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Incontinence 2
Incontinence 2
Incontinence 2
An 82-year-old man with advanced Parkinson’s disease and dementia is cared for in a nursing
home. His nursing needs are usually fairly predictable. Of late, he has become more agitated than
usual. He seems uncomfortable and has started to shout and rattle the bedsides, and occasionally
he hits out at the nurses. The on-call GP has prescribed a sedative to settle the patient at night.
The patient is continuously wet with urine and, unusually for him, he is now incontinent of liquid
faeces too. He has no fever and other vital signs are normal.
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