A continence assessment is a pivotal step toward understanding and managing bladder and bowel health. Conducted by a Continence Health Specialist, this assessment analyses an individual's bladder and bowel patterns and crafts a comprehensive management plan tailored to your unique needs.

2-10 participants

Referral Form We currently have capacity for adults aged 18 years and above. Please fill out the form below honestly and to the best of your ability. If you need any assistance, please give us a call. Call Us Referral Form Location * South Australia Queensland Victoria Western Australia New South Wales Northern Territory Tasmania Other Appointment Preference * Home Visit (location dependent) Telehealth Online eg Zoom Participant Information First name Participant's Phone Number Email Last name Emergency Contact Phone Date of Birth (18 years and above) Address NDIS Participant Reference Number (if applicable) Primary Diagnosis Reason for referral Plan Manager Choose an option Email address for invoices Full name of representative for service agreement Email address for service agreement Risk Assessment Substance abuse * Yes No Comment Mental health * Yes No Comment Aggressive or threatening behaviour * Yes No Behaviour triggers information Self harm * Yes No Comment Does the participant have a Behaviour Support Plan in place that may impact the service? If so, please provide details. Does the client consent to the service? * Yes No Referrer Information First name Referrer's Phone Number Last name Email Organisation Relationship with Client How did you hear about us? Submit

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Continence Assessment Referral form A continence assessment is an assessment performed by a Continence nurse specialist that examines an individual's bladder and bowel pattern and prepares a comprehensive management plan. Every 1 in 4 Australians is incontinent. Up to 10% of Australian males and 38% of women suffer from urinary incontinence. Faecal incontinence affects 6% of males and 10% of women in Australia. How frequently do you use the bathroom? Do you have any other medical conditions? What is your urine output? What do your bowel movements look like? How frequently and how much urine do you leak? How much fluid and food do you consume? What are your current medications? Are you able to use the restroom and perform ADLs (activities of daily living)? Questions asked during Continence Assessments How do we Continence Assessments perform We provide face-to-face, online telehealth through Microsoft Teams, and phone consultations. Our Telehealth and phone consultations are available throughout Australia! Your continence nurse will talk with you about your goals and what you want to accomplish. Your continence nurse will ask you questions about yourself, your medical history, your bladder, and bowel difficulties. Following your session, your continence nurse will create a full report that will be sent to you which include suggestions, therapies, continence products, and supports to help you to attain your goals. Your continence nurse may be able to assist you in setting accounts with appropriate continence aids suppliers. A complete assessment, detailed report, and continence product quote take at least 8-10 hours. If your requirements are complex or travel is required, additional hours may be required. Continence Assessments comes with the What else Continence Assessments We provide: We provide face-to-face, online telehealth and phone consultations. Our Telehealth and phone consultations are available throughout Australia! Please complete referral form before booking and we'll give you a call. Contact us for more information. Book Now Referral form