Saturday, March 16, 2013

Hygiene for palliative clients and those in bed

I read another great article from a US website, By 

My Parent Won’t Shower or Change Clothes. What Should I Do?

It required a mechanical lift to get dad in and out of bed.
He had weekly baths.
Isn't this a terrible problem?
There are several reasons, we posit, for such issues. In my late father's case, it was a control issue. I'm sure we've heard of teen boys who have the same cleanliness issues!

Understanding why is important for resolving the problem.
It can be issues with depression. Or control. I can recall kids saying, "You're not the boss of me!"
This is true of failing seniors, as well as those who may have dementia. Some fear losing control of themselves, their bodies, they may have lost their homes, being placed in long-term care.

My dear friend, Michele,
is paraplegic and resides in LTC.
In pain 24/7, she requires a lift to get her into the large bathtubs.
Carol suggests that their senses might be dulled. I have had several clients who were hoarders, and they did not perceive the smells that emanated from their homes.
Poverty, poor health, poor CCAC staff:
physio, PSW, nurses ignored this mess
The causes are varied, too many cats, or other pets, lack of cleanliness, an inability to see well, hence they are unable to see stains, or mess on floors, walls and counters. You become inured to the smells and sights, too. Without a loved one, many may not care, or do not have a reason to clean up. I know I clean up much more frantically when I know the kids are coming to visit!
Some fear falling with limited mobility in showers and bathtubs. Others, with dementia, lose an understanding of reality: the drains can become something frightening.
Delirium can be another cause, as well as dementia. We had a Meals onWheels client with this issue.
Unable to operate his washing machine, fighting horrible diarrhea, his home was filthy.
Hoarders are another issue.
Others forget that they have not bathed, or imagine that they already have done so!
One barrier, are staff afraid to report filthy living conditions. Others are unaware of basic hygiene, values and standards of care. (See the photo.)
In my fathers case, I recall twice when he refused to have a shower. The first was when an agressive, albeit experienced PSW, entered his bedroom. He was getting home support. She said, "Come on. Let's go have a shower!" Unfortunately, she did not know that he NEVER took showers. He always had a bath!
He told her off. He had never met her and he had dementia. He refused.
Then, in his retirement home, unable to get in and out of the shower safely, or alone, he refused. For two weeks. It took a kind, caring, delightful PSW, someone was was a bit rough around the edges, and missing some teeth, who talked him into getting clean. God bless her soul!

I did a bit of research, and found some expensive hair products for those unable to get out of bed.

 No Rinse Shampoo Cap with Conditioner

No Rinse Shampoo Cap with Conditioner - Click the picture for more product information.
You may also want to consider:
No Rinse Shampoo: 8 oz bottle * 24 per caseSproam No Rinse Cleanser: 350 ml bottleNo Rinse Body Wash: 8 oz bottle * 24 per case
Case of 24 Bottles of 8 oz each $70.00
Our Price: $12.95
Case / 24 $75.00

Carol has another good article:

10 Essentials for Caring for an Elderly Person's Hair
Patience, calmness, realistic expectations, small successes, partial success, rather than forcing them.

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