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There are a number of causes of functional incontinence. These include confusion, dementia, poor eyesight, impaired mobility or dexterity or unwillingness to use the toilet due to depression or anxiety. [2] Functional incontinence is more common in elderly people as many of the causes are associated with conditions that affect people as they age.
Urinary incontinence (UI), also known as involuntary urination, is any uncontrolled leakage of urine. It is a common and distressing problem, which may have a large impact on quality of life. [1] Urinary incontinence is common in older women and has been identified as an important issue in geriatric health care.
Dementia affects 5% of the population older than 65 and 20–40% of those older than 85. [276] Rates are slightly higher in women than men at ages 65 and greater. [ 276 ] The disease trajectory is varied and the median time from diagnosis to death depends strongly on age at diagnosis, from 6.7 years for people diagnosed aged 60–69 to 1.9 ...
Fecal incontinence or constipation occurs when there is a problem with normal bowel functioning. This could be for a variety of reasons. The normal defecation pathway involves contractions of the colon which helps mix the contents, absorb water and propel the contents along. This results in feces moving along the colon to the rectum. [4]
This could be by assisting the patient to walk to a toilet, to a bedside commode chair, onto a bedpan, or to provide a male patient with a urinal. A more dependent or incontinent patient may have their toileting needs met solely through the use of adult diapers. Other options are incontinence pads and urinary catheters.
The water and stool may take some time to fully evacuate, especially with patients with obstructed defecation. People with reduced muscular strength of the anal sphincter may encounter problems with later leakage of the water mixed with stool, which may bring similar, socially devastating problems as seen with fecal incontinence.
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