Part II: Tips For Managing IncontinenceContinence Care Management: What A Family Caregiver Needs to Know

From The National Association For Continence

Diet and Lifestyle Factors• Consume six 8oz. glasses of fluid a day• Avoid caffeine, alcohol, and artificial sweeteners• Don’t smoke because tobacco is irritating to the bladder surface and

contributes to bladder cancer• Include enough fiber and fluid to keep bowels regular and movements easy

– Too little fluid constipation– A 24 hour review of fluid intake can help pinpoint any problems that need to be

modified• To encourage regular bowel movements:

– Begin with 1-2 tbs. of the recipe a day and increase to 4-6 tbs. Serve with water or fruit juice:• One cup applesauce• One cup unprocessed bran• ¼ cup of prune juice

Safe Toileting• Keep a bladder diary• Reduce the risk of falling

– Reduce environmental factors (like loose rugs etc.)– Keep a walker or cane to aid near the bed– Turn on lights at night– Increase lower body strength– Improve balance

• Practice safe toileting:• Allow time to reach to toilet• Limit evening fluids• Use a bedside commode or urinal• Wear clothes that are easy to take off or unzip• Stay on the toilet until the bladder is empty

Product Choice

• Choose product according to:– Physical functionality– Incontinence severity

• Different types of products include:– Adult briefs– Undergarments– Protective underwear– Shields, guards, pads, liners, catheters

• Select appropriate size (i.e. small, medium, large), based on waist and hip circumferences

Product Choice

• Look for products with re-closeable fasteners that will adhere to any part of the disposable garment

• A higher-priced superior performing product = lower overall cost than a less expensive inferior product that requires more frequent changes or leaks onto bed linens and clothing

• Breathability helps with comfort and skin integrity, avoiding rashes and infections

Thank you!