You don’t have many choices. 1. Continue as is. 2. Hire an in-home caregiver, to see if he’ll listen to the caregiver. Although your husband has dementia, he can still learn some things. 3. Put your husband in a facility. 4. Have a bathroom schedule. For example, every 2 hours he must go to the bathroom. But what about during the night? 5. See a urologist. The doctor can help with a catheter, then you don’t have this problem anymore. You just need to maintain the catheter in good order. Disadvantage: catheters sometimes cause UTIs. But your husband urinating everywhere leads to many more health problems for you and him.
To prevent UTIs, your husband should drink lots of water every day, regardless of whether he has a catheter or not. All of us should drink more water.
There are "onesies" for adults that he would have problems getting off so he would have no choice but to use the incontinence underwear. And when if you see him getting up to go relieve himself you must accompany him and redirect him to the bathroom. You can also try a "bathroom schedule" every 2 hours get him up and get him into the bathroom.
He needs to be placed. Dementia patients aren't trainable like puppies.
Your husband has a brain that doesn't work right, and that's the root of the problem. So far there's no way to fix this, so sadly, when they start peeing around and endangering health in the home (which it does), they need professional care in a place that's accustomed to dealing with it.
Please speak immediately with his PCP for further assessment of the husband's needs. It sounds like his " level of care needs" has changed significantly and, his PCP should refer you to other options.
Incontinence develops because messages between the brain and the bladder or bowel don't work properly. Until your husband is no longer able to walk, set up a bathroom schedule for the caregiver to take him to the bathroom every two hours during the day and a couple of times during the night. "Teaching or training" a person with dementia may feel good to the caregiver, but the patient's brain is shrinking and so far, there is no treatment that prevents that horror from happening.
Start with routine and home prep: 1 - Go to toilet every 2 hours while he is awake. 2 - He might do better sitting down than standing. 3 - Put incontinence pads on his chair and his side of the bed. 4 - Make him wear incontinence briefs instead of regular underwear. 5 - Get rid of carpets/rugs as much as possible in favor of easier to clean flooring.
Talk to his doctor: 1 - Most older men have prostate enlargement (BPH) that makes them "feel like peeing" frequently. 2 - There are medications to help with BPH. 3 - Consider a referral to a urologist. He might have more serious issues than BPH that require a urologist to evaluate and treat. 4 - Catheters are not a solution for people who can empty their bladders on their own. Catheters are a serious source of infection and can cause sepsis (deadly infection).
Would a catheter help? My husband has a permanent Foley for other reason, but its a blessing in manybways, especially all the diuretic meds for his CHF
1. Continue as is.
2. Hire an in-home caregiver, to see if he’ll listen to the caregiver. Although your husband has dementia, he can still learn some things.
3. Put your husband in a facility.
4. Have a bathroom schedule. For example, every 2 hours he must go to the bathroom. But what about during the night?
5. See a urologist. The doctor can help with a catheter, then you don’t have this problem anymore. You just need to maintain the catheter in good order. Disadvantage: catheters sometimes cause UTIs. But your husband urinating everywhere leads to many more health problems for you and him.
To prevent UTIs, your husband should drink lots of water every day, regardless of whether he has a catheter or not. All of us should drink more water.
https://www.silverts.com/men/pants/alzheimer-s-jumpsuit
And when if you see him getting up to go relieve himself you must accompany him and redirect him to the bathroom.
You can also try a "bathroom schedule" every 2 hours get him up and get him into the bathroom.
Your husband has a brain that doesn't work right, and that's the root of the problem. So far there's no way to fix this, so sadly, when they start peeing around and endangering health in the home (which it does), they need professional care in a place that's accustomed to dealing with it.
" level of care needs" has changed significantly and, his PCP should refer you to other options.
1 - Go to toilet every 2 hours while he is awake.
2 - He might do better sitting down than standing.
3 - Put incontinence pads on his chair and his side of the bed.
4 - Make him wear incontinence briefs instead of regular underwear.
5 - Get rid of carpets/rugs as much as possible in favor of easier to clean flooring.
Talk to his doctor:
1 - Most older men have prostate enlargement (BPH) that makes them "feel like peeing" frequently.
2 - There are medications to help with BPH.
3 - Consider a referral to a urologist. He might have more serious issues than BPH that require a urologist to evaluate and treat.
4 - Catheters are not a solution for people who can empty their bladders on their own. Catheters are a serious source of infection and can cause sepsis (deadly infection).