Suggestions with Bowel incontinence
Help! I need advice or ideas on how to deal with bowel incontinence of my 92 year old mother with vascular dementia who moved in with me 4 months ago. She was diagnosed 7 years ago, and a bad fall left her unable to stay in her home. I can handle the bladder incontinence, but just can't get a handle on how to best deal with the bowel situation. She's not very mobile, (uses a walker with assistance, and at times a wheelchair when her legs won't work). Bedside toilets have not worked well because of difficulty getting on the toilet and it requires a new skill for her to learn.
Interested in more discussions like this? Go to the Caregivers: Dementia Support Group.
Thank you. Some helpful and encouraging responses in those links. I have started scheduling bathroom trips and that seems to be helping these last few days.
It is likely she doesn't feel when her bowels need to move. Or, if she feels it, doesn't understand what the feeling means. As a nurse, I cared for people who were double incontinent, but they were also unable to explain why they were. One of the other posters did mention dairy might be a problem, though, and that would be worth considering.
Some years ago, my husband and I had a dog that developed Canine Cognitive Dysfunction when she got old. It's basically doggy Alzheimer's since they have found plaques in the brains of dogs with it. Bella was seldom incontinent of urine, but her bowels would move without her seeming to know it. She would be lying down, asleep or awake, when it happened and continue to lie there without seeming to be aware of it. I bought Chux pads and put those under her, and that helped a lot with cleanup. I've known two other people who had dogs who developed bowel incontinence and also gave every indication of not knowing they were doing it. Since people and animals are made of the same basic building blocks, I'd say your mother does not know she's going to have a bowel movement and may not realize it after the fact either. It may be that all you can do is clean her up and keep a watch on her skin so she doesn't develop any problems.
Can you increase the caregiver hours so you have time to go somewhere other than work?
I have personal experience with this. My suggestions: Use adult pull up diapers and make sure to put an ointment that will work as a moisture barrier to protect and help heal skin irritations on her skin. A&D, Desitin and Calmoseptine are good choices.
Calmoseptine is especially soothing. https://www.calmoseptineointment.com/lit/HowtoApply.htm
Good luck. I know how hard this must be for you. Sending love and prayers.