There are existent factors that leverage to one’s incontinence, for instance bladders disorders that effect on how the can keep or empty urine, neurological disorders like dementia and disorientation. It may be the persons medication, environmental factors such as the living conditions and the place where the patient is residing and ultimately how much activity and mobility can an individual do can really contribute to this situation. Debilitated functional ability among elderly is an avenue that a person’s ability to move around has an impact on how he will reach the toilet in a desired time. Apraxia related to dementia can also interfere with a patient’s ability to do things independently and doing things necessary for daily living. Another factor that may hamper Alvita’s mobility especially at night is her visual acuity, that is common among geriatric patients. There is also an increase connection of incontinence among stroke patients because of significant deterioration of striated muscle cells in the rhabdo-sphincter. The continued loss of striated muscle cells due to apoptosis may lead to urinary incontinence. The increased spontaneous activity of detrusor smooth muscle cells and specific changes at the cellular level in the urinary bladder may also contribute to this situation. Urinary incontinence affects more than one-third of women 70 years and older. It is tantamount to other chronic conditions like diabetes in its impact to the aspect of one’s life and the reason for institutionalization. Women with impaired mobility prefers to be close to the toilet and limit their activities thereby, avoiding accidents (Kaumitz,2013).


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