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A Predictable Routine to End Anxiety with Our Toileting and Continence Care

We’re the Safety Net for Discrete In Home Toileting and Continence Care

We understand the anxiety of not knowing when the next emergency will happen. It’s the silent stress of asking yourself, “What if the accident happens while I’m having dinner with family or while I’m watching a movie in the theater.”

Our toileting and continence support isn’t only about hygiene; it’s about restoring your confidence. We replace unpredictable emergencies and embarrassments with predictable routines. We allow you to walk into every social setting, event, or outing feeling completely secure and comfortable.

Our Toileting and Continence Services

A key component of our extensive home care services is our toileting and continence care. At Impactful Home Care, we assist you or your loved ones with your bathroom needs, so you can continue to live comfortably at home, away from the cold and bare walls of assisted living facilities.

We’re aware these services are critical. That’s why it’s our priority to ensure these services are accessible to you. These long-term, home care services may be covered by a variety of payment methods, including the Pennsylvania Caregiver Support Program, the Consumer Directed Personal Assistance Program (a Medicaid state program), veteran benefits, and select private insurance plans.

Dignified Toileting Assistance

It’s not easy for many of our clients, especially those experiencing new challenges, to ask for toileting and continence assistance. It’s embarrassing.

Some clients wear colostomy bags. Other clients may involuntarily urinate at night due to their health conditions. These clients can be horrified at the thought of having our personal assistants help them with what they believe to be shameful or unbearable tasks.

Our professional caregivers know these tasks aren’t burdens but a natural part of a medical condition. They assure clients there’s no shame in these meaningful tasks, and the clients’ goals are to focus on their health.

Also, the aides always respect the client’s privacy by implementing the following:

  • Treating each task with professionalism.
  • Providing maximum privacy whenever possible.
  • Using respectful, non-judgmental language during interactions.
  • Knocking before entering a client’s room.
  • Explaining each step before starting the step to ensure the client understands what’s happening and gives consent.

Attentive Continence Care and Scheduling

Our professional caregivers are also vigilant in reducing the number of continence incidents from occurring by creating a personalized continence routine.

This care plan takes the following into consideration:

  • Looking for patterns: Monitoring when clients normally use the bathroom and noting any triggers that cause bathroom use.
  • Making a schedule: Developing a bathroom schedule based on the observed toileting pattern to help predicate bathroom use.
  • Modifying diets: Identifying and managing dietary triggers. Also, encouraging fiber intakes to promote bowel movement and support bladder health.
  • Creating easy bathroom access: Making sure clients have an easy time getting to the bathroom and implementing bathroom modifications, such as raised toilet seats, grab bars, and improved lighting.
  • Check-ins: Consistently asking the client if the program is working to determine if changes need to be made.

This vigilant care can reduce a client’s discomfort and prevent infections.

Skin Care to Avoid Infections

Poor toileting hygiene may cause skin infection. It’s important for our personal aides to frequently inspect clients’ skin to see if there are any skin breakdowns, infections or discomfort.

Such skin monitoring includes:

  • Routine skin checks to look for any red flags of skin infection.
  • Documenting anything that’s unusual about the skin’s condition.
  • Being aware and knowing how to limit risk factors.

Aides should also use advanced hygiene routines frequently when overseeing their toileting and incontinence care, including keeping the skin hydrated and moisturized.

Managing Continence Devices and Supplies

Our skilled caregivers are also experienced in helping clients manage continence devices.

Some of these duties can include changing a patient’s pull-ups or diapers, cleaning out catheters and colostomy bags, and placing chucks (absorbent and waterproof pads) where clients may be sitting to prevent any accidents.

Our personal assistants also provide hygiene assistance with this equipment. This includes frequently cleaning the skin around external devices to avoid irritation and infection, regularly changing devices to keep patients comfortable, and keeping track of continence supplies.

Who Benefits from Toileting and Continence Care?

Numerous individuals can benefit from the toileting and continence services we provide.

Assisting with toileting and continence is key to relieving the stress and anxiety associated with these health conditions, allowing clients to better control their daily schedules.

Those who gain from these services include:

Seniors aging in place: Our caregivers provide assistance with transferring, bathing, and getting dressed to ensure their safety and comfort, significantly reducing risks of falls.

Individuals with chronic neurological or musculoskeletal conditions: These conditions, such as Multiple Sclerosis, Parkinson’s Disease, or severe arthritis, limit functions related to mobility and bladder and bowel control. Skilled caregivers can help prevent accidents from occurring.

Patients in palliative care: Clients with advanced health conditions, like cancer, may not be quick enough to the bathroom on time. Our personal aides provide encouraging words, letting patients know they are not the only ones facing this issue and help these patients maintain their dignity.

Caregivers: Support can relieve family caregivers of stress and physical strain, and providing breaks can prevent caregiver burnout.

Why Choose Impactful Home Care?

Trained and Vetted Caregiving Professionals

We ensure our caregivers have clean backgrounds and receive the required training to provide the best services.

Personalized Plans to Fit Your Needs

You have unique needs. We get your input to build customized plans based on your needs, preferences, and routines.

Medicaid-Approved Assistance

You’ll be working with a Licensed and Medicaid Approved agency.

Companions Who Are Always There

Our caregivers provide the highest quality of care through compassion and open communication. They help keep loneliness and isolation at bay.

The 3-Step Process Is Easy

We’ve simplified the process for you, so you can get the help you need. Just follow these three steps:

  1. Consultation: Give us a call for an evaluation. We’ll ask questions about your needs and situation.
  2. Care Plan: With your input, we’ll create specialized plans outlining services, schedules, goals, and preferences.
  3. Continuous Support: You can depend on our aides and their supervisors to provide you with consistent updates on your health, care plan, and services.

Families Trust Impactful Home Care

Impactful Home Care place picture
4.8
Based on 89 reviews
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Jayla Turner profile pictureJayla Turner
18:59 03 Dec 25
My experience went pretty well Jaire communicated everything perfectly and was very professional with this entire process which I appreciate so much. I had no concerns or issues during my time as well.
Monkey Girl profile pictureMonkey Girl
15:35 07 Oct 25
⭐️⭐️⭐️⭐️⭐️
I absolutely love the services here! Everything was smooth and professional from start to finish. The customer service was amazing — super friendly, helpful, and made sure I had everything I needed. Definitely recommending to others!
Jan profile pictureJan
22:31 18 Jul 25
Very poor communication by the recruiter, the caregiver and the client. They don’t have insurance details about the aide. But, the aide was driving me around in an unregistered vehicle and trying to put me in trouble by letting my finger get jammed in her car door and they’re not willing to take responsibility. That’s not good. They’re playing with the client’s health by doing whatever they want. Two and a half months. It was nonstop harassment. Lily was very inappropriate to me as well as the aide. Getting on their nerves to get the client’s signature for the aide to get paid? Something needs to be done. I’ll never recommend this agency to anyone who needs help.
Jan
nick cruz profile picturenick cruz
19:25 23 May 25
Impactful home care is a the perfect company for both patients and providers! Excellent staff. Amanda has went above and beyond for our family and made the process of switching companies easy and stress free. I highly recommend using this company.
valeria profile picturevaleria
20:24 21 May 25
They have been a true blessing for our family. Their caregivers are compassionate, professional, and always go the extra mile to ensure my family is comfortable and well cared for. The team is responsive, flexible, and easy to communicate with, making the entire process stress-free. I highly recommend them to anyone in need of quality home care. The front desk worker Jaire works well and helped me with my application making everything so much easy and simple.
Alexa Espinal profile pictureAlexa Espinal
15:34 21 May 25
I always have a wonderful experience at Impactful home care. Two young ladies, Adriana and Lily are so helpful and attentive. The service and care they provide everyday is amazing, they try their best to make everyone feel good. I recommend this agency to anyone who is looking for a great company that truly cares.
Verushka Feliciano profile pictureVerushka Feliciano
14:49 21 May 25
I am deeply grateful for the outstanding care provided by Jessica Rodriguez at Impactful Home Care. Her professionalism, attentiveness, and genuine compassion have made a significant difference in my family's life. Jessica goes above and beyond to ensure comfort and well-being, making her an invaluable asset to the team. Thank you, Jessica, for your unwavering dedication and kindness.
Alicia Placeres profile pictureAlicia Placeres
14:44 21 May 25
Impact is a very warming when you walk in the employees are ready to answer questions. One employee in particular is Jessica Rodriguez she came out to speak with me, she walk me into one of the conference room walk me through the application process and even set up my fingerprints appointment and TB appointment while I was filling out the application for a job. I told Ms. Rodriguez that I will highly recommend friends and family to apply for a job or send their loves there for help with aides.
Maria profile pictureMaria
17:33 01 Dec 23
Just want to step on here and say most of the ladies in impactful are very nice and patient, good customer service and professional. I thank Adriana & LILI for always helping out. Once the patient or employee start at this place you won’t want to leave! ❤️
Ray Morales profile pictureRay Morales
18:01 07 Nov 23
Impactful home care is amazing, I’m so happy we switched over to this company Carmen helped us and made the switch so easy with no problems. Lily is very sweet and professional she answers all my questions and needs, they get back to me super quick when I have questions or anything of that sort. I love that they’re there for me whenever I need to reach out and need help with anything. My mother is happy with the company we just love impactful home care very respectful, responsible, caring and great communication. Carmen and Lily makes this company 1000xs better they’re a great asset to this homecare company!!!!!!
Angel Rodriguezz profile pictureAngel Rodriguezz
11:56 02 Nov 23
Lili did a great job switching me over from another home care agency. The process was easy, smooth and extremely fast.
dominique grant profile picturedominique grant
17:46 27 Oct 23
This company is great! Lili is easy to talk and very helpful when I need her she’s always there good communication skills.
Tyonnah Floyd profile pictureTyonnah Floyd
17:27 27 Oct 23
Lilibeth is very helpful and sweet ! Whenever I reach out she always responds in a timely manner. She’s a great asset to impactful home care
Kahdejara Benton profile pictureKahdejara Benton
16:47 27 Oct 23
Adriana , Has excellent customer service support she help me transfer my father over to this agency and she got everything done in such a timely manner and I appreciate her for helping me with this process. I can truly say I highly recommend this agency if you’re looking for a team this is a good place to bring over clients our family members needing care. Everyone I came a cross made sure to help me with anything I needed.
Claribel Velazquez profile pictureClaribel Velazquez
19:32 26 Oct 23
The people in there are soo polite, respectful & professional. Adriana is an amazing worker. She when Beyond her way 2 help me out. She's waz very respectful, very nice, very helpful. If u looking for a job, this is the place to go.
Vicmarie Berger profile pictureVicmarie Berger
17:20 09 Jun 23
The Impactful Senior Home Care company is amazing. They care a lot about the patient and the caregiver. Lily is always the one I go to whenever I have a question and she is always providing me with a great customer service and works quickly every time. She is the sweetest person and very attentive. God bless her.

Love working for this company.

Commonly Asked Questions About Toileting and Continence Care

Still have more questions? Read on. We’ve answered some of the most frequently asked questions for you.

Are your aides trained to manage specialized, external equipment, such as catheters, ostomy bags, or absorbent products?

Of course. We train our aides in how to use these external instruments to better serve our patients.

How do you manage potential skin issues related to incontinence?

If an aide notices any change in a patient’s skin condition, the aide immediately relays the information to the head nurse or the clinical supervisor. The patient may have to undergo further evaluation.

What is the protocol for identifying and reporting signs of skin breakdown or infection?

We take a proactive approach. The aide frequently looks over the patient, from head to toe, to see if there are any changes in the patient’s condition. This includes looking for redness, skin breakage, or changes in the skin’s temperature.

What is the agency’s explicit policy on client privacy and modesty during all toileting and continence tasks?

Caregivers must follow the agency’s policy, which states they must treat the client’s emotional comfort and right to privacy with the same urgency as their physical safety. This means the client remains in control and is never surprised or rushed. The client always has the right to decline a service or request a brief delay.

How do you ensure modesty is maintained?

Our aides provide patients with the maximum privacy. This includes using privacy blankets whenever necessary or making sure the client is covered. The aides also always knock on doors before entering when a client is in the room.

What are the agency’s standards for handwashing and glove use before, during, and after toileting and continence tasks?

According to agency policy, caregivers must keep a rigorous hygiene sequence which includes:

  • Hands must be washed immediately before wearing new gloves.
  • Gloves are mandatory during the entire session of all toileting and continence responsibilities which involve bodily fluids.
  • Afterwards, caregivers immediately remove and discard the gloves.
  • After the task is completed, caregivers must wash their hands again.

What About Payment Options?

Our long-time, home care services may be covered by a variety of payment methods, including the Pennsylvania Caregiver Support Program, the Consumer Directed Personal Assistance Program (a Medicaid state program), veteran benefits, and select private insurance plans.

Serving Philadelphia and Surrounding Counties

Our Philadelphia home care services reach all of the city and surrounding counties, from the city’s historic residential areas like Queen Village and Bella Vista to the rolling hills of Bucks County.

  • Philadelphia
  • Bucks County
  • Montgomery County

Ready to Begin Your Care?

Don’t hesitate. Contact now to schedule an evaluation and to find out more about our services. Discover how our compassionate and professional services make a difference in your life.