An 87-year-old male resident of an assisted living facility has been consistently continent of urine until the last several weeks. Which of the following actions by the care providers at the facility is the most likely priority?
A)
Performing a physical examination and history to determine the exact cause and character of the incontinence
B)
Providing client education focusing on the fact that occasional incontinence is a normal, age-related change
C)
Teaching the resident about protective pads, collection devices, and medications that may be effective
D)
Showing the resident the correct technique for exercises to improve bladder, sphincter, and pelvic floor tone
Ans:
A
Feedback:
The priority in the treatment of incontinence in the elderly is an acknowledgement that it is not an inevitability and that the exact causes should and most often can be identified. This identification by way of history-taking and examination would supersede teaching about protective devices or exercises.
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