How to deal with incontinence
When helping someone with dementia who is experiencing incontinence or accidents, family members can take several supportive actions:
Establish a Routine
Create a regular toileting schedule, such as every 2-3 hours during the day.
Remind the person to use the bathroom before and after meals, and before bedtime.
Observe and try to understand the person's usual toilet patterns.
Modify the Environment
Ensure the bathroom is easily accessible and clearly marked.
Use contrasting colors for the toilet seat and floor to make it more visible.
Install grab bars and ensure adequate lighting.
Consider using a bedside commode if the bathroom is too far.
Manage Fluid Intake
Encourage adequate fluid intake, aiming for 6-8 glasses of water daily.
Reduce caffeine intake by using decaffeinated coffee and tea.
Limit fluid intake before bedtime.
Use Appropriate Products
Invest in quality incontinence supplies like protective underwear and pads.
Use waterproof mattress covers and bed pads for protection.
Have a change of clothes and supplies readily available when going out.
Maintain Dignity and Comfort
Use familiar terms for toileting that the person understands.
Provide privacy but ensure safety by using a door that can be opened from outside.
Be matter-of-fact about accidents and avoid shaming the person.
Assist with Personal Hygiene
Use disposable gloves and flushable wipes for cleaning.
Consider using odor-neutralizing sprays.
Ensure proper hand washing after toileting for both the person and caregiver.
Seek Professional Help
Consult a doctor to rule out medical causes like urinary tract infections or medication side effects.
Ask for a referral to a continence advisor for a personalized care plan.
Adapt Clothing
Choose easy-to-remove clothing like elastic waistbands or dresses.
Consider using adaptive clothing designed for easier toileting.
By implementing these strategies, family members can help manage incontinence in their loved ones with dementia while maintaining their dignity and comfort. Remember to be patient, reassuring, and adaptable as needs may change over time.
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