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Updated: Jul 10, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Geriatric incontinence--selected questions.

Syed H Tariq¹, Margaret-Mary Wilson

¹Division of Geriatric Medicine, Saint Louis University School of Medicine, USA.

Missouri Medicine

|November 21, 2007

Summary

Double incontinence, or co-existing urinary and fecal incontinence, is a common and serious issue in older adults. Prompt medical evaluation and tailored treatments, like habit training or surgery, can improve outcomes for elderly patients.

Area of Science:

Geriatrics
Gastroenterology
Urology

Background:

Double incontinence (urinary and fecal incontinence) is a poorly defined but common syndrome in older adults.
It significantly impacts patients and caregivers, indicating poorer health and increased mortality.
Prevalence is high in both community and nursing home settings.

Purpose of the Study:

To define double incontinence in older adults.
To outline diagnostic and management strategies for elderly patients with incontinence.

Main Methods:

Comprehensive medical evaluation, including history and physical examination.
Exclusion of fecal impaction via rectal exam and abdominal X-ray.
Assessment of cognitive status for treatment selection.

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Real-Time Void Spot Assay

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Last Updated: Jul 10, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Real-Time Void Spot Assay

Real-Time Void Spot Assay

Published on: February 10, 2023

Main Results:

Focused medical evaluation is warranted for all patients with fecal and/or urinary incontinence.
Habit training is most beneficial for cognitively impaired patients.
Surgical interventions may be effective for select elderly individuals.

Conclusions:

Double incontinence requires thorough medical assessment.
Management should be individualized based on patient condition and cognitive status.
Effective treatment options exist for older adults experiencing incontinence.