How to Care for Someone With Urinary Incontinence

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How can I talk to my loved one about incontinence?

Realize it's normal to feel uncomfortable. There are some discussions between close relatives, especially a parent and child, that many of us would rather avoid: Talking to your own children about sex is probably not something many parents can glide through without some discomfort. Equally difficult, or perhaps even more so, is broaching the subject of incontinence with the very person who used to change your diapers when you were an infant.

Whether or not the person you're caring for has memory problems or dementia, the topic of incontinence is challenging. "Society has programmed us to view bodily functions as dirty and private, and when you're dealing with a parent, having such a discussion isn't a natural thing to do," says Carol Jones, a family consultant with the Mountain Caregiver Resource Center in Mount Shasta, California.

Avoid denying there's a problem. When talking to adult children who are caregivers, Jones found that they often have such a hard time dealing with incontinence that they pretend it's not happening. "Sometimes the biggest problem is that the caregiver is embarrassed and feels the need to cover up the accidents, even denying that the person is incontinent."

Don't assume the person is trying to punish you. Another pitfall, particularly if the person has dementia, is the misperception that he's having accidents "on purpose," as a way of gaining control, according to Jones, yet that's rarely the case.

Communicate about the problem. To overcome these emotional obstacles, Jones recommends tackling the topic head on. "The best way to do it is to speak frankly and say, 'We're in this together. I know this is embarrassing for you, and it's hard to depend on someone else for bodily functions, but I want to work on this with you to make it easier.'" Of course, if the person you're caring for has dementia or Alzheimer's, you may need to use a different approach.

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6 Comments

5 months ago

Great article. I know that switching to full elastic waist jeans and pants was a big help for my senior dad in the end stage of Parkinsons Disease. And as you wisely point out, it's also a big help for those of us caring the elderly parents and relatives in our family as it saves so much on wear and tear on our nerves and our cleaning time. Thank you.


7 months ago

Yes, very helpful. My mother suffers from Alzheimer and this article helped me to understand that she is not punishing me because of her accidents.


12 months ago

Thank you for the wounderful tips i will use them with my mother, Thank you again .


Anonymous said almost 3 years ago

My mom can't determine when her diaper is wet. I tell her to feel it and feel the weight of it, but she still doesn't get it. If only the color of the diaper would change to one that clearly tells her that it is wet...that might help. Is there such a diaper product - one that changes color when wet?


almost 3 years ago

Whats going on. depends are bad for leaks. www.ionmeds.com


over 4 years ago

Oh, it seems times have changed - now there are commercials for Depends! I think it's healthy that we all can discuss this a bit more frankly than in the "hush hush" days. I wouldn't have considered the issues of button-fly jeans as opposed to zipper or elastic waistband in helping a senior get to the bathroom in time. Wonderful tip.


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