Managing Incontinence
Incontinence. It’s common. It’s underdiscussed. And often, it is a challenge faced by people who are caring for older loved ones.
Incontinence is the involuntary loss of bladder or bowel control. There are several types of incontinence, each with its own set of causes and characteristics. It’s a fairly common problem. The American Urological Association estimates that a third of people aged 40 and older suffer from urinary incontinence and the risk increases with age.
There is some social stigma that accompanies urinary incontinence. Our loved ones may hesitate to even acknowledge that it is happening, let alone discuss a solution. Unfortunately, this stigma causes people suffering from incontinence to delay seeking treatment, or not attempt to get help at all. Fearing that they smell bad, or won’t be able to find a public restroom, people who have continence issues may begin to withdraw and become more socially isolated. This social isolation, in turn, can end up impairing a person’s mental and physical health.
There is no shame in treating incontinence like any other health condition. It might feel like an uncomfortable conversation to have with a loved one. But the sooner the topic is addressed, the sooner we can find solutions and take preventative measures.
Incontinence can be a sign of a more serious medical condition, so it’s important that anybody dealing with this condition see their health care provider as a first step. Once other medical conditions are ruled out, we can begin to properly manage the incontinence.
There are several strategies that can help improve quality of life for people with incontinence and their caregivers:
Be empathetic. First, remember that incontinence is a medical condition, not a personal failing. Encourage open communication and provide emotional support to help reduce feelings of embarrassment and frustration.
Keep a bladder diary. This might seem like a strange suggestion, but keeping a diary of the foods, drinks, and activities that trigger your loved one’s bathroom use. The National Association for Continence (NAFC) has some sample bladder diaries available to download.
Keep the skin clean and dry. Products such as barrier creams, can help maintain skin health.
Maintain a regular bathroom schedule. Regular bathroom schedules can help reduce accidents by training the bladder.
Think beyond incontinence briefs. The incontinence care industry has evolved to offer a wide array of discreet and respectful products. Absorbent products such as bed pads, washable and reusable underwear help manage leakage and protect clothing and bedding. External devices can also be used to manage leakage.
Encourage hydration. Cutting back on water intake can cause a separate and potentially more serious medical issue: dehydration. Ask your doctor or other medical professional for guidance on drinking enough water while managing incontinence and about eliminating or cutting back on beverages such as coffee and alcohol that may make incontinence worse.
For some, lifestyle changes and medical treatments may also be necessary. Pelvic floor exercises can strengthen the muscles that control urination. Medications prescribed by a doctor can help manage symptoms, and in some cases, surgical interventions may be considered. Dealing with incontinence can be stressful for both the caregiver and the person experiencing it. Patience, empathy, and practical strategies can make a significant difference. Remember, you are not alone, and there are resources and support systems available to help you manage this condition effectively.
Source: IlluminAge AgeWise