Issue: Hygiene for a 70 yr old woman with two strokes and probable undiagnosed Autism or Schizophrenia.
My mother's hygiene is very poor -- if left alone, she will not wipe herself after peeing or pooping. I have recently taken her out of assisted living due to high cost, and plan on returning her back to her house with aides coming to visit twice a day for a couple hours each time.
My biggest concern with placing her back in her own home was her safety, but since she primarily watches TV and naps, I feel confident that she will be safe.
This cleanliness issue is my newest concern placing her back in her home, so my question is, what is acceptable regarding her hygiene? Since she does not wipe herself, and sometime uses her Depend as the toilet (at least with pee, sometimes poop), should I be concerned with this to the point that someone should be with her all the time to make sure she uses the bathroom correctly (so that is is always spotlessly clean)? She does not care at all if she has pee/poop on her as she will sit for hours and hours in this condition. I know this is not ideal, but we do not have the finances to afford an aide 24/7. Considering her care at assisted living, I do not see it as any different from how she lived there -- the staff only checked her diaper once, possibly twice, a day to see if it was clean. Otherwise, she, as well as the other residents, went about their day and relied on the diaper to keep the pee/poop contained until they got around to checking it again.
Is it okay to let her be in a soiled condition for 2-6 hours at a time between cleanings?
All advice is very much appreciated.