Posted on September 2, 2010 - by Nurse Virginia

WHY DO ELDERLY WITH ALZHEIMER’S DISEASE FIGHT TAKING A BATH?

(PART II)

Problems to consider when trying giving an elder with Alzheimer’s disease a bath.

• Is there a possibility the elderly person is in pain – in any situation when there is aggressive behavior make sure the elder is not in pain.
• The elder may think they just had a bath and will tell you so.
• Elderly people get cold easily because of lack of movement and decreased circulation or at times it may be a hypothyroid condition – if the elder does have a diagnosis of hypothyroidism, be prepared they will be cold.
• Many people with Alzheimer’s disease wear the same clothes all the time – because being dressed makes them feel put together – when they undress they feel vulnerable.
• The elderly become tired easily – keeping that in mind you may want to approach them when they are at their liveliest or most energetic.
• Privacy is important to everyone – if several caregivers are meeting in the shower room to chat and only one person there (the elder) is without clothes, they very well may become angry.
• This generation (the ‘”greatest generation”) didn’t bathe everyday – they were an every Saturday night generation – no wonder they say they just had a bath.

Tips for having a successful bathing experience with an elderly person with Alzheimer’s disease.

• Try to make this a pleasant experience by not rushing.
• Using the elder’s personal soap and towels makes it “their” bath – and recognizable.
• Provide for the elder’s modesty – maybe undressing in steps instead of all at once and covering the elder with towels as they are bathed.
• Make sure the environment is warm, warm water and warm room air, temperature is so important.
• Make sure you have all of your supplies handy, but make sure the room is not cluttered.
• Tell the elder what is happening and what you are doing at all times –  in a low, comforting and reassuring voice.
• Don’t tell yourself that you need 100% success or nothing – if you do half a bath today and the rest standing at the bathroom sink tomorrow – that is your success

Virginia Garberding, R.N.

Director of Education, The Wealshire, Lincolnshire, Illinois

Author: Please Get To Know Me – Aging with Dignity and Relevance

www.pleasegettoknowme.com