Bowel, Bladder Continence care plan

STROKE CARE PLAN: BLADDER & BOWEL CONTINENCEEmpty urinary drainage bag every 8 hours.PSW/HCAReport any change in output in a 4 hourperiod; pain in abdomen, pelvis or at catheterinsertion site; restlessness or agitation;change in colour of urine; blood in urine; foulsmellingdrainage around catheter; urineleakage around catheter; fever, chills, shaking,delirium or confusion.PSW/HCAEducate resident/family on urinary tractinfection and interventions.PSW/HCA/RegisteredStaffConstipation related toweakened rectal muscles due tostroke.Resident will notexperienceconstipation.Observe document and report signs of bowelproblems such as constipation, abdominalpain, rectal bleeding, liquid stools, constantstraining with bowel movements, fever, weightloss or no bowel movement in at least 3 days.PSW/HCAMaintain a record of all bowel movements.PSW/HCAMaintain a record of diet and fluid intake.PSW/HCAObserve for skin breakdown around perinealand rectal area and report to registered staff.PSW/HCAAssist resident to participate in physicalactivities that are of interest.PSW/HCAAdjust diet to reduce or treat constipation.DietaryDocument a routine toileting schedule.Registered StaffAssist resident to adhere to toileting schedulethrough prompting and/or assistance withmobility and clothing.PSW/HCAPage 4 of 5