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Tips for Managing Incontinence
with Frontotemporal Dementia

By Geri Hall, PhD, ARNP, GCNS-BC, FAAN

(Page 2 of 2)

In later dementia, the person may have  incontinence that may not respond to prompting. This is usually managed by continuing to try to prompt, but using the incontinence products even doubled when necessary. Pad the bed with lawn and leaf bags under the sheets and make a draw sheet to minimize the amount of late night changing.

Provide adequate fiber using two large oatmeal raisin cookies each afternoon with a glass of liquid.

Incontinence briefs need to be changed two or three times per day even if not soiled because of the risk of urinary infections.

To help the individual adapt to the briefs, take the underpants out of the dresser drawer and replace with pull-up briefs.  After a while, they will “get it.”
Finally, if there are “accidents” on a rug, use a pet disinfectant. Standard cleaners do not kill the fecal bacteria. 


Geri Hall is a Gerontology Clinical Nurse Specialist who has been  working with families and dementia since 1978.  A retired professor from University of Iowa, Geri has been a consulting professional to the Washington University in St. Louis “The Alzheimer List” for 13 years.


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