Older People with Urinary Incontinence: A Nurse Practitioner’ Role in the Assessment and Management

Abstract

Urinary incontinence is a common problem symptom of urination, an inability to control the urinaryexcretion on its own, causing a loss of the ability to control urination. Most often, this happens in situationswhere urination is not ready and accidentally slips out. The symptoms will cause hygiene problems, suchas a wound rash, or red marks on the wrong skin until the subsequent infection problem is also a problemfor physical health, impacting the mind, economy, and society. It is a health problem that affects physical,mental, emotional, and social aspects lead to reduced quality of life. Older people with urinary incontinenceproblems, it is caused by several reasons and factors that can cause various issues. This article aims to describeurinary excretion mechanisms, meaning, types and effects, method for assessing urinary incontinence, andprimary care guidelines for the older people and their families providing home and hospital care. Therefore,nurse practitioners’ action plays a significant role in helping older people with urinary incontinence. It is aservice through four dimensions: prevention, medical treatment, and nursing care, health promotion, andrehabilitation. Furthermore, medical history taking by interviews, physical examination, and self-assessmentthose are the service nurse roles: health care provider, health educator, counselor, coordinator, and advocatorin the follow-up and contact for improving caring to receive quality care and reasonable to continue to bringan as good quality of life.