A behavioral therapy approach to bladder retraining.

In summary, emphasis has been given to the following essential points: incontinence is a difficult problem for many elderly persons and those who are responsible for their care; the concepts of bladder retraining are simple and few in number-communication, fluid intake, and habit; contingency management is applicable to the problem of urinary incontinence and consists of a reward system not only for the patient but also for the staff. An attempt has been made to break down the necessary components that are required in a bladder retraining program that relies on contingency management. In order to institute such a program, further study and/or consultation probably should be sought.