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This is really gross, but I need help!
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<blockquote data-quote="susiestar" data-source="post: 343294" data-attributes="member: 1233"><p>What a difficult call. I am sorry you have to deal with this. It seems there are physical and psychiatric/emotional reasons behind the behavior. She should be evaluated by a gastro doctor and a therapist/psychiatrist. </p><p></p><p>They need to get her on a routine to get rid of the constipation. Miralax, dulcolax, and a diet higher in fiber will help greatly. If the BM is not hard it may not trigger the nerves.</p><p></p><p>Checking for pinworms is not a bad idea. I know that they went around the nursing home my great aunt was in at one point. She should also be checked for fissures and sores - fingernails can cause these and an infection there would be horrible.</p><p></p><p>Why not provide some gloves and special towels or baby wipes to handle the problem while she is still doing this? Would it have a chance of working, esp if combined with the sanitation reminders? Shaming or chastising her probably will not work. Just like it doesn't with kids.</p><p></p><p>Staff will need to pay a lot of attention to her for a while. They should get her on a routine - trying to go every few hours at first. </p><p></p><p>The doctor should have more ideas. She is NOT the first elder to develop this issue. Just be sure you know if they use restraints - and for how long she would be left in them, would she be alone or have someone with her. </p><p></p><p>A friend's Gma was in a nursing home and found that her Gma was being restrained almost 20 hours a day because she was smearing feces. The staff didn't bother to find out why, and it caused a LOT of problems and fears in her Gma. Sstaff also wanted to put in a feeding tube because she was losing too much weight. She was not free when the food was there. Kitchen staff brought food and removed trays but were not allowed to remove restraints. Nursing staff didn't often go in and let her loose so she could eat. Poor lady was left to watch and smell food she couldn't eat - and she was hungry! Staff told doctors she was refusing to eat.</p><p></p><p>Just be aware. Not all facilities are like this, but it is something you should ask about and drop in at random times to check on.</p></blockquote><p></p>
[QUOTE="susiestar, post: 343294, member: 1233"] What a difficult call. I am sorry you have to deal with this. It seems there are physical and psychiatric/emotional reasons behind the behavior. She should be evaluated by a gastro doctor and a therapist/psychiatrist. They need to get her on a routine to get rid of the constipation. Miralax, dulcolax, and a diet higher in fiber will help greatly. If the BM is not hard it may not trigger the nerves. Checking for pinworms is not a bad idea. I know that they went around the nursing home my great aunt was in at one point. She should also be checked for fissures and sores - fingernails can cause these and an infection there would be horrible. Why not provide some gloves and special towels or baby wipes to handle the problem while she is still doing this? Would it have a chance of working, esp if combined with the sanitation reminders? Shaming or chastising her probably will not work. Just like it doesn't with kids. Staff will need to pay a lot of attention to her for a while. They should get her on a routine - trying to go every few hours at first. The doctor should have more ideas. She is NOT the first elder to develop this issue. Just be sure you know if they use restraints - and for how long she would be left in them, would she be alone or have someone with her. A friend's Gma was in a nursing home and found that her Gma was being restrained almost 20 hours a day because she was smearing feces. The staff didn't bother to find out why, and it caused a LOT of problems and fears in her Gma. Sstaff also wanted to put in a feeding tube because she was losing too much weight. She was not free when the food was there. Kitchen staff brought food and removed trays but were not allowed to remove restraints. Nursing staff didn't often go in and let her loose so she could eat. Poor lady was left to watch and smell food she couldn't eat - and she was hungry! Staff told doctors she was refusing to eat. Just be aware. Not all facilities are like this, but it is something you should ask about and drop in at random times to check on. [/QUOTE]
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