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She is not getting clean when she bathes and because of poor vision, she is not cleaning herself well after bowel movements. I don't know how to broach the subject with her. She is forgetful, but not senile and very sensitive about her capabilities. I don't want to hurt her feelings or be disrespectful, but i don't think I should put it off too much longer. She lives with me, so I am available to help her. Any suggestions?

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If your mother has age related decline there isn't going to be a whole lot that she can do to correct this situation.... she is going to need some help either by you or a paid Caregiver.
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Discuss her age related decline with her MD. Perhaps he can order aides for bathing. The bowel issue: I would consider installing an automatic bidet toilet seat that sprays warm water. She might like it. A lot.
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