Caring for a person with dementia can be challenging. Helping the person be free from incontinence (or “accidents” related to bladder or bowel issues) can be increasingly hard as the disease gets worse. In the severe or later stage of the dementia, the person will eventually lose control of bowels and bladder. However, each person should have an individualized plan of care related to maintaining bowel and bladder continence and function for as long as possible. Here are some general approaches to toileting that can be helpful.
Ensure that toilets are visible.
Keep bathroom doors open.
Place signs/pictures as visual cues.
Keep paths to the bathroom clear.
Systematically assess voiding and bowel patterns.
Offer toileting frequently.
Use incontinence pads/briefs, as needed.
For persons who can still toilet, use “pull-up”-type protective products if needed.
Provide adequate fluids during the day.
Limit fluids at bedtime.
Avoid beverages with caffeine.
Ensure adequate fiber in diet.
Adapted from Schwartzkopf, C. E. & Twigg, P. (2014). Nursing management of dementia. In K. L. Mauk’s (Ed.) Gerontological Nursing: Competencies for Care. Burlington, MA: Jones and Bartlett Publishers. Used with permission.
Adapted from Schwartzkopf, C. E. & Twigg, P. (2014). Nursing management of dementia. In K. L. Mauk’s (Ed.) Gerontological Nursing: Competencies for Care. Burlington, MA: Jones and Bartlett Publishers. Used with permission.
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