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What to say to someone with incontinence?

4 min read

Over 50% of older adults living at home in the US experience urinary incontinence, yet many suffer in silence due to shame and embarrassment. Knowing what to say to someone with incontinence requires compassion and a thoughtful approach to encourage them to seek help and support.

Quick Summary

Approaching the topic of incontinence with a loved one involves choosing a private setting, leading with empathy, and focusing on support rather than judgment. Open the door to a sensitive conversation by normalizing the condition, offering practical help, and reassuring them that they are not alone in their experience.

Key Points

  • Empathy is paramount: Lead with compassion and respect, not judgment, to foster a safe space for discussion.

  • Normalize the condition: Frame incontinence as a common health issue to help the person feel less isolated and embarrassed.

  • Focus on overall health: Present the conversation as a way to address a health concern, not just an embarrassing problem.

  • Offer concrete, practical help: Move beyond just talking by offering to research products, find specialists, or assist with errands.

  • Respectful language is crucial: Choose your words carefully, avoiding accusatory or shaming language that could worsen their feelings of humiliation.

  • Differentiate communication by relationship: Adjust your approach for a parent, partner, or friend, always prioritizing their dignity.

In This Article

Approaching a Sensitive Conversation

Starting a conversation about incontinence with a family member or friend can feel intimidating for both parties. The key is to create a safe, non-judgmental space. Choose a quiet, private time and place where you won’t be interrupted. Avoid bringing it up in front of others, as this can cause immense embarrassment. Begin by acknowledging that this is a tough topic and that you're only bringing it up out of concern for their well-being.

Lead with Empathy and Normalization

One of the most effective strategies is to normalize the condition. Instead of asking directly, you might frame it around a common experience or something you've observed in a gentle, non-accusatory way. You can mention that many people experience bladder issues as they age or after certain life events. This can help them feel less isolated and more comfortable opening up.

Do say: "I've been reading about how common bladder issues can be. If you're ever dealing with something like that, I want you to know I'm here to support you in any way I can."

Don't say: "I've noticed you've been having accidents. What's going on?"

Frame the Conversation Around Health

Shift the focus from the embarrassing aspects of incontinence to their overall health. This approach makes it feel like you are caring for their physical and mental health, rather than just pointing out a problem. You can tie it to other health concerns or routine check-ups.

Do say: "I was looking up information on senior health, and I came across some things about bladder control. Sometimes it's a symptom of another issue, and a doctor can help. Have you talked to your doctor about this?"

Don't say: "You need to see a doctor about your bladder control."

Offer Practical Help, Not Just Words

Often, the person struggling with incontinence is also dealing with the logistics of managing it. Offering concrete, practical help can be much more impactful than simply saying you're there for them. This might involve offering to research products, find a specialist, or help with errands.

Practical Ways to Offer Support

  • Researching Products: Offer to discreetly look into different types of pads, undergarments, or protective bedding. This removes a significant burden from them.
  • Finding a Specialist: Suggest helping them find a urologist or a physical therapist specializing in pelvic floor issues and offer to help schedule an appointment.
  • Assistance with Errands: Help them with shopping for supplies, so they don’t have to feel self-conscious doing it alone.
  • Providing a Resource: Guide them toward reputable information from an organization like the National Institute on Aging.

Comparison of Helpful vs. Unhelpful Statements

Helpful Statements Unhelpful Statements
"This is a common health issue, and there are many solutions." "I can't believe you're still having accidents."
"Let's explore some options together, so you don't have to worry." "You just need to try harder to hold it."
"Your health is what's most important to me." "This is becoming a real problem for all of us."
"Would you like me to help you find some protective underwear?" "Why don't you just wear a diaper?"
"We can look into what might be causing this." "Have you talked to anyone about your embarrassing problem?"

Handling the Conversation with a Parent

Discussing incontinence with a parent requires an extra layer of sensitivity due to the shift in the parent-child dynamic. Emphasize their continued independence and dignity. Frame your support as a way to maintain their quality of life, not as a loss of it. You might say, "I love you and want to help you continue living comfortably and confidently. Let's find a way to manage this together."

Talking to a Partner or Spouse

With a partner, honesty and intimacy are key. It’s crucial to reassure them that your love and attraction haven't changed. Discuss the issue as a team, focusing on finding solutions together. Remind them of the foundation of trust you share. You could say, "This changes nothing about how I feel about you. We're a team, and we'll figure out a way to manage this. Let's talk about it."

Continuing the Dialogue

This likely won't be a one-time conversation. Be prepared to revisit the topic with patience and compassion. As you explore solutions and treatments, check in regularly without being intrusive. Simply asking, "How are things going with the new products?" or "Did you find that doctor's appointment helpful?" can show continued support.

Conclusion

Knowing what to say to someone with incontinence is about more than just words; it's about conveying genuine care and providing practical, respectful support. By approaching the conversation with empathy, normalizing the condition, and focusing on health and dignity, you can help a loved one feel less alone and more empowered to find solutions. Your compassionate approach can make a world of difference in their journey toward better health and a restored sense of confidence.

Frequently Asked Questions

Start by choosing a private, relaxed setting. Frame the conversation around their overall health and well-being, emphasizing your concern and love. You could say, “I want to make sure you’re as comfortable as possible, and I’ve been thinking about some common health issues that come with age. I’m here if you ever need to talk about anything.”

Avoid any language that is critical, shaming, or dismissive. Do not say things like, “You need to try harder,” “Why can’t you hold it?” or comment on any odor. These statements are hurtful and unhelpful.

Offer specific, non-intrusive help. Instead of saying, “I can help,” suggest a concrete action. For example, “I read about some great new products for bladder leaks; would you like me to pick some up for you?” or “I can help you find a doctor who specializes in this.”

If they react with anger or defensiveness, do not push the issue. Apologize for upsetting them and let them know that you're just concerned and that you'll be there to listen if they change their mind. The door for future conversations should remain open.

It is best to talk directly to the person experiencing incontinence. Involving their spouse or partner without their permission can feel like a breach of privacy. If the individual seems hesitant, you can offer to include their spouse in the conversation if that makes them more comfortable.

If incontinence is impacting the home, approach the topic delicately. Focus on finding solutions together rather than placing blame. You might say, “I’ve noticed some things that are concerning me, and I want us to figure out a plan together to make things easier for everyone.”

Ultimately, it is their decision. Continue to show your support and offer a listening ear. You can provide information from reliable sources and gently remind them that treatment can significantly improve their quality of life. Respect their autonomy while remaining a consistent source of care.

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.