Which of the following nursing actions would help minimize the psychosocial impact of bladder and/or bowel incontinence for individuals experiencing incontinence prior to going to a group dining room?
a. Assess for soiled clothing and change, if necessary.
b. Toilet the client and then promptly transport to the dining room.
c. Provide peri-care and fresh underclothing.
d. Ask the client if toileting is needed and assist as necessary.
ANS: A
Deviations from normal bowel and bladder toileting can lead to chastisement, ostracism, and so-cial withdrawal. By addressing incontinency issues prior to social interactions, such negative re-sponses can be minimized. While toileting is appropriate, it does not directly address the social impact that may result from soiled and/or odorous clothing. Providing peri-care and clean under-clothing is necessary only if incontinency has occurred. Asking to toilet the client is not neces-sarily an effective intervention when the client is consistently incontinent.
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