IC5 Collaborative Project The Great Big C

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IC5 Collaborative ProjectThe Great Big C

• Cathy Macdougall RPN
• Andrea Natale OT
• Sue Rivers CNO
• Christine Todoroff RD
• Lynn Zammit PT
• Susan Woods RN, NCA (Team Leader)

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Our TeamThe Great Big C
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Multidisciplinary TeamPhysiotherapist

• Assess mobility on an ongoing basis
• recommend necessary ambulatory equipment
• Include toilet transfers as part of ongoing
  therapy

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Multidisciplinary Team Occupational
Therapist

• assess mobility and recommend appropriate
  wheelchairs
• recommend equipment , techniques and adaptive
  clothing to facilitate successful toileting and
  ADLs
• Recommend environmental setup for safety and
  success in toileting

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Multidisciplinary TeamSpeech Language
Pathologist

• Assess swallowing and communication skills
• Provide recommendations for safe fluid
  consistency
• Provide individual communication tools to help
  patients communicate their toileting needs

Ariels Communication Book
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Multidisciplinary TeamDietitian

• Assess nutrition and hydration status
• Provide safe fluid consistency
• Assist with fluid management
• Assist with managing constipation

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Multidisciplinary TeamNursing

• complete assessments with assistance of resource
  nurse and NCA
• Collaborate with the MD team
• Help to problem solve toileting issues 24/7
• Creative approach to continence management

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Orientation Continence Curriculum

• 7 days for RPNs
• 10 days for RNs
• Case Scenarios
• Myths
• Types of UI
• Contributing factors
• Treatment options

• Ariel Family

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The Great Big CChallenges

• Develop more resource nurses
• Dedicated Nurse Continence Advisor hours
• Ad hoc huddles
• Revised the assessment form
• Added Continence Assessment to Rehab Pathway
• Visual cues (orange stickers) for prompted
  voiding for patient and staff

• Limited resources of IC5 team
• Completing assessments
• Patients with Dementia

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The Final WordWhat our patients say!!!!