Be a continence champion: use the CHAMMP tool to individualize the plan of care.

Full Abstract

In June 2005, the U.S. Centers for Medicare and Medicaid Services (CMS) issued revised guidance to surveyors for Section 483.25(d), Urinary Incontinence, Tag F315. Part 1 instructs that an indwelling catheter not be used without valid medical justification. Part 2 requires that a resident receive treatment to restore continence to the extent possible. Identification, assessment, and diagnosis of incontinence are crucial to preparing an individualized plan of care for treatment. Many articles discuss treatment protocols, but they do not focus on identification and assessment of the incontinent resident. The CHAMMP (Continence, History, Assessment, Medications, Mobility, Plan) Tool provides a comprehensive evaluation tool that incorporates information from the resident and provides the documentation necessary for the MDS (Minimum Data Set) and RAP (Resident Assessment Protocol) assessment process. It is used to establish an individualized plan of care.

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Author information

Author/s: Bucci, Ann T (AT);

Affiliation: Quincy Retirement Community, PA, USA.

Journal and publication information

Publication Type: Journal Article

Journal: Geriatric nursing (New York, N.Y.) (Geriatr Nurs), published in United States. (Language: eng)

Reference: -2007 Mar-Apr; vol 28 (issue 2) : pp 120-4; quiz 125

Dates: Created 2007/04/13; Completed 2007/06/26; Revised 2007/11/15;

PMID: 17430746, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Activities of Daily Living
Aged
Centers for Medicare and Medicaid Services (U.S.)
Clinical Protocols
Documentation
Geriatric Assessment - methods
Geriatric Nursing
Humans
Incidence
Medical History Taking

Mobility Limitation
Nursing Assessment - methods; standards
Nursing Homes
Nursing Records
Patient Care Planning - organization & administration
Practice Guidelines as Topic
Quality Indicators, Health Care
Risk Factors
United States - epidemiology
Urinary Incontinence - diagnosis; epidemiology; etiology; prevention & control

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