Overview: Incontinence

With the further evolution of dementia and Alzheimer’s disease, many loved ones become incontinent. Generally, urinary incontinence occurs first, then fecal incontinence occurs. The incontinence can be treated, or even initially prevented entirely in many cases, by frequent toileting. Subsequently, strategies for managing incontinence, including appropriate bedding, absorbent undergarments, etc.,… Read More

6 Things Never to Say to an Incontinent Person

“I’m sick and tired of cleaning up after you, so I bought you these diapers.” (You’ll only make the person embarrassed and defensive.) “Why can’t you control yourself?” (They can’t. If they could, they wouldn’t be incontinent.) “Are you doing this to spite me?” (No, this isn’t about mean-spiritedness.) “That’s… Read More

Tips On Talking to Someone About Incontinence

Know your role. Know your goal. Figure out who should do the talking. Picture the person’s conflict style. Pick a pleasant time. Rehearse your tone. Try gentle, indirect route. Empathize. Let the person know they will be helping out. Give honest, detailed observations. Share insights into the person’s conflict-coping style…. Read More

Tips on Convincing One to Wear Diapers

Look for briefs with built-in protection, for example. Essentially, these protective underpants look like regular briefs, but with an insertable pad that will absorb urine. This style may be more acceptable. If you go this route, you’ll want to make sure the briefs fit well. Depending on how advanced your… Read More

How to Care for Someone With Bowel Incontinence

Fecal incontinence, which affects more than 5 million Americans and is more common in older adults, is often caused by weakness in the anal sphincter muscle, which normally contracts to keep stool from leaking out. If the person you’re caring for hasn’t seen his doctor about it, schedule an appointment…. Read More

Toileting Advice When Caring for Someone With Alzheimer’s

Always be calm and understanding when accidents occur. Wear gloves. This prevents the spread of disease; wash hands before and after assistance. If the person cannot use the toilet and cannot learn to use a urinal, commode, or in-bed toileting, incontinence products will be necessary. If the person can move… Read More

Fecal Incontinence: What Helps, What Doesn’t

At some point, both urinary and fecal (bowel) incontinence affect most people with dementia as brain-body communications deteriorate. Diet can influence the types of stools you have to deal with. Foods that add to the problem: Coffee Tea Chocolate Cured or smoked meat Spicy foods Ice cream Milk Fatty or… Read More

Tips On How to Care for Someone With Urinary Incontinence

Avoid denying there is a problem. Don’t assume the person is trying to punish you. Communicate about the problem. Talk them to the doctor. Make sure there is nothing to slow them down when they need to urinate. Help set up a toilet schedule. Watch the fluids before bed. Consider… Read More

Memory Issues Can Trigger Incontinence

Memory problems may be part of the reason for incontinence. Here is some advice on how to help your loved one: Follow a toileting schedule, so the person never has an urgent need. Try a sign on the door: “BATHROOM”. At night, illuminate the pathway to the bathroom with lights… Read More

Tips for Managing Incontinence

Persons with dementia generally become incontinent as the disease progresses. Some families do well managing this; others need help from an in-home worker or make the decision to move to special care assisted living. Here are some tips: Set a regular schedule for toileting Adapt the wardrobe for clothes that… Read More