Archive for March 22nd, 2012
Posted on March 22, 2012 - by Nurse Virginia
22 – BATHING CONSIDERATIONS FOR THE ELDER WITH ALZHEIMER’S DISEASE
- Depression could cause the elder to lose interest in personal hygiene.
- Physical illness could also cause the elder to lose interest in personal hygiene.
- If the Hypothalamus region of the brain (the body’s internal thermostat regulator) is damaged from Alzheimer’s disease, this could cause a changed sense of perception of hot and cold water temperature.
- Brain damage could also cause a different sensation of water.
- Older skin tends to be dry and sensitive, daily cleaning of private areas and under skin folds is recommended instead of frequent baths.
- Poor lighting and poor eyesight could play a role in not wanting to bathe.
- Lack of privacy. Be as nonchalant as possible. Take an almost businesslike tone, discussing bathing as if it is a necessary medical procedure rather than a personal experience.
- Room temperature too cold.
- Water to hot or cold.
- Fear of falling.
- Fear of water or of being hurt by it.
- A disruption in the daily routine of the elder.
- Unfamiliar caregivers.
- The reason for taking a bath is forgotten. Because the elder doesn’t remember what bathing is for they don’t have the patience to endure the lack of modesty or being cold.
- Humiliation of being reminded to take a bath.
- Agitated before starting the bath.
- Feeling of being rushed by the caregiver.
- Feeling embarrassed about being naked.
- Fatigue
- Fear of hair washing and water on face.
- Elder waiting too long while caregiver prepares bath.
- Fear of water/soap
Virginia Garberding, R.N.
Director of Education, The Wealshire, Lincolnshire, Illinois
Author: Please Get To Know Me – Aging with Dignity and Relevance

