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D347. Bladder diaries

Q

What is a bladder diary? Should we be using them with our residents?

A

A bladder diary is a record of an individual’s daily urinary habits, kept manually or electronically. The objective is to help doctors understand the details of a person’s problem with incontinence or the risk of incontinence by having as full a picture as possible of what is or might be going wrong.

To be helpful, a diary needs to record all or most of the following information:

It may also be useful to include some details of the activities the person was involved in, and a doctor may suggest additional items to be recorded such as where a leak occurred and what was going on at the time; activities like movement, exercise or sneezing can provoke leaks.

Usually, three or four days is long enough for a diary to provide information to help a diagnosis, but again a doctor’s guidance should be followed. Many people find that keeping a diary provides insights for themselves, such as that they have been avoiding certain activities to minimise accidents. Clearly, keeping a diary is quite a complicated process and residents in homes may need a good deal of help from staff. Equally obviously, in such an intimate area, such help needs to be provided very sensitively.


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Next review date: this policy is reviewed annually (every 12 months). When needed, this policy is also updated in response to changes in legislation, regulation, best practices, or organisational changes.

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