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Incontinence Care Guide

Managing bladder and bowel issues with dignity, comfort, and compassion

Understanding Incontinence

It's common, treatable, and nothing to be ashamed of

Incontinence affects over 25 million Americans and more than half of nursing home residents. It's not a normal part of aging, it's a medical issue with causes that can often be treated or managed. Start by seeing a doctor.

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Common Causes in Seniors

Urinary tract infection (UTI): Very common in elderly, often causes sudden incontinence
Medications: Diuretics, sedatives, and others can contribute
Enlarged prostate: Common in men over 60
Weak pelvic floor: Can be strengthened with exercises
Constipation: Can put pressure on bladder
Mobility issues: Can't get to bathroom in time
Dementia: May not recognize urge or find bathroom
Diabetes: Can affect bladder function

See a Doctor If:

Incontinence is new or sudden
Pain, burning, or blood with urination
Fever (could indicate UTI)
Sudden confusion (UTI can cause this in seniors)
They're significantly bothered by the issue

Many causes are treatable. Don't assume it's just "old age."

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Management Strategies

Scheduled toileting: Take them to the bathroom every 2-3 hours, whether they feel the urge or not
Limit fluids before bed: Reduce liquids 2-3 hours before sleep (but keep hydrated during day)
Reduce caffeine and alcohol: Both irritate the bladder
Treat constipation: Fiber, fluids, and movement help
Clear path to bathroom: Night lights, remove obstacles, consider bedside commode
Easy-off clothing: Elastic waistbands, velcro closures instead of buttons/zippers
Pelvic floor exercises: Can help strengthen muscles (ask doctor or PT)

For Those With Dementia

They may not recognize the urge, remember where the bathroom is, or be able to communicate need. Use scheduled toileting every 2 hours. Put a sign or picture on the bathroom door. Use contrasting color toilet seats. Be patient, this is the disease, not stubbornness.

Products & Supplies

The right products make a difference

Absorbent Underwear

Look like regular underwear. Good for light to moderate incontinence. Brands: Depend, Tena, Always Discreet.

Adult Briefs (Diapers)

For heavier incontinence or nighttime. Tape-on style allows changes without full undressing. Brands: Prevail, Tranquility.

Pads/Liners

Worn in regular underwear for light leakage. Less bulky than full briefs.

Bed Pads (Chux)

Protect mattress and furniture. Disposable or washable options. Layer for easy nighttime changes.

Bedside Commode

For those who can't make it to bathroom in time. Essential for nighttime or mobility issues.

Urinals

For men who can't easily get out of bed. Female urinals also available.

Barrier Cream

Protects skin from moisture. Apply at every change. Desitin, A&D, or zinc oxide cream.

Cleansing Wipes

Gentle, no-rinse wipes for cleaning. Avoid regular baby wipes (may irritate).

Saving Money on Supplies

Subscribe & Save on Amazon (15-20% off)
Buy in bulk at Costco or Sam's Club
Check if Medicaid covers supplies (many states do)
Ask doctor about prescription supply programs
Washable pads are cheaper long-term than disposable

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Protecting Skin

Wet skin breaks down quickly, leading to rashes and pressure sores. Prevention is essential:

Change wet products promptly, don't let them sit in moisture
Gently clean with mild soap or incontinence wipes
Pat dry, don't rub
Apply barrier cream at every change
Check skin daily for redness or breakdown
Allow air exposure when possible (during morning routine)

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Preserving Dignity

Use neutral language: "Let me help you get cleaned up" not "change your diaper"
Provide privacy: Close doors, cover with towels during care
Be matter-of-fact: Treat it as routine, not shameful
Don't scold: They're not doing this on purpose
Maintain eye contact: Talk to them, not about them
Offer choices: "Would you like to use the bathroom now or in a few minutes?"

Signs of Skin Problems

Call the doctor if you see:

Persistent redness that doesn't fade
Open sores or blisters
Signs of infection: warmth, swelling, pus
Rash that spreads or doesn't improve