Incontinence and pelvic health
Progress here is measured in weeks, and it is written down by the patient.
Clinic workflow
A course of continence care is a diary, a measurement, a home program and a supply that has to arrive. None of it is one visit, and none of it fits in a note.
Setup
The workspace arrives already stocked for this.
Choose Continence / Incontinence / Pelvic health when you set up and the rooms are already named the way you say them — Exam 1, Exam 2, Pelvic floor, Urodynamics, Procedure, Consult. The procedure list is already written: continence assessment, urodynamic study, post-void bladder scan, pelvic floor muscle training, biofeedback, pessary fitting, intravesical instillation, intermittent catheter teaching, percutaneous tibial nerve stimulation, and the bladder diary review.
Each one carries its own preparation and its own closing step, because the two ends of a continence appointment are where things get missed: ask the patient to bring a completed bladder diary before an assessment, confirm the residual and act on retention after a scan. The urodynamics system, the bladder scanner and the pelvic floor stimulator are in the equipment list with their service dates.
The work
What happens in LogBlues.
- The bladder diary comes with the workspace. Three days of intake, voids, leaks and urgency on one printable sheet, in the patient’s own hand. It is the document this whole specialty runs on, and you should not have to go and find one.
- Measurements stay in order. Residual volumes, pad counts, night-time voids — a column you can read down, not a number buried in six months of prose.
- A course of treatment holds together. Pelvic floor training and PTNS run over a set number of sessions; the record shows which session this is and how many are left.
- Supplies are a recurring order, not an errand. Briefs, pads and catheter supplies have a form with brand, size, quantity and reorder interval, and the inventory reorder point does the remembering.
- Pessary intervals do not slip. The fitting sets the change interval, and the follow-up is a task with a date rather than something the patient has to phone about.
The part nobody writes about
People wait years to walk in.
Most patients have had the symptom far longer than they have had the appointment, and many have never said it out loud to anyone. What that asks of software is small and specific: do not make them repeat it.
Their history is on the record, so the second visit does not start from the beginning. What they said sits with the clinician who is seeing them, not on a screen at the front desk. And the reminder that goes out says the clinic name and a time, because a letter that spells out the reason is a letter that can be read by somebody else in the house.
Who this fits
Pelvic floor therapy, continence nursing, urogynecology.
Small practices, mostly — one or two clinicians, a room, and a caseload that comes back every week for a couple of months. That shape is badly served: general therapy software has no bladder diary and no supply order, and a hospital system is priced for a hospital.
It is also a specialty that barely prescribes. Assessments, therapy, devices, supplies, education and referrals out — which means LogBlues can be the whole record here rather than one of two systems you keep in step.
Keep going
See the rest of the workspace.
Patients · Visits and notes · Forms and letterhead · Inventory · Women’s health