Function Focused Care for Assisted Living Residents | Toileting

Function Focused Care for Assisted Living Residents | Toileting



toilet is an important part of residents care from a perspective of hygiene prevention of skin breakdown and maintaining the residents dignity and quality of life you're going on your bus trip this morning a resident into the bathroom can be challenging in and of itself yeah before you go on your bus trip why don't we go in and go to the bathroom before you leave I don't think I have to go when you are working with residents especially those with cognitive impairment the resident may resist going to the bathroom or using the toilet and say I just went in this case you can distract them with another activity and try again in a minute or two the other alternative is to give them a reason to try to go again you don't want to be on the bus and then have to go so okay yeah push up often the small space may be frightening to a resident we're gonna go right in here then you have the challenge of having the residents sit safely on the toilet but go ahead negotiate their loathing wait so go ahead and yep yep sometimes to rush through the activity staff go into the bathroom and help too much why are you in here with me okay I'll step to the side yeah I mean the place is too small for two people you're right I'll wait out here this can result in residents resisting pushing away or even hitting I don't have to go I'm gonna get up oh yeah well let's try just before you go on the bus all right I'll try one more time I'll run some water oh good that else I'll wait outside I might be used to do that famille turning on the water can be an effective cue to have the resident go to the bathroom it is helpful for the resident to be wearing clothing especially pants that are easy for the resident to pull down and pull up this allows the resident to do at least some of this activity independently and you as the caregiver are there just to help as needed I'm done okay here can you take that okay now you're gonna stand up I'm gonna check things it is very important when we're taking residents to the bathroom to avoid talking too much and touching too much residents especially those with cognitive impairment can misinterpret this as an assault and may pull way or try to strike us and too much talk can be overstimulating for the resident after using the bathroom it's a perfect opportunity to have the resident wash her hands if the resident seems to be having difficulty with this task then it's fine to go ahead and queue them through the process by handing them things such as soap or a towel to dry their hands that's good you

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