Incontinence management
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Modules - Incontinence Management
FOREGO EVENING AND NIGHTTIME PROMPTED VOIDING.
In the only study of its kind to date, we showed that prompted voiding does not improve continence at night (3). So don't bother to offer it. Instead, nighttime care should be individualized, with the goals of minimizing sleep disruption and protecting at-risk incontinent residents from skin problems. Prompted voiding and other toileting assistance interventions should be reserved for those residents who are bothered by nighttime incontinence and who demonstrate their willingness to toilet at night.
In our study, we attempted a nighttime toileting assistance program with 61 incontinent nursing home residents. Wetness rates remained relatively high at night (49%) while appropriate toileting rates were low (18%). Ideally, wetness rates should drop below 20% and appropriate toileting rates should be above 66%. The poorest response rate was primarily observed between 10 pm and 6 am. Even residents who responded well to daytime prompted voiding showed poor results at night.
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