Table 11-11
- Determine client’s desire/capacity to participate in such a program.
- Encourage client to void at certain times throughout the day (e.g., q2h then q3h, when getting up in morning, after meals, before bedtime).
- Do not decrease fluid intake (would put client at risk for infection).
- Encourage client to resist voiding when bladder is not full (use a technique such as counting while voiding and trying to increase that number to a desired level).
- Encourage client to ask for assistance when needed, to avoid falls when attempting to get to toilet alone while unsteady on feet.
- Respond to requests for assistance.
Decrease caffeine and alcohol in diet.- Monitor for skin breakdown in clients who are incontinent.
- Have client practice Kegel exercises to improve tone and function of pelvic floor.
- Refer to physical therapist who specializes in this area, if necessary.