Issue or urinary incontinence and prevention for the people above 65 years of age

Issue or urinary incontinence and prevention for the people above 65 years of age

What is urinary incontinence?

Urinary incontinence is an involuntary loss of urine that causes some type of discomfort to the person. We should not think that incontinence is exclusively a problem of the urinary system, but it can be related to different organs or systems of the elderly: nervous apparatus, genital apparatus, locomotor system, etc.┬áThere is no doubt that aging causes changes in the body (urinary system, prostate, vagina, pelvic floor muscles, nervous system …), so if you need support consider Short Term Health Insurance 2020 so changes that favor the older person is more likely to suffer incontinence.

How many older people does it affect?

Urinary incontinence affects around 20% -25% of people over 65, with prevalences of 15% among those who live in homes and are healthy, between 30% and 35% in hospitalized elderly people, about 50% in “frail” elderly people living in their homes and between 43% and 77% in people living in residences.

It is more frequent in women. Urinary incontinence increases with age, and the same happens with its severity (frequency and volume)

Through appropriate treatments, it is possible to reduce the degree of urinary incontinence in a percentage of 30% – 40%

The treatment should follow the following order:

  • Changes in lifestyle and hygiene and dietary measures.
  • Programs for rehabilitation of the pelvic floor muscles and behavior training.
  • Treatment with drugs.
  • Specialized treatments.

Physical space:

Adequate environment (privacy, easy access to the toilet, avoid hazards and architectural barriers, have good lighting, grabs or handles if necessary).

Direct care:

Explain, inform and convey the idea that one can improve the problem, or at least learn to live with it.

Promote self-image and self-esteem.

Older people should wear comfortable and easy to put on and take off street clothes: zippers or velcro are preferable to buttons for being easier to open and close.

Encourage social relationships (outings and walks).

Promote and teach personal hygiene, encouraging the person to try to urinate, have wishes or not, every 1.5 or 2 hours to be most of the time with an empty bladder and avoid leaks.

  • The older people should use temporary/permanent (or night) diaper.
  • A balanced diet and abundant in vegetable fiber (prevention of fecal impaction).
  • Maintain the proper weight and exercise regularly should be followed by the person who is above 65 years of age.
  • Avoid diets with spicy and/or irritating drinks (coffee, alcohol).