Bathroom routines can become challenging as dementia progresses. Sam’s experience shows why simply telling someone where the bathroom is may not always work. Instead, caregivers can use the CARES Approach for dementia to understand the person’s needs and provide effective, person-centered support.
Connect with the Person
Sam often became fidgety and restless before needing to use the bathroom. Recognizing this behavior helped staff understand that it was a signal rather than simply restlessness. Approaching Sam calmly, making gentle contact, and reassuring him helped establish a connection.
Assess Behavior
When Sam did not respond to verbal instructions, staff assessed what was happening. His advanced dementia affected his ability to understand and act on spoken directions. Recognizing this was an important part of providing appropriate dementia toileting support.
Respond Appropriately
Staff used different cues based on Sam’s abilities. Verbal directions were followed by gentle physical cues when needed. Helping him begin movements, such as reaching for his pants zipper, helped him understand what to do. This approach provided practical toileting assistance for dementia while maintaining his dignity.
Evaluate What Works
A two-hour toileting schedule worked well for Sam. Physical cues were also effective, particularly when staff initiated the movement for him. These dementia care strategies helped prevent accidents and reduce anxiety.
Share with Others
Sharing what works ensures consistency across the care team. Staff should know Sam’s toileting schedule, recognize his fidgeting as a possible bathroom signal, and understand which cues help him successfully use the toilet.
Sam’s experience demonstrates how person-centered dementia care can turn a difficult routine into a more comfortable and successful experience.
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