VA/DoD Clinical Practice Guideline for the Management of Stroke Rehabilitation in the Primary Care Setting, Feb. 2003

Department of Veterans Affairs, Veterans Health Administration

Format             Guidelines

These guidelines include recommendations on assessing bladder function in acute stroke patients, including assessment of urinary retention through the use of a bladder scanner or an in-and-out catheterization, measurement of urinary frequency, volume, and control, and the presence of dysuria. Recommendations also include considering removal of the Foley catheter within 48 hours to avoid increased risk of urinary tract infection and the use of silver alloy-coated urinary catheters, if a catheter is required. It is also suggested that an individualized bladder training program be developed and implemented for patients who are incontinent of urine. Prompted voiding in stroke patients with urinary incontinence and a bowel management program in patients with persistent constipation or bowel incontinence are recommended.

Contact URL    http://www.oqp.med.va.gov/cpg/STR/STR_base.htm        

Contact Agency

Department of Veterans Affairs

Veterans Health Administration

Office of Quality and Performance (10Q)

810 Vermont Ave. NW

Washington, DC 20420