Dementia and Incontinence
Currently, there are about 900,000 people with dementia in the UK. It is projected that over 1 million people will have dementia in the UK by 2025. Dementia mainly affects people over the age of 65, although younger individuals can also develop dementia.
Incontinence in Dementia Patients
People with dementia face the same risks of developing incontinence as they age, similar to the general population. However, incontinence in dementia patients may also be triggered by treatable causes, such as:
- Urinary tract infections (UTIs)
- Constipation due to poor diet or dehydration
- Prostate problems in men
- Certain medications
Incontinence and dementia are linked due to the physical and cognitive decline caused by the condition. Dementia patients may experience interruptions in the communication between the brain and bladder or bowel, leading to incontinence. This can manifest in various ways, including:
- Inability to react to the sensation of urination or bowel movement
- Mobility issues preventing timely access to a toilet
- Difficulty communicating the need to void
- Forgetting how to use the toilet, such as forgetting to remove clothing
- Disorientation and inability to locate the toilet
Managing Incontinence in Dementia Patients
There are several methods available to manage dementia-related incontinence, many of which can be incorporated into daily routines to help maintain dignity and independence.
Diet and Lifestyle Changes for Bladder and Bowel Health
To keep the bladder and bowel healthy, it’s essential to maintain a balanced diet rich in fibre and fluids. Limit or avoid irritants like caffeine, fizzy drinks, and alcohol, as they can aggravate the bladder.
Routine Management to Reduce Accidents
Establishing and maintaining a consistent routine is key to helping dementia patients manage incontinence. Some tips for creating an effective routine include:
- Assisting the person with toileting after every meal
- Ensuring regular eating and drinking times
- Limiting fluid intake two hours before bedtime to avoid night-time accidents
- Encouraging adequate hydration during the day
Support for Managing Incontinence in Dementia
Various strategies and tools can improve a person’s ability to remain continent and reduce incontinence episodes:
- Clothing: Encourage the use of easy-to-remove clothing, such as elasticated waists without zips or buttons. This can be particularly helpful for individuals struggling with dexterity.
- Mobility aids: Items such as walking aids, handrails, and commodes can assist with limited mobility.
- Toilet environment: Ensure the toilet environment is uncluttered and easily accessible to reduce confusion and help individuals find the bathroom.
Incontinence Products for Dementia Patients
When incontinence products are needed, they can help manage symptoms and protect skin integrity, ensuring dignity. Some of the available products include:
- Incontinence pads and pants: Available in various sizes and absorbencies, these products can help manage light to heavy incontinence by drawing moisture away from the skin.
- Male continence sheath: A sheath that fits over the penis and is connected to a leg bag, ideal for managing male urinary incontinence.
- Bed pads and mattress protectors: These products are useful for protecting hard-to-clean surfaces like beds, chairs, and car seats.
Feel free to explore our full range of incontinence solutions here!
Managing continence for people with dementia is complex due to the nature of the disease. Management should also be aimed at maintaining self-care and independence for as long as possible whilst ensuring the patient’s comfort and dignity.
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