Acute Incontinence
Acute onset of incontinence is frequently related to the patient's underlying
medical status. Incontinence is often a signal of acute illness unrelated to
the urinary tract. For example, an older patient with pneumonia may develop
incontinence, perhaps because of confusion or weakness. Or, a recent onset of
incontinence may be related to a change in medication. Hospitalization is often a
precipitant of acute incontinence.
A mnemonic that is frequently used for acute incontinence is DIAPPERS:
D delirium
I infections
A atrophic vaginitis
P pharmaceuticals
P psychiatric problems (depression\dementia)
E endocrine problems (glycosuria\calciuria)
R restricted mobility
S stool impaction