Development of a Toileting and Containment Decision Support Tool

J Wound Ostomy Continence Nurs. 2020 Jan/Feb;47(1):54-64. doi: 10.1097/WON.0000000000000609.

Abstract

A multidisciplinary international expert panel was convened to provide input for a proposed decision support tool. This tool will assist health care professionals who are not specialized in incontinence care to assess individuals with urinary and/or fecal incontinence and recommend appropriate person-centered management options for the home care and ambulatory community settings. A targeted literature review was complemented by a series of interviews with experts in continence management, followed by a practitioner survey and rounds of expert opinion. A set of factors for assessment were defined, along with questions created to identify and quantify the factors. In addition, a range of lifestyle intervention, toileting and containment strategies were identified that were appropriate for the decision support tool. Future steps required to progress this work to a functioning tool are described.

MeSH terms

  • Activities of Daily Living
  • Consensus
  • Decision Support Techniques*
  • Fecal Incontinence / physiopathology
  • Fecal Incontinence / therapy*
  • Humans
  • Patient-Centered Care / methods
  • Self Care
  • Urinary Incontinence / physiopathology
  • Urinary Incontinence / therapy*