Alzheimer's Disease
Easing the Pain

Coping With Incontinence

ALTHOUGH incontinence may "seem like the last straw," says the advice sheet Incontinence, "there are things that can be done either to alleviate the problem itself or to make it less stressful." Keep in mind that the patient may not be permanently incontinent; he may have simply got confused or been too slow in getting to the toilet. Moreover, the patient may be suffering from a treatable condition that is causing temporary incontinence, so you may need to consult a doctor.

Whatever the cause, incontinence can be much easier to handle if the patient wears outer clothes that are easy to put on and take off as well as specially adapted pants. It will also help if you put protective pads on beds and chairs. Avoid skin irritation and soreness by not having plastic in contact with the patient's skin. Also, wash the patient well with warm, soapy water, and dry him thoroughly before dressing him. Remove obstacles that might hinder the sufferer from getting quickly and safely to the toilet. It may be helpful to leave a night-light on so that he can find his way. Because the patient may be unsteady at this stage, a conveniently placed grab bar will make a visit to the toilet less daunting for him.

"If you can introduce some humour too," suggests the Alzheimer's Disease Society of London, "it may relieve the tension." How can a caregiver meet these challenges? One experienced caregiver replies: "Patience, gentleness, kindness, and the sort of quiet courtesy which will enable the patient to maintain his dignity at all times, without fear of embarrassment or shame."

Return to: Preserving the Patient's Dignity