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Understanding continence

This month in our Care Conversations series, we're talking about continence – a topic that can sometimes feel uncomfortable to discuss, but one that matters greatly to your comfort, confidence and independence.

Why this matters

Changes in bladder or bowel function are common as we get older and can affect your quality of life. While many people experience these changes, they are not something you simply have to put up with. Support is available.

Understanding continence

Continence is the ability to recognise that you need to go to the toilet and your ability to wait (hold it) until you can get there.

Incontinence is the opposite, where you are unable to recognise the need, or unable to hold it, or both.

What to look out for

  • Needing to rush to the toilet

  • Going to the toilet more often than usual

  • Leaking urine or bowel motions when you cough, sneeze or exercise

  • Waking frequently overnight to use the toilet

  • Redness, soreness or discomfort around areas exposed to urine or bowel motions

  • Avoiding activities or outings due to concerns about accidents

  • Feeling worried, embarrassed, or less confident because of bladder or bowel changes

Simple steps you can take today

  • Awareness – Know what your urine and bowel motions normally look like and report any changes to your GP or care team

  • Stay hydrated – Drinking enough fluids supports bladder and bowel health

  • Keep active – Regular movement helps maintain bowel health and overall well-being

  • Maintain healthy toileting habits – Allow enough time and establish regular routines

  • Plan ahead – Keep pathways clear and ensure easy access to the bathroom

  • Speak with your GP – Changes can sometimes be improved with treatment or lifestyle changes

Where to get help

Support may include your GP, nurses, continence specialists, physiotherapists, occupational therapists, and community continence services.

Changes in bladder or bowel function can sometimes lead to skin irritation or discomfort. If you notice redness, soreness, pain, or changes to your skin, it's important to let your GP or care team know.

How we can help

Your care team can discuss your concerns, arrange a nurse visit if appropriate, review your current supports, and explore options that may help maintain your comfort, dignity and independence.

Your Helper can also support you by:

  • Setting up your home and toilet environment

  • Supporting healthy toileting habits

  • Ordering equipment and aids

  • Assisting with incontinence aids

Start the conversation

You don't have to manage continence concerns alone. Early conversations can make a meaningful difference to your comfort, confidence and quality of life.

Consider:

  • Letting your Helper know if you need extra time or support with daily elimination routines

  • Sharing any concerns with your GP or care team

  • Discussing changes you've noticed, even if they seem minor

  • Asking about equipment and aid options that may help you remain comfortable and independent

If have any questions or would like to discuss your individual circumstances, please reach out to your care team.

Call 1300 787 581 or email [email protected].

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