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Addressing Incontinence in Home Health: An Occupational Therapist's Perspective

presented by Krista Covell-Pierson, OTR/L, BCB-PMD

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Disclosure Statement:

Financial: Krista Covell-Pierson receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial:  Krista Covell-Pierson has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 34 Minutes; Learning Assessment Runtime: 28 Minutes

Incontinence in older adults increases fall risk, potential urinary tract infections, skin breakdown, depression, social withdrawal, fatigue, and embarrassment. Occupational therapy professionals can improve clients' quality of life by addressing bowel and urinary incontinence more thoroughly when the client is enrolled in home health. If OT professionals do not integrate incontinence treatment strategies into their interventions, clients with the issues listed above are put at risk unnecessarily, and it can even lead to re-hospitalizations.

Please note: at the time of filming, occupational therapy practitioners did not complete OASIS assessments. As of January 2022, occupational therapy practitioners can now perform this task. Please refer to this course for more information: OASIS-E: Sections H, I, J, and K

Meet Your Instructor

Krista Covell-Pierson, OTR/L, BCB-PMD

Krista Covell-Pierson, OTR/L, BCB-PMD, owns an innovative private practice, Covell Care and Rehabilitation, which aims to help adult and older adult clients become safer, more independent, and engaged in the home and community through a unique and one-of-a-kind model. Krista developed this model from the ground up, and it allows clients to access OT, PT,…

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Chapters & Learning Objectives

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1. Understanding Incontinence

In this chapter, therapists will learn how to assess urinary and bowel incontinence appropriately when meeting a new client. It's important to watch for clues that may indicate incontinence issues when assessing a client. Normalizing the conversation for the client and building rapport will also be covered.

2. Evaluations and Inquiry

This chapter aims to normalize the conversation about incontinence and build rapport with the client. Assessing the client's environment related to incontinence and identifying risk factors are covered.

3. Teaching Clients About Pelvic Anatomy and Urinary/Bowel Function

This chapter reviews the pelvic anatomy and urinary/bowel function. Normal bladder and bowel habits are discussed, as well as how to educate on different types of incontinence.

4. Treating Bowel Dysfunction: The Basics for OTs

This chapter provides an overview of tools and handouts to use while investigating the bowel habits of a client. Understanding the role of fiber and knowing common bowel irritants are also covered.

5. Treating Bladder Dysfunction: The Basics for OTs

This chapter reviews clients' specific urination habits to identify the incontinence type they're experiencing. The urge suppression technique and incorporating pelvic floor exercise programs are included.

6. Helpful Hints and Tips

This chapter discusses how to balance incontinence with additional goal areas. Strategies to integrate into social and community activities are also covered.

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