There are several factors affecting a person’s incontinence such as bladder disorders that affect on how a bladder can store and empty urine

There are several factors affecting a person’s incontinence such as bladder disorders that affect on how a bladder can store and empty urine, neurological disorders such as dementia and confusion, pharmacologic factors, environmental factors and in Alvita’s case her limited mobility has also a great impact on her incontinence. Impaired functional ability among elderly is a common pathway that contributes to urinary incontinence. A person’s ability to move around has an impact on reaching the toilet on time. Apraxia, secondary to dementia can also interfere with a patient’s ability to do things for oneself such as going to the toilet and doing activities of daily living. Another factor that may hamper Alvita’s mobility is her visual impairment which is common among geriatric patients. There is also an increase association of incontinence among stroke patients with urinary incontinence because of significant decline in physical function (Caplan, 2014). With the advancing age, a progressive and deterioration of the density of striated muscle cells can be noted in rhabdo-sphincter. 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 incontinence. Urinary incontinence affects more than one-third of women aged 70y/o and older. It is comparable to other chronic conditions such as HTN and DM in itsimpact on quality of life and is a common reason for institutionalization. Women with impaired mobility usually limit their activities so that they are always near a toilet and prevent accidents (Kaumitz, 2013) Urinary incontinence is a loss in bladder control. When someone is unable t