Implementation of a urinary continence program

1. Meaningful involvement of staff supports the tenet that staff must not only participate in making decisions that they perceive as being important to them, but that they also perceive that their participation has an impact. 2. Urinary incontinence accompanies dementia of the Alzheimer's type because the person forgets how to locate the bathroom, is unable to communicate the need to void, and has an impaired central inhibition of elimination. Regular toileting schedules help promote continence. 3. Strategies that encourage staff participation in a new program include the deliberate use of wording, anonymous written input on select forms, and ongoing support and recognition. Staff members must feel respected for their knowledge, ideas, and experience.