Andrews June
Dementia Services Development Centre, University of Stirling.
Nurs Times. 2013;109(27):20-1.
Incontinence is not an inevitable consequence of having dementia, but continence can be an issue. Nurses need to have strategies in place to provide supportive continence care for people with dementia not only in hospitals, care homes and day care services, but also for those living at home alone or with a carer. For this to happen, the patient and home environment need to be assessed. This article explores steps that can be taken to preserve the dignity of people with dementia if they become incontinent. The role of health professionals in hospitals is discussed, as well as changes that can be made in patients' own homes.
失禁并非患痴呆症必然产生的后果,但大小便控制确实可能成为一个问题。护士需要制定相应策略,不仅要在医院、养老院和日托服务机构为患有痴呆症的患者提供支持性的大小便护理,对于那些独居或由护工照料的居家患者也应如此。要做到这一点,需要对患者及其家庭环境进行评估。本文探讨了如果痴呆症患者出现失禁情况,可采取哪些措施来维护他们的尊严。文中讨论了医院中健康专业人员的作用,以及患者家中可做出的改变。