Home Instead Senior Care, Burbank

Showing posts with label hygiene. Show all posts
Showing posts with label hygiene. Show all posts

How to Convince the Alzheimer’s Patient to Shower, Change clothes and sometimes Brush Their Teeth

Wednesday, November 30, 2011

I was really baffled when Mom began to wear the same clothes day after day whether they were clean or not. Occasionally, I’d find her bundled up in a winter coat when it was 90 degrees. Once I arrived for a short trip to the grocery store and quick lunch at a fast-food restaurant and found Mom waiting in full make-up, long evening gown and dangling earrings.
Mom had been diagnosed with Alzheimers, but I had yet to do much reading or inform myself of the myriad of odd behaviors that came with that diagnosis. It was several weeks before I equated her new eccentricities to a decline in cognitive thinking. I didn’t understand the reason why she lost the ability to dress properly, or all interest in cleanliness until much later.
In the beginning it became a battle between us–me trying to convince Mom to change clothes or shower by sheer force.  If asked about it, she would only shrug, totally unconcerned by my beleaguered attempts to improve her hygiene. It was totally confusing to me. I was struggling to teach the very person who had taught me all I knew about living and learning and cleanliness.
Eventually,  in the middle stages of Alzheimers, Mom refused to shower at all. Our daily battles over the shower and hygiene became so stressful it still hurts to remember the angry words we spat at each other. Now, if I had it to do over, I don’t think I’d care if she ever showered again. It was many months before I learned that demanding and arguing only encourages the Alzheimer’s patient to become more obstinate and aggressive. Always “pick your battles” and remember, in light of the eventuality of  Alzheimer’s, almost anything is tolerable.
I still don’t know exactly why Alzheimer’s patients are so afraid of taking a shower, but I’ve seen it to be true with most of them. Many of the residents in the Group Home where mom eventually stayed were only brought to the shower after much encouraging and coaxing. I do think it’s some kind of  fear. Possibly, a fear of the water, the bathroom fixtures, the temperature settings. They do forget how to adjust the water temperature and I’ve often wondered if they’ve suffered a burn during that process.  Whatever the reason, you can read the fear in their eyes when you mention a shower.  Mom was terrified of the shower and if I left her to do it herself, she would disappear in the bathroom for long minutes, but exit without a drop of moisture in her hair.
Working on my “fear of the water temperature” theory, I found a solution that worked for us. I turned on the water in the shower,  adjusted the temperature, and let it run as I left the room. It wasn’t long before Mom was hunting me down. “You left water running in the bathroom,” she told me, “it will flood the floor.”
“Don’t you remember, Mom,” I said. “You told me to adjust the water because you wanted to take a shower. That’s what I did.”
Mom would only hesitate for a moment, search for a reply and then say, “Oh…I forgot I asked you to do that. Okay. I’ll take my shower now.” And  she was off to the bathroom and a shower as though it had been her idea all along.
  • The Alzheimer’s sufferer becomes expert at denying and covering for their memory lapses in the earliest stages of this disease.
  • They know how to make you feel crazy by denying their forgetting or pretending they remember while you know full-well they do not.
I must admit, though, I did marvel at how simple the resolution had been for the shower issue and wished I’d thought of it months earlier. It worked for a few months and that’s all I could ask.
For more information: Alzheimer's support

The Basics Of Personal Hygiene For Elderly People

Tuesday, May 31, 2011

Personal hygiene routines are something most of us take for granted. You get up, wash, brush your teeth, comb your hair, etc. But these routines are something that elderly people can find very difficult. Imagine the effect it would have on you if you could not perform your usual hygiene routine. You would start every day feeling dirty and unprepared. In elderly people, this can lead to agitation, frustration and depression. If you are caring for an elderly person, it is very important that you establish their daily personal hygiene routine to avoid these problems.

Washing an elderly person

If you are responsible for washing the person in your care, they you must first establish what your routine will be and then explain it to the person so that they know exactly what to expect. This will help create a trusting relationship, and will help the elderly person to relax.

Reluctance

Understandably, many elderly people are somewhat reluctant to let another person administer their daily personal hygiene routine. Imagine if you had to rely on another person to do everything for you. You may feel that you have lost self-respect and personal dignity. This is exactly how elderly people feel, regardless of their illness and mental state, unless of course they are completely unaware of what happening around them.
It's not unusual for some elderly people to react angrily but again this is completely understandable.

Caring for themselves

Elderly people should be encouraged to carry out their own personal hygiene routines as much as possible. This promotes independence and a sense of purpose in life. Even managing the smallest task is better than nothing at all. However, sometimes elderly people find hygiene routines impossible and may become incontinent.

Establishing a routine for an elderly person

If you have to carry out the personal hygiene for an elderly person, it is important that you establish a set routine. Elderly people find routines comforting. The routine that you establish should include all the basic elements that are normally included. If the elderly person is still active, then showering an bathing may be included. All nooks and nooks and crannies need to be washed, teeth brushed, hair combed and attention paid to finger and toe nails.

Make up for the elderly

Female elderly people may like to put on makeup to feel feminine then you should encourage it as far as possible. It encourages self respect and personal identity.

Looking out for abnormalities

Good personal hygiene routines for the elderly can also be useful in diagnosing abnormalities in physical health. If you are washing someone, you should look out for any lumps, bumps and bruises as well as any bodily changes that may indicate a health problem. If you are keeping a written care plan, it it worth making a note of any changes as these can help future diagnoses by medical practitioners.

Sensitivity

Personal hygiene is definitely one of the most important aspects of caring for the elderly, but also one of the most sensitive areas. However, if handled in the right way, it can help create a bond between you and the person you are caring for.




For more tips on elder care go to: elderlycaretips