Explain why incontinence may occur because of inability to reach toileting facilities on time. Discuss why mentally confused residents may be incontinent more often than alert residents. Do you think this is caused by a physical problem or a mental problem? Why? What can the nursing assistant do to prevent episodes of incontinence? What effects do incontinence prevention measures have on the resident? Is it easier to clean and change a resident after an incontinent episode or to take a resident to the toilet?
What will be an ideal response?
Residents may not have the physical ability to toilet themselves. They may need assistance getting to the bathroom, or the nursing assistant may need to ask the resident if he needs to use the toilet. Mentally confused residents may not be able to express the need to toilet. They may be wandering and looking for the toilet, but are unable to locate it. They may not know how to ask someone where it is. Other mentally confused residents may be restrained or physically unable to reach the toilet. If these residents are unable to ask to be toileted, they will become incontinent.
Several physical problems can cause incontinence. Residents who lack the ability to communicate or those with dementia, however, may be incontinent simply because of their inability to ask to be toileted. The nursing assistant can assist residents by toileting them regularly, even if they are unable to request this routine.
If a resident is incontinent, he must be washed and his clothing changed. If a resident is toileted, the nursing assistant may have to transfer the resident to the commode. It is easier to transfer or take the resident to the toilet than it is to change an incontinent resident. Staying clean and dry is more comfortable for the resident and promotes the resident's self-esteem and well-being. Keeping the resident clean and dry also prevents skin breakdown, infection, and odors. Regular toileting also prevents constipation and fecal impaction.
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