BEST OF THE BEST Total Incontinence Management Belmont Village Senior Living


The description of this program puts it bluntly: Incontinence is a widespread condition that ranges in severity and affects up to 49 percent of residents. But it has a common denominator: Nobody wants to talk about it. That silence can lead to negative outcomes: falls, skin problems, urinary tract infections (UTIs), psychological effects, sleep disturbances, and need for higher levels of care. Quality of life, freedom, and dignity can all be affected. Misconcep- tions about causes lead to spending time on ineffective inter- ventions. It’s also costly: Labor, products, laundry, and other associated concerns add up. Belmont Village took a research-based, comprehensive approach to improving life for residents and their families. In collaboration with Secure Personal Care Products, it de- veloped the TIM program: Total Incontinence Management. The consistent, systematic approach can be followed to good results by licensed and non-licensed caregivers. It centers on resident experience and takes in the whole of their health and environment.

It starts with education

The program is based on four pillars: Education, Protocols, Product, and Outcomes. All staff learn the facts and findings about causes, management, skin and bladder health, and product selection. Protocols refers to assessing, finding root causes, and slowing the rate of progression of incontinence— and included development of a simple assessment algorithm. Getting the right product for each individual is the aim of the third pillar. Belmont Village collaborates with the Secure manufacturers to communicate what residents really need and how products can better serve them and their caregivers. Finally, the community sets outcomes to measure consis- tently to judge success. Belmont Village focused on decreas- ing falls, decreasing UTIs, and staff surveys. It realized: • 28 percent average decrease in falls • 54 percent decrease in UTIs • Caregivers answered “agree to strongly agree” on surveys of better skin health and better mood among residents.

Belmont Village staff learn about products in TIM training.

“One resident suffered from a UTI every month. She hasn’t had one for nine months since we implemented the TIM program.”

Belmont Village also published three articles in the journal Geriatric Nursing. “One resident suffered from a UTI every month,” said one

executive director. “She hasn’t had one for nine months since we implemented the TIM program.” Families also praised the program because it allowed them to plan and purchase the right amount and the right kinds of products, so they don’t overspend or run out. Families can also speak to an expert on demand when developing or changing a care plan. The collaboration is continually working to improve the program and is working on products such as a video training library and continence training certification.


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