ElderlyDaily original · Health logs & diaries
Bladder & Continence Diary for Seniors
The 3-day bladder diary doctors and continence nurses often ask for, a 12-week bladder training and pelvic floor plan, and the everyday logs a caregiver needs.
- Three 3-day bladder diaries, with doctor summaries
- A 12-week bladder training and pelvic floor plan
- 12 weekly continence charts and a bowel diary
- Large print, fillable, US Letter + A4
One-time purchaseInstant download64-page fillable PDF · US Letter + A4
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Bladder leaks are common as we get older, and they can often be treated or improved. The first step is a clear record to show the doctor: what you drink, when you go, how urgent it feels and when leaks happen.
This diary includes three 3-day diaries, one before the first visit, one at week 6 and one at week 12, so you can see what has changed. Between them, a 12-week bladder training and pelvic floor plan, and weekly charts for continence, bowels, nights and skin.
What's inside
Every section, page by page
Bladder diaries
- Three 3-day diaries: drinks, toilet trips, an urgency score from 0 to 4, leak size, what you were doing, and pads
- Day totals and a summary page for the doctor
- How to keep the diary, with the urgency scale, leak sizes and a worked example
Bladder training
- Going by the clock and stretching the gap
- Five steps when a strong urge comes
- A 12-week tracker
Pelvic floor exercises
- How to find the right muscles
- The routine MedlinePlus describes
- A 12-week tick chart
Everyday logs
- 12 weekly continence charts, with simple codes at eight times of day
- A bowel diary with a stool-type guide, and a night log
- Weekly skin checks and a pads and supplies tracker
Caregivers & doctor visits
- Types of leakage and when to see a doctor, from the National Institutes of Health
- Toileting and dementia tips, and home, night and going-out checklists
- Questions to ask, 4 doctor-visit pages, My Medicines and Medicine Changes
Preview
A closer look
Images from the product listing.
Free or full?
Start free, or get the full version
We also have a free printable on this topic. Here is what each one gives you.
Free on ElderlyDaily
Free 3-day bladder diary
- One 3-day diary for drinks, toilet trips and leaks
- An urgency scale
- A summary page to bring to the appointment
The full version adds
Bladder & Continence Diary
- Three 3-day diaries: before the first visit, at week 6 and at week 12
- A 12-week bladder training and pelvic floor plan
- 12 weekly continence charts, a bowel diary and a night log
- 4 doctor-visit pages
Who it’s for
- Older adults with bladder leaks, urgency or nighttime trips to the toilet
- Anyone whose doctor or continence nurse has asked for a bladder diary
- Family caregivers helping a parent with continence care, including someone with dementia
How to use it
- 1Read the worked example, then keep the first 3-day diary before your appointment.
- 2Bring the summary page to the doctor or continence nurse.
- 3If your care team agrees, start the 12-week bladder training and pelvic floor plan.
- 4Repeat the 3-day diary at week 6 and week 12 to see what has changed.
- 5Use the weekly charts for day-to-day care at home.
Instant download
Bladder & Continence Diary
Not ready yet? Get 8 free pages from the Bladder & Continence Diary
8 print-only pages from the full version: the types of leakage, bladder training with a tracker, pelvic floor exercises with a tick chart, a weekly continence chart, a night log and a doctor visit page. US Letter and A4. We’ll email them to you, plus a few tips after that. Unsubscribe anytime.
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Who makes these
Every ElderlyDaily printable is designed by SK Kutubuddin, who founded ElderlyDaily as a family caregiver. Where a page uses official guidance, such as the CDC’s fall-risk questions or the American Heart Association’s blood pressure categories, it names the source. About ElderlyDaily · Editorial policy
Questions
Good to know
Should I drink less to have fewer leaks?
Not without your doctor's advice. The diary notes that you should not cut back on drinks unless your doctor has set a fluid limit.
Does it work for someone with dementia?
Yes. It includes toileting and dementia tips, and the weekly charts use simple codes a caregiver can fill in.
Can I fill it in on my phone?
Yes. Fill it in on a computer, or on a phone or tablet with the free Adobe Acrobat Reader app. Or print it and use a pen.
Which paper sizes are included?
Both US Letter and A4.
Is this medical advice?
No. It is a diary for recording information to share with your doctor, nurse or physical therapist, and it does not diagnose any condition. Its guidance follows the NIH (NIDDK and NIA), MedlinePlus, the Alzheimer's Association and NHS patient leaflets.
Can I get a refund?
Because it is an instant digital download, all sales are final. If a file will not open or download, email sk@elderlydaily.com and we will make it right.
Free on ElderlyDaily
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A diary for recording information to share with your doctor, nurse or physical therapist; not medical advice. For personal use.
