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Preserving Dignity: Urological Care for Seniors with Dementia

As people age, it’s not uncommon for them to face urology issues that become even more challenging when combined with dementia. Seniors with dementia often struggle with maintaining their toileting habits, leading to accidents and incontinence. These issues affect their physical health, emotional well-being, and quality of life.

According to a 2021 study, urinary symptoms, including urinary incontinence, impact over 50% of individuals with Alzheimer’s disease and other forms of dementia, particularly those in the mid to late stages.

So, how do we provide the best care for our loved ones in such situations? Understanding and addressing these urology issues is essential to making holistic and compassionate care for individuals with dementia a reality.

Check out this webcast where Dr. Christopher Graham, (a board-certified urologist who practices with Urology San Antonio) gives an overview of the management of incontinence and overactive bladder that elderly people often experience.

September is Urology Awareness Month

Every September, we observe Urology Awareness Month, a time dedicated to raising awareness and understanding about urological conditions. Throughout this special month, The Urology Foundation seeks to spark nationwide conversations about how to prevent, treat, and manage bladder health issues.

The causes of urology issues in seniors are multifactorial, often influenced by aging and underlying health conditions like urinary tract infections, diabetes, prostate problems, cognitive and physical impairment, or even medication interactions.

The Impact of Dementia on Toileting Habits

Neurological impairment resulting from dementia profoundly influences the communication between the brain and the bladder, leading to incontinence and other urological issues.

Research has shown that the prefrontal cortex and thalamus, critical for cognitive control and sensory processing, are impaired in dementia. These areas play a role in recognizing the sensation of a full bladder and sending appropriate signals for timely release.

The ability to recognize bodily cues, follow routines, and communicate needs effectively may be affected for individuals with the condition. This can result in various urology-related challenges, among them being:

Incontinence: Seniors with dementia might struggle to recognize the sensation of a full bladder, leading to episodes of incontinence where they cannot control their bladder or bowels.

Toilet Awareness: Dementia can diminish spatial awareness and memory, making it difficult for seniors to locate and use the toilet correctly.

Communication Barriers: Dementia often affects language skills, making it challenging for seniors to express their need to use the toilet.

Strategies for Managing Urology Issues

With these steps, your loved one’s comfort and well-being can be prioritized at every stage of their journey.

• Established Routine: Creating a consistent toileting schedule can help seniors anticipate and manage their bathroom needs. Regularly guiding them to the toilet, especially after meals or at specific times, can reduce accidents.
• Visual Cues/Improve visibility: Placing noticeable signs or symbols on bathroom doors aids seniors in identifying the correct location. Clear visual cues can trigger their memory and spatial recognition.
• Adaptive Clothing: Dressing seniors in easily removable clothing can make trips to the toilet more manageable, reducing frustration and accidents.
• Frequent Reminders: Gently reminding seniors to use the bathroom, especially if you notice signs of restlessness or discomfort, definitely helps.
• Hydration Management: Proper hydration is key in managing urology issues. Additionally, monitoring fluid intake helps prevent excessive bladder pressure, which can contribute to incontinence. Check out this blog on the importance of hydration for seniors.
• Accessible Facilities: Ensure the bathroom is safe and easily accessible by installing grab bars, non-slip mats, and raised toilet seats to promote independence and reduce falls.

Support for Seniors with Urology Challenges

At Tribute Senior Living, we strive to understand the complexities of urology issues among our senior residents. Our experienced team is committed to providing specialized care that addresses these challenges, offering a supportive environment where residents receive the attention and assistance they need.

Furthermore, we provide families with valuable information regarding elderly incontinence. If you’re looking for an environment that promotes optimal urological and cognitive health for your loved one, Tribute Senior Living is here to assist you every step.

We Are Here to Help

Contact us for more information about the comprehensive services we offer.