Mr. A urinates in the bed and his daughter is very upset. He ...

[ENagel]

Mr. A urinates in the bed and his daughter is very upset. He never said he wanted to pee. You people should do something You're responsible for taking care of him What is the best way to handle this situation?
 
  A. Instruct the UAP to clean up Mr. A and then stay with the patient.
  B. Clean up Mr. A yourself and have the daughter speak with the patient advocate.
  C. Instruct the UAP to clean up Mr. A while you obtain an order for an indwelling catheter.
  D. Clean up Mr. A and then talk to the daughter about ways that the staff/family can help.

Question 2

Cite examples or scenarios where you might decide to assist the incontinent patient in toileting, rather than delegating this task to the UAP.
 
  What will be an ideal response?

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Answer to Question 1

D

Answer to Question 2

Important Points:
 You may elect to assist patients if you need to assess abilities, such as undoing clothing fasteners or sitting and rising from the toilet seat.
 If you are trying to evaluate the outcomes of incontinence training or the patient's level of independence you may also elect to accompany the patient.
 If the UAP is busy and the patient will have to wait an unreasonable amount of time, you should help.
 If you are standing right in front of the patient and the patient asks for help, consider how it looks from the patient's point of view if you walk off to find someone else to assist.