One-to-one physical assistance is Distance wheeled self required for: Farthest distance wheeled self at one time in the LAST 3 DAYS staff to push wheelchair; OR (includes independent use of motorized wheelchair) assistance with walking 0 Wheeled by others 1 Used motorized wheelchair / scooter 2 Wheeled self less than 5 metres 3 Wheeled self 5–49 metres 4 Wheeled self 50–99 metres 5 Wheeled self 100+ metres Continence ACFI 5 assessments Section H: Continence CA: Domain Mandated Records Continence P57- To determine and record the person’s pattern of bladder continence (control) over the last 3 days. Review clinical records and Frequency determines Rating Assessments No episodes of urinary flow/bowel charts, ask the person, validate with care staff, observation Revised Urinary Incontinence Scale- incontinence or self manages where inconsistent information. not suitable Incontinent urine < or = 1/day Revised Faecal Incontinence Scale- 1. BLADDER CONTINENCE 2-3 episodes daily of urinary not suitable 0 Continent—Complete control; DOES NOT USE any type of incontinence or passed urine catheter or other urinary collection device during scheduled toileting 1 Control with any catheter or ostomy over last 3 days > 3 episodes daily of urinary incontinence or passed urine 2 Infrequently incontinent—Not incontinent over last 3 days, but during scheduled toileting does have incontinent episodes No episodes of faecal 3 Occasionally incontinent—Less than daily incontinence or self manages 4 Frequently incontinent—Daily, but some control present Incontinent faeces 1 or = 5 Incontinent—No control present 2/week 8 Did not occur—No urine output from bladder in last 3 days 3-4 episodes weekly of faecal 2. URINARY COLLECTION DEVICE (Exclude pads / briefs) incontinence or passed faeces 0 None during scheduled toileting 1 Condom catheter > 4 episodes per week of 2 Indwelling catheter faecal incontinence or passed 3 Cystostomy, nephrostomy, ureterostomy faeces during scheduled toileting 3. BOWEL CONTINENCE 0 Continent—Complete control; DOES NOT USE any type of ostomy device 1 Control with ostomy—Control with ostomy device over last 3
One-to-one physical assistance is required for: staff to push wheelchair; OR assistance with walking Distance wheeled self Farthest distance wheeled self at one time in the LAST 3 DAYS (includes independent use of motorized wheelchair) 0 Wheeled by others 1 Used motorized wheelchair / scooter 2 Wheeled self less than 5 metres 3 Wheeled self 5–49 metres 4 Wheeled self 50–99 metres 5 Wheeled self 100+ metres Continence ACFI 5 assessments Mandated Records Frequency determines Rating No episodes of urinary incontinence or self manages Incontinent urine < or = 1/day 2-3 episodes daily of urinary incontinence or passed urine during scheduled toileting > 3 episodes daily of urinary incontinence or passed urine during scheduled toileting No episodes of faecal incontinence or self manages Incontinent faeces 1 or = 2/week 3-4 episodes weekly of faecal incontinence or passed faeces during scheduled toileting > 4 episodes per week of faecal incontinence or passed faeces during scheduled toileting Section H: Continence P57- To determine and record the person’s pattern of bladder continence (control) over the last 3 days. Review clinical records and flow/bowel charts, ask the person, validate with care staff, observation where inconsistent information. 1. BLADDER CONTINENCE 0 Continent—Complete control; DOES NOT USE any type of catheter or other urinary collection device 1 Control with any catheter or ostomy over last 3 days 2 Infrequently incontinent—Not incontinent over last 3 days, but does have incontinent episodes 3 Occasionally incontinent—Less than daily 4 Frequently incontinent—Daily, but some control present 5 Incontinent—No control present 8 Did not occur—No urine output from bladder in last 3 days 2. URINARY COLLECTION DEVICE (Exclude pads / briefs) 0 None 1 Condom catheter 2 Indwelling catheter 3 Cystostomy, nephrostomy, ureterostomy 3. BOWEL CONTINENCE 0 Continent—Complete control; DOES NOT USE any type of ostomy device 1 Control with ostomy—Control with ostomy device over last 3 CA: Domain Continence Assessments Revised Urinary Incontinence Scale- not suitable Revised Faecal Incontinence Scale- not suitable
acfi_review_report_part_3_appendices.docx