Implementing and sustaining evidence-based practices in long-term care.

Continence and Contispation

The following resource is designed to assist Long-Term Care (LTC) homes with the implementation of the following Best Practice Gudielines:

  • Promoting Continence Using Prompted Voiding
  • Prevention of Constipation in the Older Adult Population 
  • Ostomy Care and Management

Documents found in this resource are evidence-based, but it is not a program plan. Each LTC home is unique and each home is in various stages of guideline implementation. LTC homes are advised to use the resource at their discretion. For those resources that have copyright notations, it is recommended that LTC homes obtain permission from the primary author prior to implementing them within their setting. The Toolkit is a dynamic resource, and is being updated and revised on a regular basis by the LTC Best Practices Program team. Visit this site often to see what's new!

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Training Your Bladder to Help Prevent and Correct Bladder Control Problems

This information sheet from the Canadian Continence Foundation- describes what bladder training is, provides tips to decide whether bladder training is feasible and how to get started.

Retrieved from: https://static1.squarespace.com/static/65a5be5a40b6451450a341e1/t/662badf174edb437138841a2/1714138610191/TrainingYourBladder.pdf

 

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Pelvic Muscle Exercises – Kegel Exercises for Urinary Incontinence

This resource from the Canadian Continence Foundation explains pelvic muscle exercises, how they may help with incontinence and how to properly perform them.

Retrieved from: https://static1.squarespace.com/static/65a5be5a40b6451450a341e1/t/662badc92a66f708cd6df4cf/1714138569848/pelvicmuscleexercises.p

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The Canadian Continence Foundation - Website

This comprehensive website from the Canadian Continence Foundation has resources on both urinary and fecal incontinence. Including information about bladder health, causes of urinary incontinence, diagnosis and treatment of urinary incontinence, pamphlets and videos. 

Reference: The Canadian Continence Foundation. Retrieved at: https://www.canadiancontinence.ca/

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Dementia and Bladder and Bowel Control

This comprehensive factsheet provides information to assist with the prevention and management of bladder and bowel problems in people with dementia.
Reference: Australian Government (2016). Dementia and bladder and Bowel Control, retrieved Aug. 4, 2022 from https://www.health.gov.au/resources/publications/dementia-and-bladder-an...

© Commonwealth of Australia I Department of Health and Aged Care
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UTI Program (PHO) - Evidence to Support Discontinuing the Use of Dipsticks to Diagnose a UTI in residents of LTCHs

This fact sheet is part of Public Health Ontario’s Urinary Tract Infection (UTI) Program. It succinctly describes the evidence for not using dipsticks to diagnose UTI’s. Is suitable for sharing with staff, residents and families.

Reference: Public Health Ontario (PHO). Revised 2019.Urinary Tract Infection (UTI) Program Evidence to Support Discontinuing the Use of Dipsticks to Diagnose a UTI in Residents of Long-Term Care Homes (LTCHs) https://www.publichealthontario.ca/-/media/Documents/U/2016/uti-dipstick...

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UTI Program (PHO) - Management of UTIs in Non-catheterized Long-Term Care Home Residents

This PowerPoint presentation is part of Public Health Ontario’s Urinary Tract Infection (UTI) Program. It provides an overview of how to implement a UTI program.

Reference: Public Health Ontario (PHO). 2017.  UTI Program (PHO) Management of UTIs in Non-catheterized Long-Term Care Home Residents. http://www.publichealthontario.ca/en/BrowseByTopic/IPAC/Documents/UTI_Pr...

© 2017 Ontario Agency for Health Protection and Promotion

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UTI Program (PHO) - Sample Policy and Procedure for Assessment and Management of UTIs in Non-catheterized Residents

This policy and procedure is part of Public Health Ontario’s Urinary Tract Infection (UTI) Program. It is a comprehensive policy that could be adapted by long term care homes and other health care organizations. It is complimented by a guidance document available on the PHO website.

Reference: Public Health Ontario (PHO). Revised 2019. UTI Program: Sample policy and procedure for assessment and management of urinary tract infections (UTIs) in non-catheterized residents. Retrieved from https://www.publichealthontario.ca/-/media/Documents/U/2018/uti-sample-p...

 

 

 

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UTI Program (PHO) - Assessment Algorithm for UTIs in Medically Stable Non-catheterized Residents

This is a one-page algorithm that is part of Public Health Ontario’s Urinary Tract Infection (UTI) Program. It clearly describes signs and symptoms of UTI’s and promotes ‘watchful waiting’ as an acceptable alternative before treating probable UTI’s. Is suitable for posting on a bulletin board.

Reference: Public Health Ontario (PHO). 2019. Assessment algorithm for urinary tract infections (UTIs) in medically stable non-catheterized residents. Accessed Mar. 13, 2019. http://www.publichealthontario.ca/en/BrowseByTopic/IPAC/Documents/UTI_As...

© 2019 Ontario Agency for Health Protection and Promotion

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UTI Program (PHO) Urinary Tract Infection (UTI) Program

Public Health Ontario (PHO) has developed the Urinary Tract Infection (UTI) Program in response to concerns about the overuse of antibiotics for presumed UTI's in residents in long-term care homes (LTCHs) and the associated antibiotic-related harms. The Program contains a number of tools for assessment, planning, implementation and evaluation of a program to reduce UTI’s in LTC homes.

Reference: Public Health Ontario (PHO), 2019. Urinary Tract Infection (UTI) Program.

Retrieved Aug. 4, 2022 from https://www.publichealthontario.ca/en/Health-Topics/Antimicrobial-Stewardship/UTI-Program

© 2022 Ontario Agency for Health Protection and Promotion

 

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