What should a nurse do if a client with dementia is incontinent?

Implementing a toileting schedule is a proactive approach that can significantly help manage incontinence in clients with dementia. This strategy involves taking the client to the restroom at regular intervals, which can reduce the likelihood of accidents by anticipating their needs. Since individuals with dementia may have difficulty recognizing the sensation of needing to urinate or may forget to ask for assistance, a structured schedule helps reinforce routines and encourages regular toileting, thereby promoting dignity and comfort.

Furthermore, regular bathroom visits can help maintain hygiene and prevent skin issues that often arise from prolonged exposure to moisture. This approach also provides the client with an opportunity for independence and choice, as they are regularly reminded of their toileting needs without relying solely on their memory or ability to express those needs.

While encouraging clients to use the restroom on demand and using adult diapers can have their places in incontinence management, these strategies may not be as effective in addressing the specific challenges faced by individuals with dementia. Additionally, restricting fluid intake is generally not recommended as it can lead to dehydration and is not a sustainable solution for managing incontinence.