[14] Horizons: Enhanced Hygiene
- Team Writer
- 6 minutes ago
- 4 min read
Video Module 14 Transcript
Hello and welcome. Ensuring enhanced hygiene for people living with Dementia can be challenging, especially when they resist bathing or showering. Resistance to these activities is often rooted in fear, discomfort, or confusion. However, with thoughtful preparation, patience, and the proper techniques, caregivers can help make the experience more pleasant and manageable.
We will explore practical strategies to overcome resistance to showering for individuals with Dementia, emphasizing the importance of a compassionate and person-centered approach.
Before attempting a shower or any bathroom task, spend time creating a safe and comfortable atmosphere. Provide a shower or bath seat for times when the person needs to sit, and pre-install grab bars or other handholds so you, or they, can grab on if needed. Lay down rubber-backed bathroom mats to prevent accidental slips and falls, and to soak up excess water. If your care partner thinks they see someone else in a mirror while using the bathroom, place a sheer curtain over the mirror.
Even if you are their long-term care partner, each time you work together, approach the experience with a new appreciation for their current situation. Clearly and confidently communicate each step you're taking, before you begin any new task. This allows the person to prepare themselves, be less fearful and not be surprised.
Building a rapport that feels safe and trusting is critical. Start by engaging in a friendly conversation. Talking about one of their favorite topics like a sports team, their days at summer camp, or music they loved in their teens, can help make the interaction more personal and engaging. Please focus on the person before the task, and give them a fun reason to clean up, such as getting ready for an outing, or visiting a friend.
In general, when someone is in the middle to later stages of Dementia, they may not think they need a shower or bath. In their mind, it may seem to them like they just took one. Also, the ability to smell odors can become less acute. And so, they may believe that there is no reason to shower or bathe.
If using the word shower triggers anxiety, substitute phrases like "wash up", "clean up", or "Let's have a spa day." Addressing toileting needs before showering can prevent accidents and make the process smoother. Ensuring the individual has used the bathroom can reduce anxiety and make them more comfortable.
Before entering the bathroom, ensure it is at a comfortable temperature and that all your toiletries are within reach. A warm and inviting environment can make a significant difference. Ensure that the shower room or bedroom has all the necessary supplies, such as towels, soap, and washcloths are readily available. This preparation can help create a sense of security and comfort for the individual. Then focus on their privacy, dignity, and warmth by keeping a large towel over their shoulders while verbally encouraging or assisting with removing their clothes. Sometimes you'll be challenged to do so, but keep the mood as upbeat and fun as possible.
Consider playing soft music in the background. Soft, calming music can create a soothing atmosphere. Music has been shown to have a positive impact on mood and can help reduce agitation and anxiety in individuals with Dementia. Providing a soft, colorful sponge, a rubber ducky, or other water-safe object can serve as a distraction and reduce anxiety. These items can be soothing and fun, helping direct an individual's attention during bathing. Hum, or sing a familiar tune to brighten the atmosphere and create a bond between you and your care partner through music.
Have the individual within your care start the washing process. It can promote independence and reduce resistance. Guide them through the process and assist as needed. Begin washing with less sensitive areas, such as the feet, legs, and arms. This approach can help the person gradually become more comfortable. Move to the middle of the body, and when appropriate, gently wash the perineal area. This is an area that lies between the genitals and the anus. I'd suggest using a handheld shower wand with a medium-pressure spray, if possible, to clean all the nooks and crannies.
Maintain hygiene and comfort, and use fresh washcloths as often as necessary, especially for the face.
Offer compliments if resistance develops. Stop, pause, and re-engage differently.
Alternatives to consider:
One: If the individual is uncomfortable with undressing, consider leaving their gown on and washing it underneath. This can help maintain their dignity and comfort.
Two: If a bed bath is necessary, ensure the person is covered with blankets to maintain their dignity and warmth.
Three: An under-the-clothes bath can be a more comfortable and less invasive option for individuals who are resistant to undressing.
Four: Divide the bath: upper body in the morning and lower body in the evening may make the process less overwhelming.
Five: A towel bath, where warm, moist towels are used to cleanse the body, can be a gentle and non-intrusive alternative to traditional bathing methods.
No matter how you accomplish the cleanup, a gentle massage with scented lotion can be relaxing and comforting afterward. Focus on the lower back, feet, and hands to help the individual feel pampered and cared for.
Expressing gratitude can have a positive impact. Thank the person for their cooperation and participation, reinforcing their sense of autonomy and dignity.
Offer compliments to boost their self-esteem and reinforce positive behavior, acknowledge their efforts and cooperation.
Share with family or paid caregivers what worked, and what did not, and document those experiences.
Incorporating individuals' preferences and experiences into their care plan ensures that their needs are met consistently and compassionately. Showering and bathing should be enjoyable activities for the person, not just tasks to be completed.
In conclusion, overcoming resistance to showering and bathing in people living with Dementia requires a patient and person-centered approach. By preparing thoroughly engaging the individual positively and using creative alternatives, caregivers can help make the experience more pleasant and manageable. Prioritizing individual's comfort, dignity, and preferences is essential to providing effective and respectful care.
Bathing, showering, brushing teeth, and other daily acts of hygiene that were once normal and even enjoyed are now the subject of anguish, anger, and fear. You've taken on a considerable task that many would avoid. Don't give up.
Thank you for being here. Thank you for learning all you can. Every day and every way, seek to be kind, helpful, and loving.