Which action is crucial for the spouse of a client with Alzheimer's to help manage urinary incontinence?

Establishing a toileting schedule at the same time daily is a fundamental strategy when managing urinary incontinence in individuals with Alzheimer's disease. This approach leverages the client's remaining cognitive abilities and creates a routine, helping to promote regularity and predictability in toileting. By having pre-determined times for the client to use the restroom, the spouse can assist in reducing accidents, increase the client's confidence, and create opportunities to address incontinence before it becomes an issue.

Consistency is vital, as many individuals with Alzheimer's may struggle with impulse control or may not recognize the signs that they need to void. A scheduled routine can provide structure and make it easier for the client to anticipate when they will be taken to the toilet, which can help in preventing incontinence.

While keeping a bell handy might seem beneficial, relying on the client to signal their needs can be problematic due to their cognitive decline, making this approach less effective. Using a non-slip mat in the bathroom is helpful for safety but does not directly address the issue of urinary incontinence. Likewise, while encouraging adequate fluid intake is important for overall health, it must be balanced with a clear strategy for managing incontinence. Without a scheduled toileting routine, increased fluid intake might actually lead to more frequent accidents