An 80-year-old woman with a history of diabetes and arthritis has made an appointment with her health care provider for complaints of urinary incontinence (UI)
The patient states that she has recently become incontinent of urine and thinks it is because of her age. What is the best response from the nurse? a. "That is not normal. You must have a UTI."
b. "You need to decrease your fluid intake so you don't have to go to the bathroom as often."
c. "Are you having issues with walking to the bathroom or toileting?"
d. "As you get older the sensations that your bladder is full become hypersensitive and cause a person to go to the bathroom more frequently."
C
Functional UI is caused by factors that prohibit or interfere with a patient's access to the toilet or other acceptable receptacle for urine. It is a significant problem for older adults who experience problems with mobility or the dexterity to manage their clothing and toileting behaviors. Functional UI may also be caused by poor motivation for continence, as seen in severe depression or by cognitive decline that has impaired the ability to sense and act upon the urge to void in an appropriate manner. Functional UI can be associated with underlying stress, urge, or mixed UI. In many cases functional incontinence is the direct result of caregivers not responding in a timely manner to requests for help with toileting.
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