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He refused to sit down and urinates on the floor. We need suggestions, please.

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I think the Toilet Nightlights are great for anyone getting up in the night to urinate. My husband does not have dementia, but he does have an overactive bladder. LOL. I just ordered several more for prizes in my card group.
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Maybe try a Toilet Night Light with changing colors (Amazon, approx 8 bucks). They have a motion sensor that stays on for 2 minutes. The bowl lights up with varying colors. My husband loves ours. When he enters the bathroom at night, the soft colored light in the bowl comes on and he can hit with sharp precision. Also, the light stays on long enough to guide him back to bed. It doesn't wake me up like the regular light does. I gave one to my mother in AL and she loves hers too.
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RedVanAnnie Oct 2019
I never heard of toilet night lights. I love the idea even if not needed for dementia patient.
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Dad needs Diapers, depends, And a Care Giver.
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Ricky6 Oct 2019
X top is less invasive. It is an absorbent pouch the penis is placed inside and will absorb all the urine. The patient wears normal underwear.
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Bedside commode or adult diaper.
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On similar questions, I have suggested this and I think people think I am joking. When I was living in Europe, some of the public restrooms had a little figure of a fly or something in the bottom of toilet bowl or urinal, near the drain.

The intent was that for all men, it was a natural urge to aim at that fly. When my dad began having problems, I found some decals online, intended mainly for toilet training for small boys. But there is a human urge to aim at that fly.

Is it a cureall? No. But it really helped with my dad. In fact as I get older and lazier I thought of getting some for my toilet, as it is fun to aim your stream at that fly.
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I've linked this product before but as far as I know nobody has ever given any feedback

https://www.agingcare.com/products/urifunnel-437251.htm
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Qwerty Sep 2019
It might be difficult for an Alzheimer’s patient to remove to do #2
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Before I realized my husband was having toileting issues, I discovered he was going in odd places like the cat box, the paper shredder, anything that resembled a urinal or toilet. He was willing to use a plastic urinal at night, but at times, he was too asleep and missed or he tried to make it to the bathroom. I bought a vinyl table cloth and laid it on the floor by the bed. Then I placed pee pads on top. This was a big help.
When he went to pull ups, those worked well eventually, but his mind wanted to treat them like regular briefs. He resisted wetting his pants and would try to use them like regular men’s briefs. The bottom line was that I had to be vigilant so I could give him prompts and guidance before he had an accident.
I didn’t know about the way to clean the urinals to prevent stains and odors. I would toss the used ones out after a while and replace them. It’s just all a struggle when you have potty training happening in reverse.
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Pooch Pads are washable very absorbent pads you can put by the toilet. You will want to use something to secure them, they are a bit slick.
I keep baby detergent and a bucket in bathroom, so I can hand wash and use dryer or hang dry. They come in 3 packs, so you can always have a fresh one ready and last a good year or more.

Opt 2- get a cammode style raised seat. It looks like a cammode without a bottom. It has very secure hand rails for when he does sit. Set it to a height several inches above the toilet and leave the seat up. He can stand closer and it funnels flow into the toilet. The legs adjust to variable heights. Unless he stands and doesn't use a hand at all for direction, this should work. Also color contrast is a great visual clue. Basically bring the target closer to him.
Good luck.
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I think I now understand why my Alzheimer’s father insist on having a plastic urinal with him at all times. He packs it around with him in his walker. We always have to make sure it’s empty before putting walker in car. I didn’t realize finding the toilet was the issue for so many. Thanks for sharing.
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Possibly vision problem? Mom has problem with one eye, throws off her depth perception and can't pour a cup of coffee in the cup.
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I like the idea freyflyer gave you about the brightly colored toilet seat. I would put down those puppy pads. It may look odd, but will be a much easier clean up.
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In the meantime, they make mats to go under high chairs. Perhaps you could use that?
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We used a urinal with my DH and it worked great! HomeHealthCare will even supply them.

I did learn that they will stain & stink - but I started putting just a few drops of Hibiclens (pre-surgical scrub) into the bottle and even his oldest urinal looked like (and smelled like) new again.

He was 96+ when he passed and I had them everywhere he was likely to need to 'go' for obvious reasons. In the end I did have to support him and hold the urinal for him - but that still beat the alternatives for us.
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As againx suggested, he may need ticketing assistance.
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Look into x top for men.
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Why not get a urinal bottle like they use at the hospital and simply hold it there (with his private part inside the bottle). It will prevent a mess on the floor. You can get those online or at a local medical supply store.
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cak2135 Sep 2019
I had this friend whose younger brother had Duchenne Muscular Dystrophy. It got to the point where the brother could no longer walk, was in a wheelchair, and had to use a urinal bottle when he had to pee. The boy died in 1974, and is buried just up the road from where I live
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My husband would mistake the wastebasket (or hamper or closet) for the toilet. If he chooses the same spot, can you put a small wastebasket there? I know I could position my husband right in front of the toilet and he still had difficulty “seeing” it. He did come to prefer sitting on the toilet after awhile. I’m sorry.
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Another poster stated they had turned off the water long enough to use a permanent marker to draw an X in the bowl.
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Will he tolerate an adult diaper? Does anyone help him with toileting or he's supposed to be independent in this arena? Sadly, I feel it may be unlikely for him to understand where he is supposed to pee.
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Marissa, I had read somewhere that a person who is deep into Alzheimer's are unable to "find" the toilet opening in the bathroom. It was suggested to remove the white toilet seat and replace it would one that is brightly colored. I never needed to do this, but thought it was an interesting idea. Then it dawned on me that the seat would be up, thus maybe some thing to outline the rim of the toilet in a bright color.

The article also suggested painting the wall behind the toilet and sink a different color from the rest of the bathroom, a darker wall color would work best. For some reason that draws the attention to the sink/toilet.

One thing, do not place a very dark color rug in front of anything in the bathroom. With Alzheimer's, sometimes the person will think the dark rug is a hole in the floor.

So sorry you are going through this with your Dad, it's quite a challenge.
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