Often individuals with dementia are in denial to something as evident as incontinence, deny they have a problem and make excuses for the wetness on their clothing or furniture. This is embarrassing to family members and presents a hygiene issue to the family member with dementia. This could be the sign of a urinary tract infection (UTI) or other physical dysfunction and should always be brought to the attention to the medical provider. Incontinence not cared for properly can lead to a UTI which frequently leads to more confusion and disorientation.
Families call us frequently thinking this must mark the time they need professional help or help in finding a retirement living setting that can accommodate their parent or spouse. But, before such a drastic action is taken seek a consultation with an expert, a certified, Professional Geriatric Care Manager.
This is often the time when a Geriatric Care Manager can intercede and help with individualized plans of care that respect the dignity of the elder with dementia and reduce the stress on the family care providers.
Care Managers find ways, that meet with approval, for the person with dementia to use protection – but, this is usually with very creative ideas. Each person will have a slightly different approach. Sometimes the only way is with the outside help of a professional caregiver that is prescribed by the family doctor for health reasons. Care Managers often get the physician to team with them to reach the same goals – reduced stress for the family and good hygiene for the person with dementia.