Resident incontinence represents a major challenge for the long-term care (LTC) industry. It negatively impacts residents on many levels and has a significant economic impact on the service provider both in terms of the support care required and direct-expense costs. Recent research by Earthy into the advantages of routine toileting has shown that maintaining a "normal" toileting pattern, in a sitting position and in a private space, contributes to improved resident self-esteem and dignity. This is expensive, from both a financial and health perspective. Instead, more attention needs to be directed to promoting and maintaining continence abilities and preventing avoidable bowel and urinary continence decline. Incontinence need not be accepted as an inevitable, ever-increasing expense in LTC facilities. By educating staff and scheduling for more routine toileting, as well as implementing more robust mobility training programs, elderly residents can achieve higher levels of continence.
Enhanced continence care Anne Earthy; Avinoam Nativ Long-Term Living; Mar 2009; 58, 3; Docstoc pg. 24 Reproduced with permission of the copyright own
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