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She has her own bathroom, but no way to take a shower in it. The hallway bathroom we had conveyed to a walk in shower for her. She has told m, several times, she almost fell, or had horrible pain in both legs and back and struggled to get out safely. Yet she refuses to shower when we are home, stating there is nothing wrong with her mind. It isn’t her mind we are concerned with. I told her she could fall and lay there for hours and she said, “I hope so!” I told that doesn’t mean she will die, she always states how she wants to die because she can no longer drive herself or cook. She refuses to try to do anything else, she sits all day and watches tv, the neighbors and reads. And complains.

Sounds like MIL should not be left alone.
It also sounds like someone needs to guide her into the shower and help her by standing by while she showers. (also making sure she is actually doing a good job of it) You can hire a Shower Aide but a Caregiver during the times when she is home alone would be the safest option.
Getting her into an Adult Day Program would also be a good idea.
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Reply to Grandma1954
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It sounds possible that M comes out of the shower into the hall naked, because she finds it easier to dry and dress herself in a less confined space. That might be the reason why she doesn’t like to shower when you are at home. Perhaps you could check by making a ‘privacy’ arrangement, to see if that might work for her?
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Reply to MargaretMcKen
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Seniors need to associate with ppl their own age, sitting alone is not the answer is there a senior day care in your area, mostly run by a county, my cousin runs one in Illinois.

Might improve her quality of life.
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Reply to MeDolly
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She needs help in the shower . Sounds like she may have stopped showering altogether or will stop soon . Even when you are home she’s afraid she will fall because she struggles to get out of the shower safely . It’s likely she does not want your wife helping her . I also question whether she would do a good job . My FIL wasn’t using any soap or shampoo , just letting the water run on him . Hire a caregiver ( using MIL’s money ) for showers and when you aren’t home . It also sounds like she should not be home alone at all .

My FIL and mother were the same , refusing help in the shower . Eventually they stopped showering altogether out of fear of falling and then later could not even recognize the need for a shower even when told . My FIL used to say same thing “ there is nothing wrong with my mind “ . He used to shower alone when told not to in assisted living . He kept wanting to prove he was “ independent “. Then he eventually stopped showering and could not understand he needed to shower , just kept saying he didn’t need help .,

Is your MIL on an antidepressant ? It may help make her a bit more cooperative . Sounds like she needs one. Is their adult daycare by you for some socialization, some of them will do showers .

If this becomes unmanageable at home memory care is the next step .
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Reply to waytomisery
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TxPonyGirl Sep 14, 2024
What is home memory care?
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Is she on any meds for depression or anxiety? If not, it may be time to consider this for her since dementia robs people of their ability to bring their minds around to a place of peace. This may also help her be more cooperative in the hygiene area.

She could use some outside stimulation, like a companion aid (who could help get her to shower), or a day program. Eventually she will need more and more management, so maybe consider looking into good, reputable facilities nearby, or understanding that more in-home aids will be necessary.
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Reply to Geaton777
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I supervise the showers. The aide does it as well. You only need 2 or 3x per week. Make sure you have grab bars and a shower bench or chair. She is too fragile to shower alone so someone is always right there. I use a handheld shower head to rinse her. No standing while in the shower is the rule, because of a fall backwards. I stick to my guns on that one.
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Reply to Silverspring
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I think you are wrong. It IS her mind you now need to be concerned with.
She needs to be in MC where staff will assist her with showers or other paths to cleanliness in a professional manner despite her feelings about it. This is a broken brain in the sense that "feelings" and "wishes" and "wanting" no longer figure in the equation. Often the very worst approaches are those by well-meaning family. This adds to the struggle. I am so sorry. I think you have decisions coming up soon for a whole mind-body approach to her care that isn't familial.
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Reply to AlvaDeer
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Trying2StaySane, welcome to the forum. Regarding showers/baths... both hubby and I are in our late 70's and we have found taking a shower or a bath can be exhausting, it's like doing a workout at the gym.


There are some older folks who start to feel claustrophobic in a shower, so leaving the shower curtain/glass door opened half way at the end of the shower can be helpful. Baths are a bit safer but getting out of the tub can be a challenge at times (I know).


I wash my hair at the kitchen sink which is so much easier then using a shower. I found with the shower putting my head back would make me feel dizzy.


If someone is using a soap or liquid soap that contains a moisturizer, that can cause the floor of the shower/tub and even a bath mat to become very slippery.


On the market are items similar to baby wipes that one can use between baths. A nice smelling wipe is delightful :)
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Reply to freqflyer
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Please seek out a plan to place your mom in assisted living. This is for her safety. You and your husband need to devise a plan for your MIL's future.
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Reply to Onlychild2024
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This does not sound like a woman who can be "put" or "gotten into" anything against her will. My mother is much the same -- early dementia, resists showers, says she's lived too long, wants to die, no "heroic" measures, etc. I have had to tell her outright that she has body odor; wipes do help although are not a total solution; and, after an episode of shingles, she finally agreed to have an aide come a few times a week. She has a shower chair and hand held shower head, and their arrangement is that the aide sits right outside the door while she is washing just in case. I have also had to be extremely blunt about the risk -- not of dying, since that's what she says she wants -- but of "lying in your own sh** all night...." (She does have a medical alert, but doesn't always wear it.) And of course, many things have to be repeated since she doesn't necessarily remember, which requires a great deal of patience and acceptance on my part, as well as self-forgiveness when I fall short in that department.
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Reply to DepressedMom
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Yes the fear of slipping and effort it takes and pain removing and changing clothes affect many elderly people
my Dad went thru a stage of it and I was shocked as he was akways super clean and took pride in his appearance
we devised a plan
gst a bowl of warm water and flannel
put a little disinfectant in it and somewhere pref in her room for her to wipe down
liquid soap
they even do no rinse soap
a flannel did the body and one for face
allow her to have a wipe down
of she’ll let you help - help her and give her some pride and turn around or leave the room fur her to wipe personal areas
leave a towel
that will deal with washing and then you can slowly work in a shower every Fortnight or month
and lay fresh clothes out for her
it worked for my father
And he’s nice and clean now
a lot if the time it really relates to the pain and effort it takes changing ( and washing)
my father would love his soaks in the bath then said he nearly slipped and wouldn’t use a bath again
for the shower try and get a chair fur her to sit on
we have my dad in clean boxer shorts and we help him wash then leave the room fir him to wash personal areas then return to help him dry
again leaving room for him to sort out private area
and the procedure became routine and gets quicker now
it was all about making the process easier?
good luck
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Reply to Jenny10
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Sponge baths are better and safer for the elderly. Medical monitors if they fall. Showers with a stool, shower mat, grab bars, and a hand-held nozzle may work and is preferred by my mom.
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Reply to CareforMominTN
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Aww it’s so difficult to manage but I promise it will get harder (sorry), then it will get easier x there is a phased pattern I think all of us might go through with our parents as we love and care for them x I too have experienced many of the comments noted below by others, and eventually the best option (but this will be after the phased events) is wash down whilst they are safe in a specialist bed or chair xx it won’t be easy because there will be a stepped process because they want their independence and rightly so, we must respect their choices safely, as best we can. I now do bed baths for my dad, after quite a few falls with him trying and his words to me used to be “I must try” my heart breaking each time I knew we had risk and trying risk assessments not always working when they do their little adventures when your back turned in another room 🥰 xx I would say to you, keep trying, let them have their independence , follow what’s mentioned below I won’t repeat the same advice butheir advice is perfect and all what I have done too (pattern). Each stage of decline changing and each stage more challenging in different ways xx please hang in there knowing what you’re doing will make them the happiest they could be and closest to the safest you can be with them xx I could write a series of events and experiences and it’s all based on how you manage to persuade p which is so difficult for their pride and also you wouldn’t want them to give up, so encourage, preside all they do, laugh along the way xx I never thought I would be doing some of the things I do, but laughter (when you can) and fun, relaxed approach works best for their embarrassment and pride xx my dad so proud and a true gentleman, but he wants nobody else, so I will honour his wishes and I am privileged to have him and still be able to hold him, others are not so lucky 🥲 so please embrace as best you can, deep breaths in another room, smile as you go and remember one day this will be us too and how would we want to be treated xx I think this always helps, it is such hard work, each transition harder, then I promise easier because less active as (they) decide to slow down, we haven’t decided that for them, their bodies change and we change with their chapters, my dad is close to 96 years, been poorly for a very long time, yet happy and content as can be xx please remember safety first, pride second 🤞xx
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Reply to Heartwrenching
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BigDaddyJames56 Sep 17, 2024
Could you repeat that ? And specifically answer the question ? Biden Beat medicare.
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Wait a minute...what door are you referring to?? Bathroom door? Bedroom door? And why would that help anything?
Or maybe that was a joke (?)

Regardless of which door, yes, you need an aide to help her with showering.
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Reply to LostinPlace
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waytomisery Sep 17, 2024
I think OP meant lock the bathroom that has the shower so she doesn’t shower when no one is home . There is another bathroom .
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I don't think I understand what you are trying to describe, or what the question is.
Lock the door? What door? Why?

Does she live with you?

If she is uncomfortable showering, it is probably unsafe for her to do alone. She needs help. She needs a shower chair, and possibly an aide to assist her.

Not sure what you are wanting help with. Maybe just needed to vent?

My advice is to avoid getting into a battle of wills with her. You don't need to argue about the way she is choosing to spend her days. Her feelings are valid, and she has earned the right to live as she wishes, which may well be very different from her earlier days, and may be very different from your expectations.

If she is able and willing, try finding an adult day care program to get her out of the house and socializing with others. An alternative would be to have a companion aide come to the house to spend time with her. They could give her attention and do little things to help her with things she struggles with.

Also, talk with her doctor about prescribing an antidepressant.
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Reply to CaringWifeAZ
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You bring in some hommecare help a couple days a week and they will shower her.

Lay down the law with her. Either she showers twice a week with the assistance of either a homecare aide or you and your husband, or she no longer lives in your house.

Never allow the refusal of basic hygiene in your house. Or any other kind of unhygienic mess like food in bedrooms or garbage left around. Don't allow this.

Believe me if your MIL has it together mentally, the threat of going to a "home" wil be enough to get her regularly showering.
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Reply to BurntCaregiver
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Burnt, no need to sugar coat it...
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BurntCaregiver Sep 18, 2024
Lost, I see no need to sugar coat anything. I speak plainly and I appreciate plain speech.
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Trying2StaySane: A home health aide could be brought in to shower her, else she'll have to consider facility living.
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Reply to Llamalover47
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BurntCaregiver Sep 18, 2024
@Llamalover

Not 'consider' facility living. It's either accept assistance to shower twice a week or you're moving out.
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To the original poster, I am sorry you are having to deal with that too. My mom has issues with showering as well. Her bathroom was redone a number of years ago when my dad was still alive, but her bathtub/shower isn’t safe for her anymore. We had that particular door closed with two door wedges so she can’t open it. Grab bars and a shower chair have been helpful. Some home care groups like the pt my mom has now have occupational therapists come out and help with showering. One sibling told the pt we didn’t need it for mom, but they aren’t here much. My mom gets afraid and tends to wander so changes are often being made as well. Hope that helps some. Definitely some helpful posts on this thread
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Reply to SoulSurvivor
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Showers are overrated!!!! She can stand at the sink and wash throrougly. Get her a shower seat and put into the shower. Get that tape that you put on the floor that keeps a person from slipping when it is wet. It is clear and I put it on mine for MIL who lives with us. Is she able to be up “doing things?” Sounds like she is unwell or has issues if she does nothing else. I am thankful my MIL will get out of bed and sit with us, watch some tv., listen to music, talk, watch me work on the flowers on the deck, watch the clouds and the weather, tell me where I missed a spot when I am cleaning. Does she get books from library where she can also get magazines. Don’t tell her how to live, work around her in the way she has chosen to live.
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BurntCaregiver Sep 18, 2024
@RetiredBrain

When you live in someone else's house you comply to what their house rules are.
The people whose home you live in don't have to 'work around' how you choose to live. You work around how they choose to live.

Basic hygiene is not an unreasonable demand to make as a condition to live in someone's house. It doesn't have to be a shower twice a week. You are right it can be getting washed up several times a week in the bathroom. Whatever works.

No one gets to stink up another person's place because they don't want to wash up. No one gets to make a mess and start a hoard in someone else's home either.

Let me tell you something. Just the threat of getting put in a "home" is often an effective cure for senior stubbornness.
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Make hygiene part of her usual routine. Pick morning or evening - whenever she is most cooperative. Preferable for a woman to help her disrobe, get in shower, wash her back, wash her hair, rinse, pat dry... Since I work as RN with dementia patients, I try to allow each person to "wash" whatever areas of their body that they can reach. I "help" with areas that need more cleansing or that they can not reach.
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BurntCaregiver Sep 18, 2024
Good plan Taarna. Having the person be as interactive with their own care as possible is always makes it easier for the person and the caregiver helping them.
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She is 87 and has balance issues. There is nothing wrong with a sponge bath several times a week. My 81 year old father has balance issues and cannot safely get in and out of shower, not even with a shower chair. The heat alone from the shower causes weakness and washing causes exhaustion and dizziness. Also, there is pain from standing. I tried getting in and out of his shower and using the chair and I had problems. I used the grab bars, moved the chair around and Nope, i did not feel safe or secure in the shower. He started the sponge baths on his own, and after an illness where he could no longer do it, we started having a caregiver come in a few hours, several days a week to help bathe him. He does as much as he is able, and she gets what he can’t. And he looks forward to her coming to visit and hang out with him. They watch movies together and have inside jokes.
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Reply to Muffinator
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I also have ‘balance issues’, NOT vertigo but quite difficult, going on for 6 months now. Multiple medicos can’t seem to work out why. I would be really grateful if you could provide a bit more information about your experience with balance issues. If it’s not relevant to your questions on this thread, please message me if you can spare a few minutes. Yours, Margaret
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Reply to MargaretMcKen
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Your m-i-l doesn't need to shower. A strip wash, or bed bath/sponge bath, is good enough. She may need a carer to help, or to encourage her to do it, as she seems to have an aversion to washing now.

I was able to wash my mum's hair using a couple of flannels and a little shampoo, as she was unable to bend her neck at the sink. I filled a bowl with hot water, massaged the shampoo bubbles into Mum's scalp, then used the flannels dipped into the hot water to remove all trace of the soap. It worked surprisingly well.

NB: Mum had quite short hair and it wasn't thick.
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Reply to MiaMoor
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Put a shower chair in her shower so she can sit and take her shower. Buy her shower shoes to keep her from slipping in the shower also.
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