Question

A 78 year-old male is losing bowel and bladder control. What are three effective and acceptable interventions, for each system, for this older adult?

Answer 1

effective interventions for bowel control:

• dietary mangement such as eating high fiber fruits, vegitables etc..
• kegal exercises to streng then the pelvic floor.
• schedule the timing of toileting.
• incerase hygiene of the patient.
• surgical interventions such as sphincteroplasty,artificial anal sphincter.

effective intervention for bladder control:

• behavioral therapy- learning delay urination, schedule toileting, pelvic floor exercises, fluid management such as avoid coffee, alcohol etc...
• non surgical management: anticholoinergic and antispasmodic drugs, urethral inserts,pessary etc..
• surgical management: sling procedure, colposuspension, artificial urinary sphincter.