There are several factors that influence a person’s incontinence, for instance , bladder disorders that effect on how a bladder can keep and empty urine, neurological disorders, like dementia and confusion, factors that are associated with one’s medication, environmental factors, where the patient is residing, and ultimately the activity and the mobility that a patient can do can also contribute to one’s incontinence. Impaired functional ability among elderly has an impact on how he can reach the toilet at the desired time. Apraxia related to dementia can interfere with a patient’s ability to do things for oneself and doing activities necessary for daily living.
Another factor that may hamper Alvita’s mobility the decline of her visual acuity which will also limit her activity during the night that is very common among geriatric patients. there is also an increase affiliation of incontinence among stroke patients because of significant deterioration in physical activity. with the advancing age, continuous and progressive deterioration of the density in the striated muscle cells of the rhabdo-sphincter can also be noted. the continued loss of striated muscle cells due to apoptosis may end up 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 be connected to this problem. Urinary incontinence affects more than one-third of women aged 70 y/o and older. It is tantamount to other chronic conditions such as hypertension and diabetes in its impact on the aspects of life leading to institutionalization. Women with impaired mobility usually limit their activities so that they are always near a toilet and prevent accidents (Kaumitz,2013)
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