I am a nurse at a home for people with mental illness, many who also are DD. We do NOT do skilled nursing. I have a resident who has terrible urinary incontinence. She is middle aged and ambulatory, cognitive impairment, and just does not recognize when she is incontinent. We have set up behavior management plans with her, but it is not working. The constant smell is affecting other residents. Her county case manager suggests I see about her getting an indwelling foley and she will send around a skilled nurse every month to change it out. SHE SAYS THIS IS OFTEN DONE. This seems ridiculous. Has anyone ever heard of this? Forget the fact that my resident is not capable of doing her own cath care or irrigation, and we are not skilled nursing, but is this something that is actually done??? Basically a catheter for convenience?