Guest guest Posted March 6, 2012 Report Share Posted March 6, 2012 , They have pans that fit on the toilet so she doesn't have to go in a cup. And they need to slow down with her so she isn't so frightened. Can she clean herself somewhat herself or can you talk her through it  ? She isn't being given the time she needs to do whatever she is doing and I saw that as staff's responsiblity. She is paying to be taken care of. If she could take care of herself, she wouldn't be there. You may need to help staff slow down. They need to warn her before they come at her as I have seen some staff do.  Staff defeats themselves. And I am well aware of all they have to do, but they will do much better with LBD patients by going slower, not at their pace. This is my opinion. But they don't tell you about all the things they could use, like the pans for the toilet, unless you know and ask for them. But that is also their job, not yours. Hugs, Donna R Personal care, UTI and a catheter  Hi all. My mom is VERY combative with any personal care from the staff at the home - she screams for her mom and is terrified and yells out that they are trying to kill her. The doctor wants to get a urine sample from my mom to check for a UTI, but she is so combative around personal care there is no way to get her to swipe and then urinate in a cup (I don't think she even understands the concept anymore anyway). They want to put a catheter in for a short time to collect the sample, which I know will be very terrifying for her. Are there any alternatives to the catheter or any suggestions you can give me on how to make the personal care issue easier for her in general? Thanks so much. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 6, 2012 Report Share Posted March 6, 2012 , I had similar problems trying to capture urine samples for Kathy. Nothing seemed to work, until we had an aide and she told me about specimen hats. They are available at most full service pharmacies. Attached is an online link to provide more info: http://www.mountainside-medical.com/products/Commode-Specimen-Collector-%28Hats%\ 29-800cc-.html After she is finished and in another room, I return and pour the specimen into the sterile containers we get from the docs office. I always ask the nurse for extras and as soon as I notice some profound changes or become suspicious, I grab a sample and drop it off. This has been very helpful in so far as Kathy has be prone to many UTI's. This has unloaded a large burden from my mind. Hope it works for you. Good luck  Jeff When you feel like giving up, remember why you held on for so long in the first place. " ~ Unknown >________________________________ > >To: LBDcaregivers >Sent: Tuesday, March 6, 2012 8:41 AM >Subject: Personal care, UTI and a catheter > > > >Hi all. My mom is VERY combative with any personal care from the staff at the home - she screams for her mom and is terrified and yells out that they are trying to kill her. The doctor wants to get a urine sample from my mom to check for a UTI, but she is so combative around personal care there is no way to get her to swipe and then urinate in a cup (I don't think she even understands the concept anymore anyway). They want to put a catheter in for a short time to collect the sample, which I know will be very terrifying for her. Are there any alternatives to the catheter or any suggestions you can give me on how to make the personal care issue easier for her in general? > >Thanks so much. > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 6, 2012 Report Share Posted March 6, 2012 , I had similar problems trying to capture urine samples for Kathy. Nothing seemed to work, until we had an aide and she told me about specimen hats. They are available at most full service pharmacies. Attached is an online link to provide more info: http://www.mountainside-medical.com/products/Commode-Specimen-Collector-%28Hats%\ 29-800cc-.html After she is finished and in another room, I return and pour the specimen into the sterile containers we get from the docs office. I always ask the nurse for extras and as soon as I notice some profound changes or become suspicious, I grab a sample and drop it off. This has been very helpful in so far as Kathy has be prone to many UTI's. This has unloaded a large burden from my mind. Hope it works for you. Good luck  Jeff When you feel like giving up, remember why you held on for so long in the first place. " ~ Unknown >________________________________ > >To: LBDcaregivers >Sent: Tuesday, March 6, 2012 8:41 AM >Subject: Personal care, UTI and a catheter > > > >Hi all. My mom is VERY combative with any personal care from the staff at the home - she screams for her mom and is terrified and yells out that they are trying to kill her. The doctor wants to get a urine sample from my mom to check for a UTI, but she is so combative around personal care there is no way to get her to swipe and then urinate in a cup (I don't think she even understands the concept anymore anyway). They want to put a catheter in for a short time to collect the sample, which I know will be very terrifying for her. Are there any alternatives to the catheter or any suggestions you can give me on how to make the personal care issue easier for her in general? > >Thanks so much. > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 6, 2012 Report Share Posted March 6, 2012 , I had similar problems trying to capture urine samples for Kathy. Nothing seemed to work, until we had an aide and she told me about specimen hats. They are available at most full service pharmacies. Attached is an online link to provide more info: http://www.mountainside-medical.com/products/Commode-Specimen-Collector-%28Hats%\ 29-800cc-.html After she is finished and in another room, I return and pour the specimen into the sterile containers we get from the docs office. I always ask the nurse for extras and as soon as I notice some profound changes or become suspicious, I grab a sample and drop it off. This has been very helpful in so far as Kathy has be prone to many UTI's. This has unloaded a large burden from my mind. Hope it works for you. Good luck  Jeff When you feel like giving up, remember why you held on for so long in the first place. " ~ Unknown >________________________________ > >To: LBDcaregivers >Sent: Tuesday, March 6, 2012 8:41 AM >Subject: Personal care, UTI and a catheter > > > >Hi all. My mom is VERY combative with any personal care from the staff at the home - she screams for her mom and is terrified and yells out that they are trying to kill her. The doctor wants to get a urine sample from my mom to check for a UTI, but she is so combative around personal care there is no way to get her to swipe and then urinate in a cup (I don't think she even understands the concept anymore anyway). They want to put a catheter in for a short time to collect the sample, which I know will be very terrifying for her. Are there any alternatives to the catheter or any suggestions you can give me on how to make the personal care issue easier for her in general? > >Thanks so much. > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 6, 2012 Report Share Posted March 6, 2012 How does she do with you? Are you close enough that you can talk her down from some if this and explain a few times what you need and such and hold her hand and walk her through it? That's what I did with my mil. - Dorothy from cell phone > Hi all. My mom is VERY combative with any personal care from the staff at the home - she screams for her mom and is terrified and yells out that they are trying to kill her. The doctor wants to get a urine sample from my mom to check for a UTI, but she is so combative around personal care there is no way to get her to swipe and then urinate in a cup (I don't think she even understands the concept anymore anyway). They want to put a catheter in for a short time to collect the sample, which I know will be very terrifying for her. Are there any alternatives to the catheter or any suggestions you can give me on how to make the personal care issue easier for her in general? > > Thanks so much. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 8, 2012 Report Share Posted March 8, 2012 , I was also told that I made my mom nervous at first when she entered the NH. I was so concerned about her care that I was on top of everything and too often asking her if she was OK. Learning to calm down myself helped Mom be calm around me and let me help her - when she *needed* help. There were any number of patients, especially women, at Mom's NH that went through a period in which they believed that staff was trying to do them harm. There was one woman who, every 3 months or so, would go through a couple of weeks insisting that everyone was trying to poison her. Others would kick and scream when the staff tried to do something or get them to do something that they didn't want to do (sometimes because they couldn't remember how to do it). This was where the doctor was called in. Paranoia is part of dementia in most of its forms. There are medications that can help, but it takes some trial and error. Different medications are needed for different people. I also noticed that different staff members interacted with each patient in different ways. Some staff members, just by being there, would terrify patients. Others were very close to their patients and trusted by them. Sometimes, it is important to find the right aide for the right patient. For your own part, try to let go of worries before you go in to see your mom. I would sit in the parking lot for several minutes just doing breathing exercises before going in, to try to be calmer by the time Mom saw me. I also needed to learn to worry less about Mom's happiness and every little sniffle. No matter where your mom is, things will never be perfect with Lewy around. Try to settle for what my grandpa called " good enough. " Take care of yourself. Kate > ** > > > Hi everyone. Thanks for your help. My mom and I used to be quite close, > but now I only seem to agitate her more. The nursing home does have the > " hats " and did in fact manage to get a clean speciman yesterday (I think). > She is so afraid of personal care (she things they are trying to kill her) > that all if this is almost impossible. > > > > > > > > > > Hi all. My mom is VERY combative with any personal care from the staff > at the home - she screams for her mom and is terrified and yells out that > they are trying to kill her. The doctor wants to get a urine sample from my > mom to check for a UTI, but she is so combative around personal care there > is no way to get her to swipe and then urinate in a cup (I don't think she > even understands the concept anymore anyway). They want to put a catheter > in for a short time to collect the sample, which I know will be very > terrifying for her. Are there any alternatives to the catheter or any > suggestions you can give me on how to make the personal care issue easier > for her in general? > > > > > > Thanks so much. > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 9, 2012 Report Share Posted March 9, 2012 Kate - Thanks so much for the advice - I will try :-) Quote Link to comment Share on other sites More sharing options...
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