Instructed in the use of absorptive products with polymer gel and in change when wet. Wash skin with incontinence wipe or cleanser but avoid excess friction. Avoid soap as it removes natural protective lubricants.
Instructed in that collection devices help when treatments to management incontinence fails. There are many types: liners, drips collectors, condoms, pads, guards, undergarments, briefs and bed pads. Device should be comfortable and discreet and should keep skin, clothes and furniture dry. Overpadding damages skin and reduces leakage awareness.
Instructed in measures to control or to live with Parkinson's disease such as exercising daily with regular rest periods, learning walking techniques, following safety precautions, obtaining adequate nutrition, obtaining emotional support, taking medication as ordered, getting help as needed, wearing an identification bracelet, etc.
Instructed in factors that increase the risk of diarrhea such as drug side effects, food allergies, infections, ingestion of toxins, fecal impactions, radiation, laxative abuse, stress, lactose intolerance, or diseases like cancer, diverticulosis and others.
Instructed in complication of diarrhea such as dehydration, electrolyte imbalance or anal excoriation. Dehydration is indicated by dry mouth, poor skin tugor, dry, flushed skin, decreased urine output, sunken eyes and weak, rapid pulse.
Instructed in how to recognize S/S of hypotension such as dizziness, blurred vision, fatigue, weakness, confusion, etc.
Instructed that alcohol may lower glucose levels and therefore should be avoided.
Instructed in how to list possible causes of high blood sugars: excess food, insufficient insulin, lack of exercise, stress, infection or fever.
Instructed in how to recognize signs and symptoms of high blood sugar such as frequent urination, excessive thirst, headache, weakness, fatigue, dizziness, nausea, vomiting, abdominal cramps, etc.
Instructed in knowing what to do if symptoms of high blood sugar occur: contact physician or go to emergency room.
