What area would be prioritized in the goals for a 90-year-old client who identifies urinary incontinence as their most pressing issue?

Addressing incontinence is prioritized for a 90-year-old client who identifies it as their most pressing issue because it directly affects their quality of life and daily functioning. Urinary incontinence can lead to feelings of embarrassment, loss of independence, and social isolation. It can significantly impact a person's emotional well-being and physical health, as they may avoid social interactions, reduce physical activity, and experience skin irritation or infections due to moisture.

Focusing on incontinence can help the client regain control, improve their self-esteem, and encourage participation in social and physical activities, which are vital for overall health in older adults. By prioritizing this issue, healthcare providers can develop targeted interventions, which may include pelvic floor exercises, bladder training programs, lifestyle modifications, or medications that can enhance the client’s comfort and autonomy.

Other areas mentioned, like managing blood pressure, increasing mobility, and improving social interaction, while important, may not address the immediate concern voiced by the client, thereby making incontinence the central focus of care to ensure comprehensive support for their pressing need.