PMID: 8954381Oct 1, 1996Paper

Toileting: a biobehavioral challenge in Alzheimer's dementia care

Journal of Gerontological Nursing
S HutchinsonH Skodol Wilson

Abstract

As the trajectory of Alzheimer's disease (AD) progresses, problems with toileting become evident. This research addresses the range and variation of toileting problems, management strategies used by family and employed caregivers, and interactive and contextual conditions associated with toileting. Qualitative ethology was used to analyze data from over 120 hours of participant observation at an Alzheimer's Day Care Center, in clients' homes, and support groups; and interviews with families (n = 16) and staff members (n = 13). Toileting emerged as a complex event with many stages, as unaesthetic and unpleasant for caregivers and clients, and as occasionally resulting in catastrophic reactions. Caregivers read cues and interpret toileting behaviors. They provide physical and cognitive assistance while attempting to avoid accidents and catastrophic events. Client, staff member, and contextual variables affect toileting events. Recommendations for practice and research are proposed.

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Citations

Dec 21, 2010·Journal of Cross-cultural Gerontology·Sadaaki FukuiHolly B Nelson-Becker
May 17, 2011·Research in Developmental Disabilities·Giulio E LancioniFrancesco Badagliacca
Dec 9, 2017·International Journal of Older People Nursing·Joan Ostaszkiewicz
Feb 6, 2018·Journal of Clinical Nursing·Joan OstaszkiewiczAlison M Hutchinson
Nov 21, 2015·Neurourology and Urodynamics·Márcio Augusto AverbeckHelmut Madersbacher
Dec 14, 2011·Scandinavian Journal of Caring Sciences·Joan OstaszkiewiczTrisha Dunning

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