Continence is a part of Activities of Daily Living. Fifteen percent to 30% of adults living in the community and almost 50% of nursing home residents are affected by urinary incontinence. The prevalence in older women is twice that of prevalence in older men. Pregnancy, childbirth, menopause, and the anatomy of a woman’s urinary tract are all factors that increase the likelihood of incontinence.
Despite the fact that incontinence is common in aging, it should never be considered a normal condition of aging. Various methods of managing and reducing incontinence have been developed, and many older persons have been assisted with incontinence so that the quality of their lives is not so greatly affected.
Because of embarrassment and worry about appearance and odor, an older person may not report incontinence unless asked directly. Incontinence can be isolating and has a major impact on quality of life. It also increases the risk of falls in older persons. Rushing to the bathroom to avoid urge incontinent episodes most likely increase the risk of falling, which then results in falls and fractures. The development of incontinence is often the final factor influencing family caregivers to institutionalize those they care for.