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Medical Forum / Diseases and Disorders / Alzheimer's / January 2005

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Mom won't bathe

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webexchange - 05 Jan 2005 23:48 GMT
We are having problems getting my mother to bathe.  She is very obstinate,
stubborn and goes ballistic when we gently suggest getting a visiting nurse
for her once or twice a week to help with bathing.  I do her laundry
whenever I'm over there, and wherever I manage to find some dirty laundry as
she seems to have hiding places.  She keeps saying she had a bath but we
know she hasn't.

My father is extremely impatient with her.  The way he speaks to her at
times is so hurtful to me because I know my mother can't help repeating
herself, etc.  If she asks a question multiple times, I act as if each time
is the first time.  This has put added strain between my relationship with
my father.  There's an old saying that used to hang on a plaque in my
parents' bathroom: "It's easy enough to be pleasant when life goes by like a
song, but the man worthwhile is the man with a smile when everything goes
dead wrong."  It no longer hangs there.
John Inzer - 06 Jan 2005 00:46 GMT
> We are having problems getting my mother to bathe.  She
> is very obstinate, stubborn and goes ballistic when we
[quoted text clipped - 14 lines]
> but the man worthwhile is the man with a smile when
> everything goes dead wrong."  It no longer hangs there.
===========================================
Rosie, my MIL...exhibited similar behavior
when she lived with us and all we could do
was give things time to calm down and try
again.

Probably not what you wish to hear but
it's time to consider placing mom in a
nursing home if no one in the family can
give her 24/7 supervision.

Signature

John Inzer
return e-mail disabled

Anthony Shipley - 06 Jan 2005 01:05 GMT
>Probably not what you wish to hear but
>it's time to consider placing mom in a
>nursing home if no one in the family can
>give her 24/7 supervision.

I think the above might be much improved by a slight change:

Probably not what you wish to hear but
it _might be_ time to consider placing your mom in a
nursing home if no one in the family can
give her 24/7 supervision.

-
Mod as a hooter!
John Inzer - 06 Jan 2005 04:09 GMT
>>Probably not what you wish to hear but
>>it's time to consider placing mom in a
[quoted text clipped - 11 lines]
> -
> Mod as a hooter!
==============================
Thanks anyway, but I prefer my version.

To me...the word "consider" means...give
it some thought...and I think that's the
appropriate action.

If someone could be with mom 24/7 they
would discover that she may be in worse
condition than they currently realize.

Signature

John Inzer
return e-mail disabled

Evelyn Ruut - 06 Jan 2005 01:59 GMT
> We are having problems getting my mother to bathe.  She is very obstinate,
> stubborn and goes ballistic when we gently suggest getting a visiting
[quoted text clipped - 15 lines]
> song, but the man worthwhile is the man with a smile when everything goes
> dead wrong."  It no longer hangs there.

refusing to bathe is very common in alzheimer patients.    my mother in law
did not bathe for a very long time when she started showing signs of
alzheimers disease.    the reason is partly because any thing involving a
series of actions is very confusing to them.

at first she argued and fought against getting a shower, but my husband
insisted and would not take no for an answer.    it was the shortest shower
in record, but it was a beginning.   later on i took over the job of
assisting her and she accepted it without any problems at all.

perhaps because i was very patient with her and being helped by another
woman was acceptable to her, or perhaps because she just grew  accustomed to
taking gentle direction from me, but ultimately we had no arguments
whatsoever about it.   i never let her shower alone, i helped her and
directed her.   this took some of the confusion out of the process.

she absolutely cannot help repeating herself.   yelling at her for it is
unkind, but i can tell you from personal experience that it can become very
grating on the nerves and i don't think any caregiver hasn't lost their
patience from time to time.

i suggest that you help her take a shower when she is getting changed for
either bedtime, or getting up in the morning, so it is sort of a natural
progression, rather than suddenly coming at her asking her to undress and
shower.   bring her a new item of clothing to try on, then say "come on i
will help you.....let's get a bath" in a firm enough way to get her to
cooperate.

getting a visiting nurse sounds like a good idea.   you or someone needs to
take charge, and if no one can, as has already been suggested, some other
care arrangements may need to be put in place.

good luck.

Signature

Regards,
Evelyn

(to reply to me personally, remove 'sox")

Julian 'Penny for the guy'  Hales - 06 Jan 2005 05:47 GMT
How is it before people stop cleaning? my granddad still looks smart,
showers, shaves and eat well.  According to his neighbour, she tells me he
cant remember me calling round if i was there the previous day unless
something with him rings a bell.  he often asks me whats the date but he
knows hes going out in a day or 2, but thats the same place tue and fri

> > We are having problems getting my mother to bathe.  She is very obstinate,
> > stubborn and goes ballistic when we gently suggest getting a visiting
[quoted text clipped - 55 lines]
>
> (to reply to me personally, remove 'sox")
Evelyn Ruut - 06 Jan 2005 12:09 GMT
"Julian 'Penny for the guy' Hales" <julianhales@blueyonder.co.uk> wrote in
message news:ei4Dd.52971$48.33596@fe1.news.blueyonder.co.uk...
> How is it before people stop cleaning? my granddad still looks smart,
> showers, shaves and eat well.  According to his neighbour, she tells me he
> cant remember me calling round if i was there the previous day unless
> something with him rings a bell.  he often asks me whats the date but he
> knows hes going out in a day or 2, but thats the same place tue and fri

hi julian,

everyone is different, it seems.  my uncle took a shower by himself every
single day even into later stage alzheimers.   on the other hand ida was not
taking showers and it was unpleasantly noticeable before we noticed any
other symptoms of any kind.

i do know that in the 5 or so years i have been posting here, that many
people have experienced their loved one's reluctance to bathe, so it is a
common enough issue with alzheimer patients to deserve mention.   if your
grandad is doing okay, maybe he is one of the lucky ones for whom it won't
be an issue.

ida would swear she had a shower "just yesterday" when there was an inch of
old dust in the tub and she was using it as a spot to store stuff.   she had
lost all ability to know when she'd bathed last, but to her it was "just
yesterday"...

Once we had gotten past the first shower after we took her to live here, i
would just tell her it was "shower time" in the morning when i took off her
nightie and she never refused me again, though she would grumble a bit
sometimes.    When she was fully healthy in her earlier years she was a
clean person who loved to dress well and look good.    so the transition to
getting regular showers again wasn't too bad.

one thing i must mention though, we NEVER let her decide when, and we never
let her bathe by herself.  she just didn't know what to do and would say
"okay.... finished" and want to get out and dry off when nothing had been
even washed yet.   another issue is to remember that the older generation
often did not shower daily, but was more used to once or maybe twice a week.
that was how they did it so it probaby isn't realistic to expect them to
bathe more often than that.

i think it is very important to mention too, that we have a stall shower
with a shower chair in it, and the shower head is on a hose.   that single
arrangement made all the difference in the world.
Signature

Regards,
Evelyn

(to reply to me personally, remove 'sox")

>> > We are having problems getting my mother to bathe.  She is very
> obstinate,
[quoted text clipped - 66 lines]
>>
>> (to reply to me personally, remove 'sox")
Julian 'Penny for the guy'  Hales - 06 Jan 2005 17:12 GMT
Hi Evelyn.

Thanks, im generally happy with him daily, just his short term memory but im
wondering how he feels with himself, seems full of life and as
funny/generous as ever.

> hi julian,
>
[quoted text clipped - 108 lines]
> >>
> >> (to reply to me personally, remove 'sox")
webexchange - 06 Jan 2005 20:07 GMT
I had to laugh at the two inches of dust in the tub when the AD patient said
they had just had a bath yesterday.  My mom is similar in that she insists
she just took a sponge bath, and I ask her why her washcloth is dry and
obviously hasn't been used.  Just looks at me dumbfounded. :)

"Julian 'Penny for the guy' Hales" <julianhales@blueyonder.co.uk> wrote in
message news:mkeDd.57825$48.5563@fe1.news.blueyonder.co.uk...

> Hi Evelyn.
>
[quoted text clipped - 133 lines]
> > >>
> > >> (to reply to me personally, remove 'sox")
Evelyn Ruut - 06 Jan 2005 21:09 GMT
>I had to laugh at the two inches of dust in the tub when the AD patient
>said
> they had just had a bath yesterday.  My mom is similar in that she insists
> she just took a sponge bath, and I ask her why her washcloth is dry and
> obviously hasn't been used.  Just looks at me dumbfounded. :)

yes, exactly!   she looks at you dumbfounded because the rules of what we
call "reality" just aren't there anymore.   to a normal person, being caught
out that way it would mean something, but to a person with alzheimers things
don't string together as causes in the same way anymore.    they dwell
completely in their own minds, reality as we see it just doesn't connect.

Signature

Regards,
Evelyn

(to reply to me personally, remove 'sox")

> "Julian 'Penny for the guy' Hales" <julianhales@blueyonder.co.uk> wrote in
> message news:mkeDd.57825$48.5563@fe1.news.blueyonder.co.uk...
[quoted text clipped - 174 lines]
>> > >>
>> > >> (to reply to me personally, remove 'sox")
Rose - 22 Jan 2005 04:37 GMT
>Subject: Re: Mom won't bathe
>From: "Evelyn Ruut" mama-lionsox@hvc.rr.com
>Date: 1/6/2005 4:09 AM Pacific Standard Time
>Message-id: <NT9Dd.37546$kq2.25666@twister.nyc.rr.com>
>
>"Julian 'Penny for the guy' Hales"
news:mY0Dd.39032$Yh2.17474378@twister.nyc.rr.com...
>>> > We are having problems getting my mother to bathe.  She is very
>> obstinate,
[quoted text clipped - 7 lines]
>>> > we
>>> > know she hasn't.

In my opinion, if the person doesn't want to get into a bathtub and bathe,
that's fine. There's other ways to get clean.

With some people there is no way, no how and no who you are going to get them
to do what they don't want to do.  You have to use subterfuge and it's hard to
trick someone into a bathtub.

However, there are ways to sneak a spongebath on them.  If they complain of
itching and discomfort in the anal./genital region, tell them you can help put
on an anti-itching ointment and instead, wash them with no-rinse soap.  You can
buy it at medical supply stores or through a catalog like Dr. Leonard's.   You
can pretend to play with their hair or massage their scalp while applying
no-rinse shampoo.  You can apply no rinse soap while helping them dress and if
they ask what you're doing, you can say it's for dry skin or something. (Some
people take offense at any implication that they need a bath.)  If they need
help going to the bathroom that's an excellent opportunity to help them wash
the anal/genital area, buttocks and thighs.

I find that it's good not to press the person to do the whole body at a time.
Upper body one day, legs the next, foot soak another day.  They're probably not
doing strenuous physical activity that would cause them to get sweaty so that
should be enough.

My mom has become much more easy to convince to do things since she went on
Zyprexa, but she still won't shower at home. She let them shower her at the
nursing home when she was there for a month but that's probably because she
felt so vulnerable and alone when she didn't have visitors that she just did
what they said.

___
"The sea was angry that day my friends. Like an old man sending back soup at a
deli." -- Seinfeld
Evelyn Ruut - 22 Jan 2005 11:24 GMT
> >Subject: Re: Mom won't bathe
>>From: "Evelyn Ruut" mama-lionsox@hvc.rr.com
[quoted text clipped - 60 lines]
> did
> what they said.

In nursing homes they have to give them baths on a regular basis, so it gets
done.  They are very pursuasive about it.   The nurse shows up and you get
your shower and that is that, no arguments accepted, I am sure.

The only person who could pursade my mother in law she needed a bath was her
son.  After it became a regular thing around here, she never gave me any
more arguments about it, but in the very beginning it was very difficult and
there was a battle every time.

We tried baths, but poor balance and slippery tub surface were not a good
combination.  The better way was the stall shower with a shower stool and
the shower head on a hose.  She was comfortable with that.

Signature

Regards,
Evelyn

(to reply to me personally, remove 'sox")

Boydette - 23 Jan 2005 09:00 GMT
My mom is doing this also....she says she does but I KNOW she
doesnt....she takes what she calls (excuse the expression) "whores
bathes" in the sink....when she was here I tried to get her to take a
shower and offered to help but she wouldnt let me..... she was here for
over a week and I never succeeded....dad on the other hand gets his
shower in the home....he dont fight unless mom is there and then she
pitches a fit (she gets so jealous) and then the fight is on....trying
to force them doesnt work....B
Dennis P. Harris - 22 Jan 2005 20:13 GMT
> She let them shower her at the
> nursing home when she was there for a month but that's probably because she
> felt so vulnerable and alone when she didn't have visitors that she just did
> what they said.

It's more likely that she obeys those who are in authority, like
doctors and nurses.  She just won't accept that her daughter is
an authority.  I suspect, however, that if you had a home health
aide *in uniform* come for a visit a couple of times a week who
simply told her in a no-nonsense manner that it's time for a
shower/bath that she might comply.  You might want to try that.
Songbird - 06 Jan 2005 14:50 GMT
It can also be due to something unrelated to the Alz. My mom started going
longer and longer between baths -- and this was a woman who loved long, hot
bubble baths. It wasn't til my dad took a soak for a bad back that he
realized just how *deep* their Jacuzzi-style tub was and installed a
handrail for fear she would fall while climbing out. She suddenly started
taking more baths -- she didn't want to admit she was afraid of slipping and
falling.

Songbird

"Julian 'Penny for the guy' Hales" <julianhales@blueyonder.co.uk> wrote in
message news:ei4Dd.52971$48.33596@fe1.news.blueyonder.co.uk...
> How is it before people stop cleaning? my granddad still looks smart,
> showers, shaves and eat well.  According to his neighbour, she tells me he
[quoted text clipped - 72 lines]
>>
>> (to reply to me personally, remove 'sox")
Julian 'Penny for the guy'  Hales - 06 Jan 2005 17:11 GMT
thanks, the social worker who visited put a note in the bathroom for him to
use a seat rather than stand, but tday i wen to collect the dog which he had
last night and i was late due to traffic and he was a bit mad as he was
cooking me dinner, so i know he eats etc.

he has fun with the dog, takes him out int he evening then in the morning a
long walk in the park and  paddle in the stream, they act so daft together.

> It can also be due to something unrelated to the Alz. My mom started going
> longer and longer between baths -- and this was a woman who loved long, hot
[quoted text clipped - 84 lines]
> >>
> >> (to reply to me personally, remove 'sox")
 
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