It is necessary to examine whether those who have had their urethral catheter removed should be selected as recipients.

Can older people who have had their urethral catheter removed be targeted?

After removal of urethral catheter, how long would it take before an older person can be considered as eligible?

Micturition control is difficult in cases with fecal incontinence.

Micturition control is difficult in older people with fecal incontinence.

As “diapers” are associated with tape diapers (bedridden state), the term “diapers and pads” is easier to understand.

The term “diaper” is associated with a tape diaper which is used for bedridden people, so recipients were uncomfortable with the thought of performing micturition induction.

The term “diaper” is associated with tape diapers.

Utilizing the level of independence in daily life of older people with dementia for target selection

The daily life independence of older people with dementia is about IIb, so I think the program will be effective for IIIa patients.

I think that the daily life independence of elderly people with dementia is about IIb, and in case of patients with IIIa, it will be effective in terms of level.

Careful information collection and assessment of lower urinary tract symptoms in older people in case of environmental change

Time-consuming process of information collection and assessment of excretory behavioral disorders in elderly people with dementia who have difficulty adapting to the environment

One-week excretion check may not be enough time to understand the pattern in newly admitted older people (with dementia).

Older people with dementia are overwhelmed by environmental changes after admission and take time to get used to the surroundings and settle down. In some people, the micturition pattern becomes clear once the recipient calms down

The mental state of older people before discharge may be unstable which may also affect micturition status.

Before discharge, older people may have an unstable mental state, which makes them unable to do what they were able to do earlier, increases incontinence, and induces BPSD.

In the recovery period, the older person’s way of thinking also reflects the family’s way of thinking, so it is necessary to consider the mental state of the recipient when considering the excretion method.

It is difficult to monitor the relationship between the mental status and excretion status of older people before discharge.

Understanding food and water intake is important for evaluating lower urinary tract function in older people

When micturition does not occur during scheduled induction, the relationship between water, food intake, and micturition status is confirmed.

Evaluation of lower urinary tract function should also include food and water intake.

Examination of assessment methods for lower urinary tract symptoms according to the facility environment

Assessment of lower urinary tract symptoms can be grasped by those who have spent a period of one week (1 day = 24 hours).

Assessment of lower urinary tract symptoms is difficult to grasp without conducting observation for at least about a week (1 day = 24 hours).

A 24-hour micturition check is necessary, including at night.

I think that a period of about a week is ideal in order to exchange and share information among staff members.

It is appropriate to change the evaluation method of lower urinary tract function depending on the availability of an ultrasound bladder volume device.

Some recovery rehabilitation wards have ultrasound bladder volume device.

Upon checking with an ultrasound bladder volume device, if residual urine is present, I attempt induction after 1 to 2 hours, which is more reliable than checking the diaper.

Since the micturition status may vary, when and how many times should the residual urine be measured?