ABSTRACT
Gilleard found that one of the most distressing behaviours families have to face is when a person with dementia starts to urinate in the wrong places. When a person is found to be wet it is premature to automatically label them as incontinent. Behavioural characteristics reveal how defined behaviour was acted out. To toilet appropriately a person requires the ability to negotiate a chain of discrete, but inter-related events. Multi-modal intervention is a preventative methodology that is integrated within the culture of care. It is a global environmental response to the challenge of toileting difficulty, helping many people to avoid the degrading experience of being found wet or soiled, by trawling the known causes and attempting to avoid, compensate or accommodate the reasons for their dysfunctional conduct. By providing a global response to toileting difficulties, the multi-modal approach has shown itself to be a successful therapeutic strategy, helping many people avoid the degrading experience of being found wet and soiled.
