One thing that I learned when studying up on bladder issues is that elderly individuals tend to report involuntary bladder contractions that are not associated specifically with urgency or what are termed Valsalva maneuvers. (Remember that Valsalva maneuvers include coughing, sneezing, bending and lifting or with other strenuous activities.)
These elders actually told their medical professionals that, instead of doing anything strenuous, they can merely be standing or sitting quietly and have urine leak out without a word of warning. They only know that they have leaked because they feel the wetness. One individual calls this type of leakage unconscious incontinence even though the International Continence Society does not recognize the term professionally.
The process of differentiating between more than one condition that shares similar signs or symptoms is called a differential diagnosis. This being said, unconscious incontinence is actually overflow incontinence which is actually rare; diagnosed by measuring post-void residual urine volume. Then, it can also be severe urethral insufficiency, of which the individuals also report and show severe stress incontinence. Finally, it can also be involuntary bladder contractions of which the individual simply does not feel as an urgency to urinate. By the way, involuntary bladder contractions may be the most likely reason you will face because many of your clients may be frail as well as elderly.
When you realize this, you will be able to demonstrate fully to them that With Age Comes Respect.