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My mother's asst. living mgr. called to say that my mother is having trouble controlling her bowels. She does not make it to the bathroom in time so when she does get there she has to change her disposable underwear. She does put the soiled underwear in a trash bag but she does make a mess of the bathroom itself, thus tracking feces out of the tiled bathroom floor into the living area of the house. This has been going on for 6 weeks now. The only thing different in the six weeks is that her insulin has been changed. They offer to have her wear an adult" onsies that zips up the back so she would have to ask for help when going to the bathroom but I think that will make her upset. Any suggestions?

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I don't know how lucid your mom is but if urgency is a problem, waiting for help seems that it would make the problem worse. Unless they want her to use the diaper and then not be able to inconvenience then. Bby her removal and perhaps touching it and spreading it. My mom does same thing. She will get constipated Anne pull her feces out by hand then touch everything. Its awful but its my job to care for heras it is ur caretakers... Personally it sounds like more of a way to do less on their part. I would question this. If she has an accident... And no one addresses the problem quickly her skin could break down and result in bed sores.
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Her problem is that she makes a mess of the bathroom trying to change herself and does not ask for help. There are only 4-5 seniors in this house. She does wear "depends" but the problem is the actual changing the soiled one and cleaning herself up afterwards. They have asked her to call for them to come help her but she does not remember to call. They have tried to toilet her every 2 hours or so to help with the situation but that has not helped either.
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Besides the incontinence of stool, your mother in lacking the ability to clean it up properly. It will be very humiliating for her. I don't think a onsie is appropriate in this situation. Many assisted living facilities want to keep their beds full at the expense of their residents well being. It seems like your mother has changed to a different level of care. The diabetes can play a role in increased bowel movements, but not the ability to clean it properly. Bowel incontinence is also a problem with people who have dementia.
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Go with the onsies for now, they won't keep her if you don't. They can't risk the cross-contamination making the other residents sick. Talk to her MD about a higher level of care, it may be time to do that.
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