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Dealing with incontinence in the elderly
What is Incontinence?
Incontinence is the inability to control either urine or fecal elimination. What this means in simple terms its that the affected individual may excrete urine or bowel movements when they do not want to.
There are 5 types of incontinence. Let's look at each of them.
Urge Incontinence: this is often caused by Alzheimer's, Parkinsons, enlarged prostate, spinal cord injuries or urinary tract infections. The affects are an inability to control the urge to urinate for defecate. In practice this means that the affected individual never reaches the toilet in time.
Reflex Incontinence: This is due to spinal cord injuries, brain tumors or strokes. Reflex incontinence means that urine and bowel movements seep from the body at any time.
Overflow Incontinence: Basically, this is leaking urine when the bladder is full. It is often caused by diseases cause blockages of the urinary tract..
Bowel incontinence: is the inability to contain or "hold" a bowel movement. It can be caused by constipation that goes on for an extended period of time or diarrhea.
Incontinence in the elderly
People of all ages can suffer from incontinence, but the majority of those who suffer from this embarrassing condition are over the age of sixty. It is also much more commonly found in women than it is in men. This is because childbirth affects the muscles that control urination and defecation.
Elderly people are especially prone to incontinence because of weakened pelvic muscles, urinary tract infections, an enlarged prostate gland in men, diabetes, high calcium levels in the body, a thinning of the vagina wall or simply an inability to move fast enough to get to the toilet in time.
Why is incontinence so distressing?
Visiting the toilet is an essential action that most of us take for granted. But for an old person, incontinence can make them feel that are losing control. Obviously, this can have serious effects on an elderly person's dignity and self esteem, especially when they are still mentally active. Many people find it totally embarrassing to have to accept help from other people, especially if the carer is a relative.
How can it affect people with dementia?
If the person you are caring for suffers from dementia, incontinence can bring additional care problems. Some sufferers seem to accept it, whereas others find it highly distressing and humiliating. As a result, they make take actions to conceal their difficulties including such as the evidence. For example, they may take take off clothes soaked in urine and try to hide them or they may put faeces in the bin.
Confusion may result in the elderly person going to the toilet in the wrong place such as a wardrobe or waste paper bin.
There are three golden rules to remember when you are dealing with an elderly person with incontinence:
-Try not to feel embarrassed or disgusted about the condition.
-Don't get angry or upset.
- Be dignified and remember that the person concerned will be embarrassed and upset themselves.
Of course, these rules are easier said than done. Caring for an elderly person is a huge stress on the carer and incontinence can only add the stress. If you feel you are having difficult with dealing with incontinent, is would be worth talking to a medical professional for some advice.
Some practical tips for dealing with incontinence
For most people, going to the toilet is a routine part of their day - something you hardly notice. But for an elderly person, they may want to use the toilet but be unable to use it, or even to find it. Here are some tips:
* Make sure the person in your care knows where the toilet is - a sign on the door can help.
There may come a stage where the elderly person in your care cannot use the toilet at all. In this case, you need to take action to deal with the consequences. There are ways to help them feel more comfortable at the same time as protecting items such as clothes and bedding. There are various products available to deal with incontinence including:
If the elderly person in your care has had an accident, it is important to deal with it as soon as possible as it can be very uncomfortable and lead to unpleasant smells. Also, dampness next to the skin can cause sores. (See our article an washing an elderly person) Here is some advice on what to do:
* If an elderly person has had an accident, cleanse the area using mild soap and warm water. Make sure you dry the area properly before putting on fresh pads and clothes.
Unfortunately, incontinence is not necessarily treatable in the elderly. Younger people who suffer from incontinence can do a series of exercises to strengthen the pelvic muscles or practice bladder control exercises. However, it is unreasonable to expect the elderly to do this. Medication is available to help to stem the problem, especially if the senior in question has a bladder, kidney or urinary tract infection, but it is not advisable for diabetics to take it and it may actually make symptoms worse. It is a natural part of aging and should be accepted as such really.
This doesn't help you if you are caring for someone who suffers from incontinence. You may well find yourself changing him or her every hour or so, which would also create a sense of embarrassment and discomfort for the individual in question. This also runs the risk of getting pressure sores. However, you can purchase incontinence pad that work much the same as nappies, absorbing moisture and sealing it away from the body. Although it may not feel comfortable to wear them, it may certainly be much better than sitting in wet clothes.
Incontinence is an unfortunate problem for many members of the elderly population because it is a result of the body breaking down. It is just a matter of learning how to cope with it without making the senior you care for feel too embarrassed and ashamed. That is totally dependent on the individual.
Other articles that may be of interest
A natural remedy method for incontinence
A little known natural method for curing men and women with incontinence