Incontinence in Older Adults

Constipation
Urinary tract infections
Weak bladder muscles
Overactive bladder
Nerve damage from diabetes, Parkinson’s disease, and other diseases
Enlarged prostate in men
Injury, or damage to nerves and muscles from prostate surgery
Balance or gait problems that cause difficulty getting to the bathroom fast enough
Pelvic organ prolapse, displacing the bladder and urethra
Loss of ability to sense the need to urinate
Forgetting to go the physical bathroom
Inability to find the toilet

Urinary incontinence

Decrease or eliminate caffeine intake.
Avoid alcohol.
Drink a cup of fluid all at one time rather than sipping a beverage over a longer period of time.
Keep pathways and bathroom well-lit, clear, and clutter-free.
Mark the bathroom with a big sign that reads “Toilet” or “Bathroom.”
Provide regular bathroom breaks, every 2-3 hours.
Supply easy-to-remove underwear and clothing.
Use disposable underwear, especially away from home.
Utilize waterproof mattress pads and other protective covers for bed linens.
Gentle-but-thorough cleaning and drying of the private area is essential for keeping the skin healthy.
Application of a skin barrier ointment can further protect the private area from moisture and irritation.

Bowel incontinence

Eat 20-30 grams of fiber per day. This can make stool more bulky and easier to control.
Avoid caffeine and alcohol to help prevent diarrhea.
Drink several glasses of water each day to prevent constipation.
To minimize accidents, schedule bowel movements at the same times each day, especially after meals.
Gentle-but-thorough cleaning and drying of the private area is essential for keeping the skin healthy.
Application of a skin barrier ointment can further protect the private area from moisture and irritation.

Disposable underwear

Many factors are considered when choosing the right incontinence product. Some trial and error is usually required.
Separate daytime and nighttime products may be needed.
Features to consider:
- Absorbency
- Flexibility that supports activity level
- Gender-specific or unisex
- Sizing – Proper sizing is essential to prevent leakage
- Style – Tab-style, pull-ons, slimmer profile for daytime outings
- Cost – Inquire about free samples and manufacturers coupons while considering which product works best
- Products that trap and wick moisture away from the skin and feature a soft breathable lining
In some states, Medicaid covers the cost of adult disposable briefs. Some private insurance providers may cover the cost. Medicare does not cover the cost.
If a medical diagnosis supports the use of disposable underwear, the cost may be deducted as a medical expense on an annual tax return.