Urinary Incontinence in Older Adults

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Urinary Incontinence in Older Adults Urinary incontinence is a major problem in elderly adult. The aging population is increasing rapidly, according to a report by the US Census Bureau; the US population is expected to increase by almost 70% between the 2000 and 2030. Incontinence is becoming increasingly common in older adults. Urinary Incontinence is known as “loss of bladder control” or “urinary leakage” (Barini-Garcia, 2010). It occurs due to problems with muscles and nerves that help to hold or release urine (NIH, 2010). Urinary incontinence is twice as often in women due to pregnancy and childbirth, menopause, and “the structure of the female urinary tract” (NIH, 2010). Of 25 million adults Americans suffering from some form of urinary incontinence in the United States, 75-80 percent of those are women (CONE Health, 2011). On average, women wait 6.5 years from the first time they experience symptoms until they obtain a diagnosis from their bladder control problems (CONE Health, 2011). However, both women and men can become incontinent from neurologic injury, birth defects, stroke, multiple sclerosis, and physical problems associated with aging (NIH, 2007). Urinary incontinence is categorized into several different types of incontinence such as stress urinary incontinence (SUI) which is the “complain of involuntary leakage on effort or exertion, or on sneezing or coughing” (Gomelsky & Dmochowski, 2011). Urgency urinary incontinence (UUI) is the “complain of involuntary leakage accompanied or immediately preceded by urgency” (Gomelsky & Dmochowski, 2011). The third type is the mixed urinary incontinence (MUI) which is described as the “complain of involuntary leakage associated with urgency and also with effort, exertion, sneezing and coughing” (Gomelsky & Dmochowski, 2011). Another type of incontinence worth mentioning is the nocturnal

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