I saw that she feels more comfortable in bed than on the toilet seat, as she is a person immobilized in bed. How useful is it for her to put her on the toilet seat? She sits only supported.
Healthy is not the way I would phrase it. SAFETY is how I would determine what to do. If she is not safe getting transferred to the toilet or commode then it is safer for her to be changed in bed. Are you going to get her up into a wheelchair or just back into bed? If back into bed then leaving her in bed is safer.
Can you safely and easily change the bed when she is in bed? If so then no reason to get her up.
You can safely and easily get a person out of bed and onto a commode using a Hoyer Lift and there are commodes with backs that would offer support. the sling from the Hoyer Lift also offers some support. (the sling still attached to the Hoyer would be comfortable as well as provide support.)
As long as a proper change can be done, she is cleaned properly and well there is not a problem doing a change in bed.
Keeping someone in bed does bring about possible problems with pressure sores. No matter how or where you change her do a good skin check each time looking for the beginnings of a pressure sore. Any change in skin color or texture Swelling Tender areas Any areas that feel warmer or cooler than other parts of her body. Any of these should be checked ASAP.
If she's bedridden, needs help to sit up in a chair, seating her on a toilet seat seems like an unnecessary risk. Perhaps the doctor can refer you an occupational therapist who can assess your LO and determine if anything could be done to strengthen her enough to be moved out of bed occasionally.
My husband was completely bedridden for the last 22 months of his life, and I had an aide come every morning to put him on the bedside commode so he could poop. He hated sitting on a bedpan in bed, and preferred to sit on the bedside commode. It's also much easier, and more natural to poop when sitting upright, then while in bed, even if you raise the head up. Now my husband had a supra pubic catheter, so the only time he was put on the commode was to poop. But now, if the person you're caring for prefers to go in a bedpan while in the bed, and is regular in their pooping then I guess you can leave well enough alone, as you should be doing what they prefer anyway.
SAFETY is how I would determine what to do.
If she is not safe getting transferred to the toilet or commode then it is safer for her to be changed in bed.
Are you going to get her up into a wheelchair or just back into bed?
If back into bed then leaving her in bed is safer.
Can you safely and easily change the bed when she is in bed? If so then no reason to get her up.
You can safely and easily get a person out of bed and onto a commode using a Hoyer Lift and there are commodes with backs that would offer support. the sling from the Hoyer Lift also offers some support. (the sling still attached to the Hoyer would be comfortable as well as provide support.)
As long as a proper change can be done, she is cleaned properly and well there is not a problem doing a change in bed.
Keeping someone in bed does bring about possible problems with pressure sores. No matter how or where you change her do a good skin check each time looking for the beginnings of a pressure sore.
Any change in skin color or texture
Swelling
Tender areas
Any areas that feel warmer or cooler than other parts of her body.
Any of these should be checked ASAP.
Perhaps the doctor can refer you an occupational therapist who can assess your LO and determine if anything could be done to strengthen her enough to be moved out of bed occasionally.
But now, if the person you're caring for prefers to go in a bedpan while in the bed, and is regular in their pooping then I guess you can leave well enough alone, as you should be doing what they prefer anyway.