|
BATHING
The bathing habits of an individual with dementia
ideally should follow the same pattern as prior to
the onset of the disease. If someone showered every
day in the morning, aim for that; if they bathed
every other evening, stick with that routine. The
rule of thumb: Bathing should occur as frequently as
before unless specific hygiene needs or behavioral
changes arise. For example, adjustments may be
necessary if an individual is severely agitated,
wakes up soiled in the morning, or experiences
behavioral problems, or "sundowning,"
as evening approaches.
Bathing is a complex activity of daily living
composed of several phases: undressing, introduction
into the shower or tub, washing, drying and
re-dressing. Recognizing a person's abilities and
preparing ahead of time can help simplify the
process.
Possible Problems:
-
Most older individuals retain a sense of modesty
and resist undressing; this is a normal
response.
-
Frightened, disoriented individuals may not
recognize the family or professional caregiver.
-
They may have forgotten how to undress, wash or
dry themselves, or redress.
-
Individuals, especially those who are visually
or hearing impaired, recovering from recent
medical problems or on certain medications, are
at risk of falling.
-
Shower and bathtub surfaces can be
dangerous—cold, hot or slippery.
-
An individual, especially in the middle to late
stages, may forget how to pick up their legs or
sit in a bathtub.
-
Someone can become alarmed during any part of
the process and attempt to flee.
Tips:
-
Give one-step instructions in short, simple
terms, and go slowly.
-
Communicate with non-verbal cues to help the
individual understand.
-
Remember to provide privacy, and ensure dignity.
-
Be reassuring since concern over modesty also
may increase agitation.
-
Approach the individual from the front whenever
possible.
-
Make sure the room temperature is appropriate
for disrobing.
-
Smile, speak calmly and do not express any
frustration.
-
Remove the bathroom door lock for safety.
-
Do not leave the individual unattended in the
bath area.
-
Minimize safety risks by installing a no-skid
surface and grab bars.
-
Try the shower instead of the tub, or vice
versa, if someone becomes afraid of either.
-
Keep the individual in a bathrobe until they are
in the bathing area.
-
Make sure the individual uses the toilet prior
to bathing to prevent accidents during or after
the bathing process.
-
Secure soap, towels and other bathing items in
advance.
-
Ensure appropriate water temperature, especially
to prevent scalding.
-
Keep the individual in a warm room until they
are completely dry and clothed.
-
Lay out clothing in advance to proceed quickly
from drying to dressing.
|
