Care Home Management

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Reduce moisture lesions with better continence care and training

Lisbeth Nursing Home is reducing incidents of moisture lesions for residents by implementing a new continence care strategy.

The home in Great Wyrley near Walsall, has partnered with care home products supplier Blueleaf Care to almost eliminate moisture lesions by using different products and undertaking specialist training.

The result has been better patient outcomes and less spending on additional creams and cleaning products.

A spokesman for Blueleaf says that best practice begins with high level staff training in continence care and assessing residents’ individual needs. The aim is to reduce someone’s stress and anxiety and improve their wellbeing.

The continence assessments include factors such as:

  • How frequently does the person goes to the toilet to urinate and defecate per day?
  • Is the person independent enough to feed, dress and bathe on their own?
  • Does the person’s gait suggest they are at risk of a fall?
  • Can the person recognise when they need the toilet and remember where it is?
  • Is it easy for enough for them to reach the toilet in time when they need to?
  • Current or previous medical history which may contribute to incontinence. For example, stress, anxiety, urine infections and any medication they are taking
  • What is their typical daily diet, including both food and drink?
  • Is the incontinence urinary or faecal?
  • Visual description of the faeces
  • Approximately how much urine is passed each day?

Following the assessment, carers choose the most suitable continence products for each resident from the Blueleaf range or refer them to other clinical specialists for advice and treatment options.

Care home manager Andrea Walker (above) says the decision to switch to Blueleaf has improved the level of resident care. “Having assessed the individual needs of all of our residents on a one-to-one basis, we use the complete range of TENA products from Blueleaf.”

She adds that preventing moisture lesions is a two-pronged approach of mobility and hygiene, and that choosing the right product for each individual helps with both aspects.

“Residents should be encouraged to use the toilet or manage their continence regime themselves, if they can, or with staff assistance so that they keep moving rather than becoming totally reliant on continence products,” says Walker. “The latest pads and pants are thin and come in different sizes so they fit and feel more like normal underwear, which helps with a residents mobility.”

The products also lie close to the skin and can reduce leakage by up to 50%compared to traditional continence pads.

Others pads and pants are triple layered, designed to quickly wick fluids away from the surface and keep skin dry, so that its natural protection is maintained, which is important for those who are more bed bound.

Where patients are immobile, carers need to regularly clean skin with a non-rinse, PH-balanced wash cream and then moisturise skin with lotions which create a protective barrier. They should also inspect the skin daily for early signs of pressure sores, such as discolouration.

Blueleaf Care also delivers Continence Care Learning Circle sessions, in partnership with experts from TENA to improve knowledge among care home staff.

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