A family states that the father, who has moderate-stage dementia, is incontinent related to forgetting where the bathroom is located. An intervention the nurse should suggest to the family is to:
a. label the bathroom door with a picture of a toilet.
b. have someone take him to the bathroom hourly.
c. place the patient in disposable adult diapers.
d. restrict the patient's fluid intake to reduce voiding.
A
The patient with moderate Alzheimer's disease has memory loss that begins to interfere with activities. This patient may be able to use environmental cues such as labels on doors to compensate for memory loss. Regular toileting may be helpful, but a 2-hour schedule is often more reasonable. Adult diapers would be appropriate if less restrictive interventions are inadequate to address the problem; however, they can be a source of embarrassment and shame, and interventions which better preserve the patient's self-image and self-esteem would be preferred.
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