Caregiver Skills for Managing Fecal Incontinence in Middle and Late Stage Alzheimer's

By Christine Kennard, Health Guide Monday, November 02, 2009

 

Behavioral Treatment Program for Bowel Incontinence

Begin your timed toilet trips every 2 hours. You can use your baseline recording (diary) to work out the best times of day e.g. after meals, at bedtime.

Factor in any regular toilet trips you have established before with good result. Always take them to the bathroom if they ask to go.

 

Help Minimise Confusion During Bathroom Trips

Orientate people with Alzheimer's. For example," Dad I'm taking you to the washroom. "Mrs Bouldon we are at in the bathroom now, try to go". Be reassuring. Try to maintain dignity by giving some privacy. Do not keep them in the bathroom or on the toilet too long. Praise any positive results. Reassure the person that their behavior is appropriate.

 

Improve your communication! Talk with a soft reasurring tone. Remember that many people with dementia require frequent redirection.

Never shout or hurry them. Talk to them with respect. Allow privacy whenever possible.

 

Important Bathroom Trip Rules!

Keep to as rigid a timetable as is practicable. Because you are targeting fecal incontinence you will be able to change the amount of trips to the bathroom once you establish the best toileting programme for that individual. This program will also radically reduce the incidents of urinary incontinence too. Every one's a winner!

Night toileting should be maintained on a regular time basis too, but it is more practical to increase the bathroom visits to every 4 hours.

 

Fluid intake is important too and should be about 1.5 litres each day (unless a doctor advises you otherwise). It is important to maintain a healthy bowel and digestive system.

If you have any problems consult a doctor or nurse specializing in incontinence problems

 

More Information

More on Fecal Incontinence

Different Stages of Alzheimer's Require Different Methods of Caregiving

Stigma and Incontinence

Stages of Alzheimer's

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By Christine Kennard, Health Guide— Last Modified: 12/06/10, First Published: 11/02/09