What should a PCA do for an elderly male patient who occasionally wets his trousers?

Encouraging the patient to go to the bathroom at least every two hours is the most effective approach for managing incontinence for several reasons. First, this strategy promotes regular trips to the bathroom, which can help establish a routine and reduce the likelihood of accidents. By encouraging the patient to go frequently, it allows them to empty the bladder before it becomes too full, minimizing the chance of leakage.

Additionally, creating a scheduled toileting routine can build the patient's confidence and independence regarding their toileting needs. It can also provide opportunities for the PCA to assess any further needs, such as understanding whether there might be underlying medical issues contributing to the incontinence.

While other options, such as encouraging reduced fluid intake before bed or providing adult diapers, may seem beneficial, they do not address the root of the problem. Reducing fluid intake can lead to dehydration and other health complications, while simply changing trousers or providing diapers does not help the patient find a solution to managing their incontinence nor does it promote their dignity and autonomy. Thus, establishing a regular toileting routine is a proactive and supportive approach to care.