01.11.2021 – 09:15
Foundation Center for Quality in Nursing
Incontinence is a shame-laden, frequent topic in need of care and a significant health restriction. The ZQP guide “Incontinence” supports people in need of care and their relatives in dealing with the topic and in care.
Many elderly people in need of care are affected by incontinence. This means that they cannot control the excretion of urine or stool, at least in part. This can lead to health problems and emotional stress and is also associated with increased nursing care. This can also be very challenging for family carers. Incontinence care issues are a typical reason home care is not maintained and moving to a nursing home becomes necessary. Targeted measures contribute to dealing with incontinence as effectively as possible. That is why the ZQP has developed a corresponding guide for caring relatives with numerous practical tips.
“Incontinence can lead to health problems such as skin damage, infections or falls. And last but not least, it can significantly impair the quality of life”, explains Daniela Sulmann, care expert at the ZQP. “Because incontinence has a strong effect on everyday life: the toilet must always be quickly accessible and auxiliary and care products available. As a rule, support is required for cleaning and caring for the skin and changing clothes.” In addition, a lack of help and feelings of shame can lead to social problems Lead isolation and loneliness. Many problems could be avoided with a good level of knowledge about incontinence and the right measures, “says Sulmann.” For this we want to give our advice to family carers in particular. ”
The ZQP guide is clearly laid out and the information is explained in a simple and understandable manner. The 24-page booklet includes, on the one hand, basic knowledge about incontinence, such as causes, secondary problems and therapy options. The main part, however, consists of specific tips that make everyday life with incontinence easier and can promote continence, e.g. B. for nutrition, the handling of auxiliary and care products and suggestions for adjustments in the home. Because even small changes such as grab bars next to the toilet or barrier-free walkways make it easier to get to the toilet and help prevent falls. Large symbols, pictures or lettering on the corresponding door help people with dementia to find the toilet more easily. A colored toilet seat, which stands out clearly from its surroundings, also contributes to better targeting. Clothing that can be taken off easily and quickly is useful. Relatives are also given advice on what to consider when cleaning and caring for the skin in connection with incontinence in order to avoid skin problems.
“It should not be underestimated that incontinence is often very embarrassing, both for those affected and for family carers when personal intimate boundaries are exceeded. In addition, people with incontinence sometimes avoid it out of shame or fear of not finding the toilet in time to leave the house and take part in activities – this would be possible in many cases with good preparation and support, “explains Sulmann. Therefore, the guide also offers some suggestions on how to deal with feelings of shame. A central aspect here is to speak openly about incontinence despite uncomfortable feelings. This is also important so that the situation can be improved. Because only when the problems are discussed can suitable measures be identified and implemented. In the case of incontinence, professional advice should always be sought, in any case from doctors but also from nurses or continence counselors.
All information in the booklet is based on current specialist knowledge and was developed by the ZQP in collaboration with Prof. Dr. Andreas Wiedemann, chief physician at the urology clinic at the Protestant hospital in Witten and professor for geriatrics at the University of Witten / Herdecke. The short guide is ad-free and can be ordered free of charge from the ZQP website and downloaded as a PDF file: www.zqp.de/inkontinenz-pflege/
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Original content from: Foundation Center for Quality in Nursing, transmitted by news aktuell