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Advice About Incontinence

Tuesday, October 03, 2006

Question

About six months ago, my husband and I moved my mother, a widower, into our home so we could better care for her. It was an adjustment, but up until now everything has been just fine. The thing is, it is obvious my mother is developing urinary incontinence. She absolutely refuses to wear adult diapers. This is a problem because she is having "accidents" more and more frequently, which is difficult for the children, and the smell is noticeable. Any suggestions on how we might approach this problem would be helpful.

Answer

Incontinence can be caused by many factors including medications, stress, a physical condition, the environment, restrictive clothing or constipation. As your mother’s incontinence appears to be new problem, I suggest you to consult a doctor to rule out potential medical causes.

Monitor your mother's incontinence and develop a routine. If possible, take her to the bathroom every two hours. Don’t ask if she needs to use the bathroom, but say "let's go to the bathroom".

You might also consider plastic outer pants, and/or getting rid of all her normal underwear. There are also large pads that can be used instead of diapers. If you shop around you will find some undergarments that may be less bulky than traditional adult diapers, and have the feel and look of normal underwear.

Listen for trigger words and observe behavior that may indicate her need to use the restroom, such as fidgeting, restlessness, facial expressions, etc.

If you can start on a regular routine of visiting the bathroom every two hours, this may be extremely helpful.