How you do it
Whether the patient reports urinary or faecal incontinence or both, you'll need to perform initial and continuing assessments to plan effective interventions.
For urinary incontinence
Ask the patient when he first noticed urine leakage and whether it began suddenly or gradually. Have him describe his typical urinary pattern: does he usually experience incontinence during the day or at night? Ask him to rate his urinary control: does he have moderate control, or is he completely incontinent? If he sometimes urinates with control, ask him to identify when and how much he usually urinates.
Evaluate related problems, such as urinary hesitancy, frequency, and urgency; nocturia and decreased force or interrupted urine stream.
Ask the patient to describe treatment he has used for incontinence, whether doctor prescribed or self-prescribed. Know the environment
Assess the patient's environment. Is a toilet, commode or bedpan readily available, and how long does the patient take to reach it?
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