Managing Bladder Incontinence

Patient & Family Teaching Sheet

What is bladder incontinence?

Loss of bladder control causing loss of urine
The problem has varying degrees of severity. Some people have only small leaks or dribbles of urine, while others lose large amounts of urine at a tim
Bladder muscles and nerves, as well as the brain, all work together to control bladder function
- A problem in any of these areas can result in incontinence
- Infection, constipation, and mobility problems can also cause incontinence
Urine left on the skin can lead to irritation and odors

Establish a regular pattern of urinating
- Plan to go to the toilet every two hours while awake and before bedtime
Make it easier to get to the bathroom
- Use a bedside commode, urinal, or bedpan
Protect your privacy and dignity
Avoid fluids or foods that contain caffeine (soft drinks, coffee, tea, or chocolate)
Avoid alcohol as it can over-stimulate the bladder
Ask your nurse about
- Exercises that can help develop more control
- Medications that may help improve bladder function

Keep skin clean and dry
- Take extra care to wash and dry the area
- Products are available that can help you feel clean and eliminate odor
- Use barrier creams to protect skin from urine
Use protective products to try to keep clothing dry
- Your nurse can help you select which type of garment and products would be most helpful for you
- Change the garment frequently
Wash your hands before and after care to prevent infection
Ask your nurse for things that can further control any odors

Changes in your bladder function
- Burning, pain, or discomfort with urination
- Changes in the amount, frequency, color, or odor of urine
Medications
- Many medications can cause incontinence
Skin irritation