The nurse from my cousin's nursing home just called. She said that P was using her finger to dig up her rear, and had smeared fecal material all over the bed and bathroom was she walked. (She is very unsteady on her feet, even after the kyphoplasty Mon.) She wanted to know if this was something new. I told her no, she feels constipated, and with-the broken coccyx, the nerves are always firing and she feels constant pressure. Why she thinks it's okay to do something so unsanitary and ineffective, I have no idea. I suggested that it was becoming more of a habit, it may be turning into an Obsessive Compulsive Disorder (OCD) thing, and I wanted a therapist to interview her. (We've been waiting for 5 wks now.) I also said it would work best to inform her of the sanitation facts, rather than just chastise her for doing something bad, as that would simply hurt her feelings and she wouldn't "get it." Any ideas?