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Has disability, lives in AL, under hospice care, frequent urination, both day & night - takes a lot of time transferring from WC to toilet, requires aide assistance each time. Any ideas?
Often in age this frequency has no root in UTI at all. Though that is the first and the easiest step to check out. So a U/A, C&S is step number one. Once you have clearance on that, know that this is primarily a brain thing. The constant urge has little to do with the amount of urine in the bladder, and there are exercises for the mentally competent to do to train the brain against this constant triggering of the "urge to go". But it takes a lot of determination. There are also devices that work on specific nerves. Again, problematic, don't often work, and not really adaptable to aging.
I would see a good urologsit for a good workup and for options and I wish you good luck. The urinary system is exceptionally complex ruled by both the sympathetic nervous system and the parasympathtic nervous system. Think to yourself of those time when you have been out for the day, have a full bladder, and are now on the doorstep of your own home and you almost CANNOT BEAR the urge to go, it's so strong. Yet get in the house and get diverted and once again there's no urgency. Your brain is at work here, directing urges to your bladder, or not.
You do have them in Depends? It may not be so much frequent urination, may just be incontinence, can't hold it anymore. Maybe its time for a catheter. Its really not fair to the aides.
The first question hospice asked me is whether I wanted dad catheterized or not? I said yes, dad agreed. Life for all involved gets much easier once the frequent trips to the bathroom stop.
Frequency/urgency could be a sign of a UTI. Are there any other symptoms, like sudden change in behavior, confusion, delusions, temperature, etc? If so, this is a trip to Urgent Care.
You don't say if your LO is a man or woman... could be a prostate issue for a man (70+% of elderly men have prostate problems) and there may be meds that will help (like Flomax or others), for a woman there are meds for overactive bladder issues.
I agree with the others' advice about wearing protective disposable briefs (and taking away all cloth undies) -- this is hopefully already in place.
Nightime trips to the bathroom are the most likely time when an elder falls and is injured, so this is a problem that needs to be solved soon.
We had my mom on meds for overactive bladder, but when dementia progressed, we stopped. Interesting that her cognition and confusion improved as a result. We use a brief with an extra pad inside the brief so many times just change out the pad. I feel so blessed to still have my 94-year old mama. She’s failing, but still knows her immediate family. 🙏
Deal with it. Change diapers bed pads keep them clean and dry. Pure wick is great but way too expensive. I almost had my low cost prototype finished when my wife died
Since she’s on hospice she won’t be able to see a urologist. I too have my 91 year old aunt and she urinates frequently, so you just have to change her frequently and keep her dry and clean like you would an infant and speak words of love. I know it can be very difficult, but it’s ok because I won’t have any regrets and know I helped her in every way I could.
catheter would be uncomfortable for her although convenient for others and the point of hospice is to make your loved one as comfortable as possible
How do you know the LO is a "she" and there is "discomfort" involved with a catheter? Neither parent expressed such a thing while catheterized in hospice
Yes make life easier for all involved and have hospice put a catheter in. That way this person doesn't have to keep being transferred to the toilet and all the aides will have to do is empty the catheter bag a couple times a day.
My 89 YO wife is in hospital. She is supplied with a PureWick urine collection system. Available on-line. Passive for her. Expensive for Medicare. It's marvelous.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
I would see a good urologsit for a good workup and for options and I wish you good luck. The urinary system is exceptionally complex ruled by both the sympathetic nervous system and the parasympathtic nervous system. Think to yourself of those time when you have been out for the day, have a full bladder, and are now on the doorstep of your own home and you almost CANNOT BEAR the urge to go, it's so strong. Yet get in the house and get diverted and once again there's no urgency. Your brain is at work here, directing urges to your bladder, or not.
Hope you'll update us, and wish you luck.
You don't say if your LO is a man or woman... could be a prostate issue for a man (70+% of elderly men have prostate problems) and there may be meds that will help (like Flomax or others), for a woman there are meds for overactive bladder issues.
I agree with the others' advice about wearing protective disposable briefs (and taking away all cloth undies) -- this is hopefully already in place.
Nightime trips to the bathroom are the most likely time when an elder falls and is injured, so this is a problem that needs to be solved soon.
catheter would be uncomfortable for her although convenient for others and the point of hospice is to make your loved one as comfortable as possible
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