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Alvita, an 89-year-old woman in a nursing home, is frail. She can walk slowly around the house with the help of a walker, but she appreciates it when her daughter holds her arm and walks alongside her. When one of the medical personnel changes Alvita, her daughter assists. Alvita’s incontinence has worsened, especially in the six years she has been in the nursing home. Alvita, on the other hand, can laugh about her lack of bladder control and claims that her incontinence began when she was a young woman, shortly after the birth of her second daughter.

Alvita has limited mobility. What effect does this have on elderly continence?
Alvita experienced mild incontinence shortly after the birth of her second child, particularly when laughing or coughing. What was she going through? What is the etiology of this type of incontinence?