Module 4 Lesson 3. Toileting and continence care What other factors may contribute to urinating on the floor or losing bladder control? Contributing factors Recommended solutions A long distance to go to the toilet in the house Direct the person you care for to the toilet Provide a bedside commode at night Public toilet that is at a distance from the house Use nightlights in the bedroom and the house Provide a commode for them to use in the house Not being able to find the toilet Put a picture of a toilet on the toilet door Not enough colour contrast of the toilet seat Replace the toilet seat with a different colour to increase the contrast Not enough lighting in the hallway Provide adequate lighting in the hallway Not enough lighting in the toilet Provide adequate lighting in the toilet Narrow toilet doors that do not allow the walker or wheelchair to pass Modify the door opening to allow a walker or wheelchair to pass Visual impairment Direct the person you care for to the toilet during the day Provide a bedside commode at night Unable to undo trousers Change trousers to ones that are easily undone and removed Assist the person you care for to pull on and do up trousers Forgetting what to do in the toilet Remind the person you care for of the activities they need to do Provide step-by-step instructions for them to use the toilet