TIP OF THE MONTH

Incontinence

Can your bladder increase your risk of falling?

Over half of older adults experience uncontrolled bladder or bowel leakage, known as incontinence. Incontinence can happen because of weakened muscles, nerve issues, medication side effects, or certain medical conditions like urinary tract infections or an enlarged prostate. Individuals with incontinence may experience slips, trips, or loss of balance while hurrying to the bathroom, while managing wet or soiled clothing, or having slippery flooring to manage. The good news is that there are many ways to address incontinence and it’s associated fall risks.

Practical Tips

Talk to your Doctor

  • Incontinence is not a normal part of aging. Ask your doctor for an explanation.

  • Develop a plan to find the cause and manage your incontinence.

  • In many cases, a referral to a pelvic floor therapist to learn how to control and strengthen the muscles you use to go to the bathroom may be indicated.

Timing

  • Avoid waiting for a severe urge by allowing plenty of time to get to the bathroom without rushing.

  • Schedule bathroom trips regularly during the day.

Diet

  • Avoid caffeinated, carbonated, or alcoholic drinks which irritate the bladder.

  • Possibly limit fluids at least two hours before bedtime, but double check with your doctor to ensure that this is appropriate for your case.

Bathroom Use

  • Wear clothes that are easy to pull down, remove, or open.

  • Do not strain or push.

  • Stand up slowly from the toilet to avoid dizziness.

  • Practice good hygiene; always wipe front to back and wash your hands to reduce your chance of infection.                                                                

Environment

  • Keep pathways to the bathroom well-lit and free of clutter.

  • Urinals or bedside commodes can reduce trips to the bathroom at night.

  • Consider a professional home safety check for advice on home modifications such as installing grab bars or toilet risers to make it easier to get on and off the toilet.

Additional Resources

Toileting and Fall Prevention
Resource from National Association for Continence.

Mind Over Matter: Healthy Bowels, Healthy Bladder | WIHA
Evidence-based health promotion program for women.

13 Tips to Keep Your Bladder Healthy
Strategies from National Institute on Aging.

Urology Care Foundation
Resources on living health, exercise, and treatment options.

Equipment Guide
Guide to selecting the right toilet modification by an OT.

Pelvic Floor Exercises
Resource from National Association for Continence.

Urinary Incontinence Linked to Increased Risk of Falling in Older Adults
Published article in Urology Times Journal.

Nonfatal Bathroom Injuries Among Persons Aged ≥15 Years
Published article in CDC.