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I haven't yet seen suggestion to check for UTI. If this has been a gradual progression, definitely have him checked by a urologist. However, if this is something that recently started, do check for UTI.
My mother would have UTIs several times/year, but was able at that time to identify it and get tested/treated. After moving her to MC, her first UTI resulted in severe sun-downing. We had to use anti-anxiety meds along with antibiotic until it cleared.
When she moved there, she was still mobile and able to do most self care. It was mainly to ensure her safety and having better nutrition. It was a while before we switched to briefs (swapped out all underwear, no discussion!) Most of her "accidents" were due to being unable to get her clothes off/down fast enough so we were getting extra carpet cleaning charges. At about 2+ years, she started using a rollator, but was still okay.
The second UTI resulted in night time bed wetting! REALLY soaking the bed. She is also still pretty much "continent" during the day. She is now 97, and still will go if taken in time to the bathroom (she's now in a wheelchair, mainly due to lack of use she's no longer able/willing to stand or walk.) I believe she had a second one, which also resulted in bed-wetting. Once the UTIs were resolved, this subsided.
I would definitely check for UTI. It's easy enough, not expensive and can help avoid a lot of testing and other interventions! Anytime something changes suddenly, behavior, demeanor, eating, drinking, incontinence, i would recommend checking. UTIs show up oddly in elders and esp in those with dementia.
(NOTE: I was a HUGE skeptic when I first joined the forum and read all the comments suggesting UTIs. I am no longer a skeptic!!!)
Waterproof mattress pad. Absorbent under pad. Much more absorbent than a towel. Make sure the pad you are putting in the incontinent brief is one that does not have a waterproof lining on the back And by using 2 incontinent briefs you are not getting the second one to absorb much since the one closest to him has a leakproof backing on it most of the fluid will leak around the second one and run out by the leg opening. Have you tried getting him up a few hours after he goes to be do void again? If he goes to bed at 10 pm if you can get him up around midnight that might help. And getting him up early to go again. A bedside urinal or commode will make it easier. Cut back on fluids after about 7 or 8 pm.
I see several others have mentioned medications that may help, discuss these with his doctor. A condom catheter might also work but only if he will leave it alone.
As an RN, I would suggest a visit to his doctor first to identify the cause - which could be several things. Condom catheters, extra padding in depends and extra padding on the bed can all help. I like using pads on the bed that are plastic on one side (Chux) but find that puppy pads are cheaper.
There are medications that can help with overactive bladder(bladder spasms), like Oxybutynin, Vesicare. Trospium, and more. You can check with his Dr. to see what might be best for him. Also make sure you have a waterproof mattress pad on his bed, along with waterproof pads underneath him as well. That will prevent any urine from getting on his mattress. You may also have to get him up every 2 hours overnight, so he can use either the toilet or urinal, which ever is easier for you. Good luck.
My husband had similar issues. After seeing a urologist it was determined that he had “lazy bladder”. The elasticity of the bladder was gone so even though he urinated during the day it never emptied and always retained a substantial amount of urine. Overnight, when it wasn’t enough to wake him, he would urinate in his sleep. The solution was catherization during the day to empty the bladder. Please have him see a urologist, if for no other reason than to rule this out. We did the cloth, quilted, full length water proof pads, which helped greatly with clean up but it was ignoring the real problem. Also, this was extremely embarrassing for him which takes its toll in other ways. Pray this helps and you’re able to get some solid answers.
There are Wearever briefs that are padded and are washable. If the padding is not sufficient add a depends or similiar. Also there are bed pads that are washable on line from Amazon. There are also throw away pads, in various sizes. Look at Amazon for all these items
If you’ve ruled out any medical conditions (UTI) as the reason, you could try eliminating all liquids after 6 or 7pm. No fluids in....no fluids out. Works great for my 87 yr old mom. Nana Val
1. Are there any "Essential Oils" or Glade scented products within the home? "Essential oils," + other "scented" products neurologically irritate many humans etc. which results in loss of bladder control. Remove ALL "Essential oil" products from his home.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
My mother would have UTIs several times/year, but was able at that time to identify it and get tested/treated. After moving her to MC, her first UTI resulted in severe sun-downing. We had to use anti-anxiety meds along with antibiotic until it cleared.
When she moved there, she was still mobile and able to do most self care. It was mainly to ensure her safety and having better nutrition. It was a while before we switched to briefs (swapped out all underwear, no discussion!) Most of her "accidents" were due to being unable to get her clothes off/down fast enough so we were getting extra carpet cleaning charges. At about 2+ years, she started using a rollator, but was still okay.
The second UTI resulted in night time bed wetting! REALLY soaking the bed. She is also still pretty much "continent" during the day. She is now 97, and still will go if taken in time to the bathroom (she's now in a wheelchair, mainly due to lack of use she's no longer able/willing to stand or walk.) I believe she had a second one, which also resulted in bed-wetting. Once the UTIs were resolved, this subsided.
I would definitely check for UTI. It's easy enough, not expensive and can help avoid a lot of testing and other interventions! Anytime something changes suddenly, behavior, demeanor, eating, drinking, incontinence, i would recommend checking. UTIs show up oddly in elders and esp in those with dementia.
(NOTE: I was a HUGE skeptic when I first joined the forum and read all the comments suggesting UTIs. I am no longer a skeptic!!!)
Absorbent under pad. Much more absorbent than a towel.
Make sure the pad you are putting in the incontinent brief is one that does not have a waterproof lining on the back And by using 2 incontinent briefs you are not getting the second one to absorb much since the one closest to him has a leakproof backing on it most of the fluid will leak around the second one and run out by the leg opening.
Have you tried getting him up a few hours after he goes to be do void again? If he goes to bed at 10 pm if you can get him up around midnight that might help. And getting him up early to go again.
A bedside urinal or commode will make it easier.
Cut back on fluids after about 7 or 8 pm.
I see several others have mentioned medications that may help, discuss these with his doctor.
A condom catheter might also work but only if he will leave it alone.
RMS Ultra Soft 4-Layer Washable and Reusable Incontinence Bed Pad - Waterproof Bed Pads, 24"X36"
Try reducing his fluids after dinnertime.
Nana Val
Remove ALL "Essential oil" products from his home.
2. Also please evaluate for a UTI.
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