What is right?

Posted by snowmile @snowmile, Jan 28 2:22pm

My mom is 93 with dementia. I think close to late stage 5/6. We are trying to keep her at home as long as we can manage. She has not bathed herself in at least 3 years and will not change her clothes without begging on our part, can goes days in same clothing.
She wears pull-ups. The big issue is this- twice I had had to close the bathroom door ans stand there with her telling her we are not leaving until she sits down n let's me give her clean underwear. It's not fun for either one of us. I yell, she tries to push me away but eventually I rip the dirty pull-up off, get her to sit, get her cleaned with fresh underwear n pants. She forgets completely shortly after the episode is over but I feel guilty for yelling n not knowing a better way to go about it. Sometimes she is fine, accepting of my help n being clean but sometimes not, and ts what I described above.
Is this what other caregivers are doing? She can't sit in that mess all day. What is the proper way to handle it? I think if she was in a memory care facility they would need to do the same thing....right?

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@snowmile

Oh, lots of prayers for both you and your husband. It's a long journey, I wish you both well!

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Thank You 🙏🏻

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@centre

Try this method I learned from the aides while working in a nursing home- instead of pulling down the soiled incontinence brief, grasp the top of one of the side seams and tear down- the brief will fall down, then tear the other side and pull off. In sitting on the toilet- take off any slippers or shoes, socks, and pull down the pants. Slide on the new brief, then the pants, then socks and shoes, have her stand and pull brief and pants up. The person is ready to go with just one down and up and you aren’t struggling with to get each item on and in place. Much more efficient and acceptable to the person.

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Forgot to add- you mentioned perhaps your mom is afraid to sit down on the toilet. My mom was the same. I bought “toilet side safety rails” on Amazon. There is nothing to assemble- they just fold out like a folding walker. They are super-easy to install (just fit over the regular toilet seat area), are no wider than the toilet tank, and are collapsible so we took them with us when visiting. I would just tell her to reach back for the rail, she felt much safer than just sitting down into the “void”.

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Super helpful! I will order these today! Thank you!

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I will try this, thank you!

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@centre

Try this method I learned from the aides while working in a nursing home- instead of pulling down the soiled incontinence brief, grasp the top of one of the side seams and tear down- the brief will fall down, then tear the other side and pull off. In sitting on the toilet- take off any slippers or shoes, socks, and pull down the pants. Slide on the new brief, then the pants, then socks and shoes, have her stand and pull brief and pants up. The person is ready to go with just one down and up and you aren’t struggling with to get each item on and in place. Much more efficient and acceptable to the person.

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For a while I had to tear or use a pair of scissors to cut her pull ups till she was easier with me pulling them down I find pulling down her pants is a lot less messy

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This is the stuff no one teaches you. Thank you for your helpful tips!

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@buddha

The first thing you must do as a caregiver is to be kind to yourself. You will not be perfect.
This disease is not what you signed up for in life ...yet you are doing an amazing job in the most difficult of circumstances.
The kinder you are to yourself the kinder you will be able to be to your loved one.
Because of the pain of this you will become the person you were meant to be.
We all hate the disease and what it does to all of us ...yet we must strive to stay gentle with ourselves and with our loved ones.
It is the only way to survive, Buddha

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A good reminder for all of us caregivers.

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@centre

Forgot to add- you mentioned perhaps your mom is afraid to sit down on the toilet. My mom was the same. I bought “toilet side safety rails” on Amazon. There is nothing to assemble- they just fold out like a folding walker. They are super-easy to install (just fit over the regular toilet seat area), are no wider than the toilet tank, and are collapsible so we took them with us when visiting. I would just tell her to reach back for the rail, she felt much safer than just sitting down into the “void”.

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I purchased the side rails, should have them by Thursday.
I am really hopeful this will help. Great idea! Thank you again for taking the time to post it.

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@snowmile

I purchased the side rails, should have them by Thursday.
I am really hopeful this will help. Great idea! Thank you again for taking the time to post it.

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I should have been more specific- the one I got on Amazon is the RMS Safety Frame. Take a look before opening the one coming. The RMS has angled rails which are easy to use and a front floor piece that holds the frame steady and is easy to detach when taking it with you. These frames are game-changers!
Is it difficult to help you Mom in and out of bed? I have a. bed assist rail suggestion 🙂

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Oh, I will look at the RMS one you suggested. That isn't the one I ordered. Thank you. We do have bed rails and a bed alarm, those have been very helpful. Thank you again for taking so much time to help me. You should write a book! 🙂

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