Incontinence management
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Modules - Incontinence Management
TREATMENT OPTIONS FOR NON-RESPONDERS
Residents with appropriate toileting rates at or below 66% seldom show responsiveness with longer term applications of prompted voiding. Treatment options for these "non-responders" should be based on their pre- and post-trial answers to the Toileting Motivation and Preference Assessment questions and their behavior during the trial.
Non-responsive residents who express a willingness to improve continence should be further evaluated to identify all problems that are potentially treatable by other interventions. As a general rule, any resident who attempts to toilet two times a day, even if unsuccessfully, should be considered motivated to stay dry and should thus receive a follow-up evaluation and after that, another prompted voiding trial.
About 10%-20% of non-responders will show no willingness to improve continence. In interviews, they express no desire to be either changed or toileted more frequently. In prompted voiding trials, they show or verbalize that toileting assistance is unwanted. These residents should be placed on a check-and-change program. No research findings to date suggest that other treatments will be more successful.
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