Educational Phase 2: Advanced Geriatric Practice. Over 50% of residents of long-term care facilities suffer from bowel and/or bladder incontinence. Incontinence care is expensive, costing the United States healthcare system nearly $30 billion annually. More importantly, older adults who experience incontinence often have serious physical and psychological consequences as a result. Thorough team-based nursing care can identify incontinence and, in many cases, identify and treat reversible causes of incontinence or effectively manage incontinence in order to reduce the risk of complications.