Fact 2. Incontinence in Dementia—A Consequence of Physical and Cognitive Decline
Incontinence in dementia patients can’t solely be attributed to the physical loss of bladder or bowel control. Instead, it often arises from a combination of the physical and cognitive decline inherent in dementia. This dual facet of incontinence among dementia patients requires a comprehensive understanding of how cognitive impairment plays into the onset of incontinence.
One of the critical aspects of cognitive decline in dementia is the erosion of memory. This includes not just long-term memory loss but short-term and procedural memory loss as well.
A person with dementia may forget the process involved in recognizing and responding to their body’s natural urge to use the toilet. They might struggle to remember the sensation of a full bladder or bowel, or they might forget the steps needed to seek out a restroom, undress appropriately, and use the toilet.
Additionally, cognitive decline can impact the person’s ability to communicate effectively about their needs, including the need to use the restroom. They might not be able to express their urge to urinate or defecate in a timely manner, leading to accidental leakage before they can be assisted to a restroom. (2)
