The nurse shows an understanding of the psychosocial impact of bladder and/or bowel incontinency when prior to going to the dining room for meals each individual experi-encing incontinence:
a. is assessed for soiled clothing and changed if necessary
b. is toileted and then is promptly moved to the dining room
c. is provided peri-care and fresh underclothing is provided
d. is asked if toileting is needed and assisted as necessary
ANS: A
Deviations from normal bowel and bladder toileting can lead to chastisement, ostracism, and social withdrawal. By addressing incontinency issues prior to social interactions such negative responses 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 underclothing is necessary only if incontinency has occurred. Asking to toilet the client is not necessarily an effective intervention when the client is consistently incontinent.
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