present condition The patient is a 78-year-old female presenting with urinary incontinence and occasional fecal incontinence. She reports a decline in continence over the past six months. History of present condition The patient reports a history of urge incontinence, with episodes of leakage occurring several times a day. She also experiences occasional fecal incontinence, particularly after meals. She has tried various pads, but they are not always effective. PMH Past medical history includes hypertension, osteoarthritis, and a previous hysterectomy. Medication Patient is currently taking Lisinopril 10mg daily for hypertension and paracetamol as needed for pain. Allergies No known allergies. Social history The patient lives at home with her husband. She is independent with activities of daily living but has limited mobility due to osteoarthritis. Mobility level Patient ambulates with a walking stick. District nurses or Care Agency Involved. If so what package of care provided District nurses are involved, providing assistance with personal care twice a week. **Bladder function** Number of voids a day 8-10 Urgency Yes Urge incontinence Yes Nocturia Yes, 2-3 times per night. SUI No Functional incontinence No **Bowel function** Frequency Once every 2-3 days. Bristol Stool Score Type 1-2 FI Yes, occasional. Current Management Plan/Pads used/NHS supplied Currently using Tena Slip Maxi pads, supplied by the NHS. ** ** Skin condition Skin is intact, with no signs of irritation or breakdown. Current skin cleansing regime Patient uses water and a mild soap for cleansing. Current barrier cream used and how often applied No barrier cream is currently used. If not email surgery emailed requesting prescription Yes No What was suggested? Surgery was emailed requesting a prescription for a different type of pad. Urinalysis Not performed. PVRV Not performed. Fluid chart provided No Waist measurement 38 inches Hip measurement 42 inches Demonstrated fitting Yes Fitting guide given Yes Samples ordered Yes, samples of a different pad type were ordered. ** ** **Patient given consent for NHS supply HDS to receive my personal information so that they are supplied with the correct products for their care.** Yes No