Promoting Urinary Continence for Older People with Dementia - 3 hour session

Older people are at increased risk of urinary incontinence and it is estimated that 3.2 million people over 65 in the UK suffer from urinary incontinence (AgeUK 2015). Many people don’t seek help: either out of embarrassment or the mistaken belief, nothing can be done.

Difficulties with urinary continence may be problem for people with dementia but incontinence is not an inevitable consequence of dementia. However, someone with dementia is more likely to have problems with continence than a person of the same age without dementia.


Course Aim:

To give learners an overview of age related changes to the urinary tract system and how dementia may impact upon a person’s ability to maintain continence. This interactive course will enable learners to explore person centred strategies which may be introduced to promote continence. 


Course Objectives:

  • To gain a basic understanding of the anatomy and physiology of the bladder and urinary tract system.
  • To define the term ‘incontinence’ and recognise there are different types of urinary incontinence.
  • To reflect upon the potential impact of incontinence upon a person’s health and wellbeing, recognising each person’s experience is unique.
  • To consider risk factors which may lead to incontinence
  • To consider how a dementia may impact upon a person’s ability to maintain continence.
  • To discuss person centred strategies to promote and maintain continence.


Learning Outcomes:

At the end of the day learners will be able to:

  • Define incontinence. 
  • Develop a basic awareness of the anatomy and physiology of the bladder and urinary tract system.
  • Identify the types of urinary incontinence. 
  • Describe the common causes of urinary incontinence. 
  • Describe the possible impact, including psychological and social impact, of incontinence on an older person with dementia, recognising it is unique to each individual person.
  • Recognise the relationship between dignity and promoting continence.
  • Describe strategies to promote continence using a person-centred approach.



Helen Behrens, Shakespeare Training
Helen is a registered nurse who has worked with older people in a variety of clinical settings for over 30 years. To increase her understanding of dementia, particularly of person centred care, she undertook and achieved the BSc in Dementia Studies at Bradford University 2009.

Helen believes the quality of care may be improved through equipping staff with knowledge and skills.  Over the past 18 years she has worked for a variety of educational organisations, including the Alzheimer’s Society, with responsibility for developing and delivering a wide range of courses covering all aspects of health and social care: Diploma level 2 and 3 Care and BTEC programmes, including the role of the lead Internal Verifier.

Helen is an informal carer for a close family member who has Alzheimer’s disease, so has understanding of the experiences from the perspective of an informal carer, not just a professional.

The training sessions are intended to be as interactive as possible. Participants are encouraged to ask questions, make comments and share experiences. Different methods are used including quizzes, case studies, and small group work as well as direct teaching.


To request further information or to discuss possible training please email or contact 0845 257 2250