For which patient with incontinence would a bladder-training program be an appropriate intervention?
Correct Answer: C
Rationale: The correct answer is C: the patient with urge incontinence and abnormal detrusor muscle contractions. Bladder training is an appropriate intervention for this patient because it aims to increase the bladder capacity and decrease the frequency of abnormal contractions. The program involves scheduled voiding and delaying urination to gradually increase the time between bathroom visits. This helps to retrain the bladder muscles and improve control over urination.
A: Functional incontinence due to mental status changes is not typically addressed through bladder training.
B: Stress incontinence due to weakened bladder neck support is better treated with pelvic floor exercises and lifestyle modifications.
D: Transient incontinence due to inability to get to toileting facilities requires environmental modifications and timed toileting, not bladder training.