There are different approaches to take, once you've figured out why bathing is such a big deal. If a doctor finds the elder is depressed and antidepressants work, the problem may solve itself. A renewed interest in life may make the person more aware of needing (or wanting) a shower or bath and clean clothes. Energy may increase and that, too, helps.
If you find you are in a power struggle with the elder refusing to be "bossed around," a little trickery can come in handy. If the elder has a good friend, it sometimes works to get the friend to give a call and say, "Hey, Mable. Shower up and put on your newest outfit. We need to go out and have lunch." A reason to get cleaned up for someone besides family, coupled by an "I don't care what you smell or look like if you don't" attitude by the son or daughter, can sometimes do the trick.
If you can still get them in the shower, but they are afraid of the water (or sitting in the tub), there are many types of shower chairs available. These are wise for anyone who is getting older or who may have arthritis or balance problems, as it decreases the risk of falls. A hand-held shower head helps a lot with the fear factor if the person doesn't have water pouring down from overhead.
However, if the person is in a demented state and afraid in the bath, then you or another person must move gently. Don't insist on a shower or bath. Begin with just asking to wipe off the person's face. Gradually move to under arms and other parts of the body, talking and telling them what you are doing, as you go. Be soothing. If they fight it or say stop, then stop. Try again later. You may at least get to a stage where there is an occasional sponge bath.
The thing to remember about cleanliness is that you may have to lower your standards. It's hard. You know that at one time Mom would have been humiliated if she didn't smell good, or had stains on her clothes. That part of you, due to kindness, wants to take over and have her look like she'd have wanted to look.
The other part, though, is that she is now in a different mode. Too much nagging is counterproductive. If Mom isn't as sweet smelling as you'd like, or if Dad has stains on his shirt because he spills – well you all may have to live with it. Constant arguing about cleanliness and clothes can make the person feel belittled, and that won't help at all. They will not take it as love. They will take it a criticism. So, compromise may be in order.
The main message? Outsiders understand better than you think they do. Do your best to help your elders look nice and stay clean. But don't expect a pristine appearance. It's often not realistic, and the issue may be more about your own ego than about the elder. Think it through, be honest with yourself, and find a way to live with what you must. It's once again attitude adjustment time.
Elder care author, columnist and speaker Carol Bradley Bursack is an AgingCare.com contributing editor and moderator of the AgingCare.com community forum. Read her full biography