Class Author

Debra Collins
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As CEO and President of LTCS Books, Inc., Debra maintains a knowledge base and writes weekly articles on long term care and home health care federal regulatory changes.


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Toileting and Elimination

This inservice is designed for long term care nursing assistants and CNA's, and provides information on constipation, urinary incontinence, urinary catheter care, and urinary tract infections. Specific interventions for the prevention and treatment of each kind of urinary incontinence are described.


On completion of this course, the participant will be able to: 

  1. List three reasons why elderly persons are more prone to constipation. 
  2. Explain why a fecal impaction is a Sentinel Event. 
  3. Describe how to track and report bowel movements. 
  4. List four undesirable consequences of urinary incontinence. 
  5. Define urge incontinence, stress incontinence, and functional incontinence. 
  6. Explain the methods of bladder retraining, Kegel exercises, and prompted voiding. 
  7. Name three general interventions for urinary incontinence. 
  8. Describe proper catheter care and perineal care techniques. 
  9. Explain proper placement of catheter tubing and bag.
  10. Outline proper technique of emptying a catheter bag and reporting findings. 
  11. List four signs and symptoms of a urinary tract infection. 
  12. Name three interventions for the prevention and treatment of a urinary tract infection.


Chapter 1: Introduction

Chapter 2: Consipation

The Elderly and Constipation
Consequences of Constipation
Tracking Bowel Movements
Prevention and Treatment of Constipation 
Chapter 3: Urinary Incontinence

Possible Undesirable Effects of Urinary Incontinence
Urge Incontinence
Stress Incontinence
Functional Incontinence
Bladder Retraining / Rehabilitation
Kegel Exercises
Prompted Voiding
General Interventions
Individualized Interventions 

Chapter 4: Urinary Catheters

Urinary Catheters
Catheter Care and Perineal Care
Catheter Tubing and Bag
Emptying the Catheter Bag
Monitoring Catheters for Problems 
Chapter  5: Urinary Tract Infections

Elderly Persons and UTIs
Signs and Symptoms of UTIs
Interventions to Prevent and Treat UTIs


Course Snapshot

Cost: $ 10.00
Contact Hours: 1


Upon successful completion the Home Health Aid or Nurse Assistant will receive a Certificate of Completion for 1.0 inservice contact hour(s).
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