When Nature Calls: Navigating Urinary Incontinence in Elderly
Let’s face it, aging comes with its unique quirks.
While some are delightful (becoming a wise ol’ sage… hopefully), others, like urinary incontinence in elderly, can be messy, frustrating, and downright embarrassing.
No one wants to hear: it’s time we get you… adult diapers.
But fear not! We’re here to navigate this delicate topic with compassion, maybe some toilet humor, and helpful tips.
Firstly, let’s acknowledge the elephant in the (bathroom) room.
Urinary incontinence, simply put, is the involuntary loss of urine.
While urinary incontinence in elderly is common, affecting millions nationwide, it’s not considered a normal part of aging and deserves attention.
“Incontinence can occur in both men and women at any age, but it is more common among women and older adults, affecting about 30% of older women and 15% of older men.”
MSD Manual
So, why does this happen to our beloved Mom or Dad, or Nana or Grandpa?
Let’s get into it, to gather some context and understanding of what’s happening.
Table of Contents
The Usual Suspects: Causes of Incontinence in Elderly
- Weakened muscles: Yep, just like our biceps need a workout, so do our pelvic floor muscles! Age, childbirth, cancer, and other factors can weaken these muscles, making it harder to control the bladder.
- Medical conditions: Diabetes, neurological disorders, bladder infections, and even some medications can contribute to incontinence (see your doctor if you find that medication impacting your elderly family member).
- Cognitive decline: Sometimes, remembering toileting needs becomes challenging for individuals with dementia or other cognitive impairments. Dementia causes all sorts of issues around this.
One example I came across in my role in aged care was when an elderly person stopped going to the bathroom because the mat on the floor looked like a hole in the floor.
- Structural changes: Age-related changes in the urinary tract, like enlarged prostate in men, can disrupt normal flow.
Addressing Incontinence in Elderly: Strategies for Success
Before you start stocking up on adult diapers (we’ll get to that!) addressing the root cause is crucial as a first step.
So, consult your loved one’s doctor or find a continence nurse. They can perform a thorough evaluation and suggest personalized treatment plans based on the underlying cause.
Here are some common approaches:
- Pelvic floor muscle exercises: Think Kegels! These simple exercises strengthen the pelvic floor, improving bladder control.
- Lifestyle modifications: Reducing caffeine and alcohol, managing fluid intake, and addressing constipation can all play a role.
- Bladder training: This involves retraining the bladder to hold urine for longer periods.
- Medications: Certain medications can help relax the bladder muscles or increase urine production.
As always, bring these suggestions to the doctor for consideration.
Empowering Support: Making Incontinence Management Easier
Now, while treatment is key, sometimes you need immediate solutions. That’s where incontinence supplies come in, offering comfort and maintaining dignity for your loved one and alleviating stress for both of you.
Products We Can Count On:
- Absorbent underwear: They’re known colloquially as “adult diapers” but in the industry, we more eloquently refer to them as “incontinence aids”. Think of these as comfy, discreet lifesavers, especially when you’re out on the town! They come in various absorbency levels and styles (pull-ups, briefs) to suit different needs.
- Pads and liners: These offer targeted protection for light leaks or unexpected drips.
- Catheters: For individuals unable to empty their bladder naturally, catheters provide drainage and some of them can come with the person so they can still access the community. Consult a healthcare professional for proper insertion and care. They can also train you and the elderly on how to do this yourself.
- Bed pads and mattress protectors: Accidents happen, but these waterproof barriers protect bedding and offer peace of mind.
- Wipes and cleansers: Gentle wipes specifically formulated for sensitive skin make cleaning easier and more comfortable.
Remember, You’re Not Alone!
Managing incontinence can feel overwhelming, but you don’t have to go it alone. Here are some additional tips for a smoother journey:
- Open communication: Talk to your loved one openly and empathetically. Understanding their fears and preferences is crucial. Start from a place of open thinking… “imagine if you can go out and not have to worry about wetting yourself?”
- Involve their support system: Family and friends can offer emotional and practical support.
- Join support groups: Connecting with others facing similar challenges can be invaluable.
- Seek professional help: Don’t hesitate to consult healthcare professionals, incontinence specialists, or therapists for guidance.
You can also reach out to the National Association for Continence for more help.
Humor as a Coping Mechanism
While incontinence can be stressful and embarrassing, a dash of humor might lighten the mood.
Now, this will depend on family dynamics, family history, culture, and the individual’s natural proclivity to laugh at themselves and where they are on the journey of managing their new continence issues. A dash of self-deprecating humor may be just what they need to help manage this new support need.
“You know… I never liked those pants anyway”
Remember, laughter can ease tension and create positive memories.
Remember, caregiver, you’re a champion! Your compassion, resourcefulness, and unwavering support make a world of difference in your loved one’s life.
With the right knowledge, tools, and approach, you can navigate this challenge together, ensuring dignity, comfort, and maybe even a little laughter along the way.
Final Thoughts: Embracing the Journey with Confidence and Grace
Facing urinary incontinence in an elderly loved one can feel like a storm cloud hovering over your sunny days. But remember, even the darkest clouds eventually part, revealing clear skies (and clear pants) and growth opportunities.
Yes, challenges exist, but you’re not alone.
Armed with knowledge and empathy you can weather this storm together.
Embrace the journey, celebrate small victories, and remember, your unwavering support makes a world of difference.
Here are some final words to carry with you:
- Focus on progress, not perfection: Every step towards managing incontinence is a win. Celebrate their efforts and yours.
- Don’t let shame or stigma steal joy: This is a common health issue, and you deserve compassion and support. Seek out resources and connect with others who understand. With the right support, they can continue to live a life that is active and in community.
- Prioritize self-care: You can’t pour from an empty cup. Take time for yourself, recharge your batteries, and seek support when needed.
- Embrace the unexpected: There will be bumps along the road, there will be accidents, and that’s okay. Got it? It’s fine. But remember, you’re capable and adaptable. Roll with the punches and find creative solutions.
Most importantly, never lose sight of the love and connection you share with your loved one.
This journey may be challenging, but it can also strengthen your bond and create lasting memories.
So, take a deep breath, dear caregiver, and face this challenge with confidence, grace, and a sprinkle of laughter. You’ve got this!