{
  "schema_version": "uw.editorial_geo.v1",
  "route_id": "AGE-022",
  "article_index": "AGE-022",
  "catalog_id": "AGE-022",
  "material_id": "UW:AGE-022:en",
  "language": "en",
  "revision": 1,
  "master_revision": 1,
  "expected_revision": 0,
  "master_filename": "ARTICLE_EN.md",
  "master_sha256": "bc971f4bf31e078fc490e5429962e693dc49964d23bff86aaa47430e4562e8f6",
  "headline": "Incontinence, Embarrassment, and Intimate Care",
  "description": "Urinary and bowel control problems need distinct professional assessment. Agree intimate assistance for particular actions while preserving privacy and actual resources. Embarrassment justifies neither delaying necessary care nor taking away an adult’s voice.",
  "short_answer": "Urinary and bowel control problems need distinct professional assessment. Agree intimate assistance for particular actions while preserving privacy and actual resources. Embarrassment justifies neither delaying necessary care nor taking away an adult’s voice.",
  "claims": [
    {
      "id": "C01",
      "type": "editorial_distinction",
      "text": "An involuntary episode is not intentional wrongdoing against relatives; the support task is particular.",
      "article_sections": [
        "I. A Bodily Event Is Not an Act Against Your Family"
      ],
      "source_ids": [],
      "attribution": "United Wisdom editorial reasoning",
      "limitations": [
        "Lidia and Yuri are imagined examples, not clinical cases.",
        "Urgent examples are incomplete; acute risk needs an actual local route.",
        "No fluid schedule, diet, exercises, medicine, selected product, cream or invasive technique.",
        "No diagnosis, promised cure, free supplies or local legal authority.",
        "Danger and consent difficulties require appropriate professional help; pausing must not leave vital care unarranged.",
        "Philosophy, international norms and healthcare information are not interchangeable."
      ]
    },
    {
      "id": "C02",
      "type": "official_health_information",
      "text": "Inability to pass urine/empty the bladder, blood in urine or painful urination needs care right away. Black/dark-red stool or bloody diarrhoea needs urgent contact. These are selected examples, not an exhaustive list.",
      "article_sections": [
        "II. Age Cannot Close the Medical Question"
      ],
      "source_ids": [
        "S1",
        "S2",
        "S3"
      ],
      "attribution": "Bounded source use plus editorial reasoning; RESEARCH.md",
      "limitations": [
        "Lidia and Yuri are imagined examples, not clinical cases.",
        "Urgent examples are incomplete; acute risk needs an actual local route.",
        "No fluid schedule, diet, exercises, medicine, selected product, cream or invasive technique.",
        "No diagnosis, promised cure, free supplies or local legal authority.",
        "Danger and consent difficulties require appropriate professional help; pausing must not leave vital care unarranged.",
        "Philosophy, international norms and healthcare information are not interchangeable."
      ]
    },
    {
      "id": "C03",
      "type": "bounded_privacy",
      "text": "Privacy remains when seeking help; distinguish information, recipient and purpose. CRPD is a normative reference rather than a local legal opinion.",
      "article_sections": [
        "III. Embarrassment and Privacy Are Different Questions"
      ],
      "source_ids": [
        "S6"
      ],
      "attribution": "Bounded source use plus editorial reasoning; RESEARCH.md",
      "limitations": [
        "Lidia and Yuri are imagined examples, not clinical cases.",
        "Urgent examples are incomplete; acute risk needs an actual local route.",
        "No fluid schedule, diet, exercises, medicine, selected product, cream or invasive technique.",
        "No diagnosis, promised cure, free supplies or local legal authority.",
        "Danger and consent difficulties require appropriate professional help; pausing must not leave vital care unarranged.",
        "Philosophy, international norms and healthcare information are not interchangeable."
      ]
    },
    {
      "id": "C04",
      "type": "editorial_agreement",
      "text": "Discuss outings through wanted activities and actual conditions. Consent to help does not automatically extend to every care action. Danger or capacity questions need a suitable professional route.",
      "article_sections": [
        "IV. Going Out Depends on Conditions",
        "V. Consent Concerns a Particular Care Action"
      ],
      "source_ids": [],
      "attribution": "United Wisdom editorial reasoning",
      "limitations": [
        "Lidia and Yuri are imagined examples, not clinical cases.",
        "Urgent examples are incomplete; acute risk needs an actual local route.",
        "No fluid schedule, diet, exercises, medicine, selected product, cream or invasive technique.",
        "No diagnosis, promised cure, free supplies or local legal authority.",
        "Danger and consent difficulties require appropriate professional help; pausing must not leave vital care unarranged.",
        "Philosophy, international norms and healthcare information are not interchangeable."
      ]
    },
    {
      "id": "C05",
      "type": "bounded_support",
      "text": "Goodwill and a package do not replace individual explanations about products, skin and techniques. The article prescribes no treatment.",
      "article_sections": [
        "VI. Intimate Assistance Needs Competence as Well as Goodwill",
        "VII. A Product Is Not the Whole Support System"
      ],
      "source_ids": [
        "S3"
      ],
      "attribution": "Bounded source use plus editorial reasoning; RESEARCH.md",
      "limitations": [
        "Lidia and Yuri are imagined examples, not clinical cases.",
        "Urgent examples are incomplete; acute risk needs an actual local route.",
        "No fluid schedule, diet, exercises, medicine, selected product, cream or invasive technique.",
        "No diagnosis, promised cure, free supplies or local legal authority.",
        "Danger and consent difficulties require appropriate professional help; pausing must not leave vital care unarranged.",
        "Philosophy, international norms and healthcare information are not interchangeable."
      ]
    },
    {
      "id": "C06",
      "type": "bounded_intimacy",
      "text": "Intimacy can be discussed professionally; care creates no entitlement to sexual participation.",
      "article_sections": [
        "VIII. Intimacy Does Not End at Bodily Vulnerability"
      ],
      "source_ids": [
        "S4"
      ],
      "attribution": "Bounded source use plus editorial reasoning; RESEARCH.md",
      "limitations": [
        "Lidia and Yuri are imagined examples, not clinical cases.",
        "Urgent examples are incomplete; acute risk needs an actual local route.",
        "No fluid schedule, diet, exercises, medicine, selected product, cream or invasive technique.",
        "No diagnosis, promised cure, free supplies or local legal authority.",
        "Danger and consent difficulties require appropriate professional help; pausing must not leave vital care unarranged.",
        "Philosophy, international norms and healthcare information are not interchangeable."
      ]
    },
    {
      "id": "C07",
      "type": "bounded_comparison",
      "text": "Kantian autonomy does not mean control of bodily waste. Philosophical dignity, CRPD and clinical assessment have different foundations.",
      "article_sections": [
        "IX. Dignity Is Not Measured by Bladder Control"
      ],
      "source_ids": [
        "S5",
        "S6"
      ],
      "attribution": "Bounded source use plus editorial reasoning; RESEARCH.md",
      "limitations": [
        "Lidia and Yuri are imagined examples, not clinical cases.",
        "Urgent examples are incomplete; acute risk needs an actual local route.",
        "No fluid schedule, diet, exercises, medicine, selected product, cream or invasive technique.",
        "No diagnosis, promised cure, free supplies or local legal authority.",
        "Danger and consent difficulties require appropriate professional help; pausing must not leave vital care unarranged.",
        "Philosophy, international norms and healthcare information are not interchangeable."
      ]
    },
    {
      "id": "C08",
      "type": "editorial_outcome",
      "text": "Assess the actual need and opportunity to answer. One successful care action establishes neither a sustainable system nor removal of the cause.",
      "article_sections": [
        "X. Assess Both the Need and the Person's Voice"
      ],
      "source_ids": [],
      "attribution": "United Wisdom editorial reasoning",
      "limitations": [
        "Lidia and Yuri are imagined examples, not clinical cases.",
        "Urgent examples are incomplete; acute risk needs an actual local route.",
        "No fluid schedule, diet, exercises, medicine, selected product, cream or invasive technique.",
        "No diagnosis, promised cure, free supplies or local legal authority.",
        "Danger and consent difficulties require appropriate professional help; pausing must not leave vital care unarranged.",
        "Philosophy, international norms and healthcare information are not interchangeable."
      ]
    }
  ],
  "questions": [
    {
      "id": "Q01",
      "q": "Can the change be dismissed as age?",
      "a": "No. Bladder and bowel control problems warrant professional discussion; causes and support may differ.",
      "claim_ids": [
        "C02"
      ],
      "source_ids": [
        "S1",
        "S2",
        "S3"
      ],
      "article_sections": [
        "II. Age Cannot Close the Medical Question"
      ]
    },
    {
      "id": "Q02",
      "q": "Does purchasing supplies authorize telling the whole family?",
      "a": "There is no automatic consent to disclosure. Clarify necessary information and its recipient.",
      "claim_ids": [
        "C03"
      ],
      "source_ids": [
        "S6"
      ],
      "article_sections": [
        "III. Embarrassment and Privacy Are Different Questions"
      ]
    },
    {
      "id": "Q03",
      "q": "Must a relative perform every intimate task?",
      "a": "Kinship establishes neither skill nor the recipient’s preference. Necessary help must actually be arranged.",
      "claim_ids": [
        "C04"
      ],
      "source_ids": [],
      "article_sections": [
        "IV. Going Out Depends on Conditions",
        "V. Consent Concerns a Particular Care Action"
      ]
    },
    {
      "id": "Q04",
      "q": "Can drinking be sharply reduced to save supplies?",
      "a": "The article prescribes no such change. Individual medical questions belong with a professional.",
      "claim_ids": [
        "C05"
      ],
      "source_ids": [
        "S3"
      ],
      "article_sections": [
        "VI. Intimate Assistance Needs Competence as Well as Goodwill",
        "VII. A Product Is Not the Whole Support System"
      ]
    },
    {
      "id": "Q05",
      "q": "Does Kant require complete bodily control?",
      "a": "No. The philosophical concept is no test of continence or clinical capacity to consent.",
      "claim_ids": [
        "C07"
      ],
      "source_ids": [
        "S5",
        "S6"
      ],
      "article_sections": [
        "IX. Dignity Is Not Measured by Bladder Control"
      ]
    }
  ],
  "sources": [
    {
      "id": "S1",
      "title": "NIDDK Bladder Control Problems, reviewed July2021",
      "url": "https://www.niddk.nih.gov/health-information/urologic-diseases/bladder-control-problems",
      "read_date": "2026-10-19",
      "read_scope_record": "RESEARCH.md; exact selected passage, not the whole source",
      "rights_status": "UNKNOWN; paraphrases and limited quotations, no full reproduction"
    },
    {
      "id": "S2",
      "title": "NIDDK Symptoms & Causes, reviewed July2021",
      "url": "https://www.niddk.nih.gov/health-information/urologic-diseases/bladder-control-problems/symptoms-causes",
      "read_date": "2026-10-19",
      "read_scope_record": "RESEARCH.md; exact selected passage, not the whole source",
      "rights_status": "UNKNOWN; paraphrases and limited quotations, no full reproduction"
    },
    {
      "id": "S3",
      "title": "NHS Bowel incontinence, reviewed2024-08-15",
      "url": "https://www.nhs.uk/conditions/bowel-incontinence/",
      "read_date": "2026-10-19",
      "read_scope_record": "RESEARCH.md; exact selected passage, not the whole source",
      "rights_status": "UNKNOWN; paraphrases and limited quotations, no full reproduction"
    },
    {
      "id": "S4",
      "title": "NIDDK Definition & Facts, selected activity/intimacy passage",
      "url": "https://www.niddk.nih.gov/health-information/urologic-diseases/bladder-control-problems/definition-facts",
      "read_date": "2026-10-19",
      "read_scope_record": "RESEARCH.md; exact selected passage, not the whole source",
      "rights_status": "UNKNOWN; paraphrases and limited quotations, no full reproduction"
    },
    {
      "id": "S5",
      "title": "Kant Fundamental Principles, Abbott translation, selected second-section passage",
      "url": "https://www.gutenberg.org/files/5682/5682-h/5682-h.htm",
      "read_date": "2026-10-19",
      "read_scope_record": "RESEARCH.md; exact selected passage, not the whole source",
      "rights_status": "UNKNOWN; paraphrases and limited quotations, no full reproduction"
    },
    {
      "id": "S6",
      "title": "UN CRPD, English Articles1–3 and22",
      "url": "https://treaties.un.org/doc/Publication/CTC/Ch_IV_15.pdf",
      "read_date": "2026-10-19",
      "read_scope_record": "RESEARCH.md; exact selected passage, not the whole source",
      "rights_status": "UNKNOWN; paraphrases and limited quotations, no full reproduction"
    }
  ],
  "retrieval_limits": [
    "Lidia and Yuri are imagined examples, not clinical cases.",
    "Urgent examples are incomplete; acute risk needs an actual local route.",
    "No fluid schedule, diet, exercises, medicine, selected product, cream or invasive technique.",
    "No diagnosis, promised cure, free supplies or local legal authority.",
    "Danger and consent difficulties require appropriate professional help; pausing must not leave vital care unarranged.",
    "Philosophy, international norms and healthcare information are not interchangeable."
  ],
  "production_contract_status": "NOT_RUN; editorial representation, not validated Machine Publisher payload",
  "production_acceptance": "NOT_RUN",
  "schema_org": {
    "@context": "https://schema.org",
    "@type": "Article",
    "identifier": "UW:AGE-022:en",
    "headline": "Incontinence, Embarrassment, and Intimate Care",
    "inLanguage": "en",
    "author": [
      {
        "@type": "Person",
        "name": "Andrey Zarinsh"
      },
      {
        "@type": "Person",
        "name": "Maria Evilkut"
      }
    ]
  }
}