A mailed survey of 28 residential facilities for ambulant people with
dementia questioning the types of labelling of residents' toilets yiel
ded 24 replies: 42% (10) had no labelling, ''Toilet'' was used in 50%
and ''Male'' or ''Female'' was used in 8%. The survey was followed by
asking elderly people in an acute medical hospital ward and in an aged
care residential complex their preferences for toilet word and symbol
labelling. There were 21 elderly people with normal cognition, 11 peo
ple with mild dementia and 16 people with moderate dementia. The inter
national symbol was preferred by people with normal cognition or mild
dementia but a symbol more representative of a toilet was preferred by
people with moderate dementia (p<0.05). ''Ladies'' or ''Gents'' was t
he word most preferred by people with normal cognition. ''Toilet'' was
the word preferred by people with moderate dementia (p<0.05). We reco
mmend the use of the word ''Toilet'' accompanied by a picture of a toi
let for labelling toilet doors for people with dementia.