I am new to this board and wonder if anyone here is knowledgeable about SNF protocol regarding toileting. My dad is in a SNF across the country, and this issue has just come up. He is confined to a wheelchair and previously was escorted to the bathroom when he needed assistance. However, I have just learned that he can no longer stand up from his chair, and our aide has been told by one of the nurses that they can no longer assist him with this. In other words, he is just expected to "go" in his disposable undergarments. I have made a couple of calls to administrators to find out what the protocol is at this particular place, but thought someone might have some experience in this matter. Thank you!
Thank you, mae and TORP-- This helps so much! You bring up things I hadn't thought of. My dad is only about 120 lbs. himself, so he might be able to assist, or if not, use the potty chair, hand urinal, bed pan, etc. Now I have information to use in my discussion with the administrators.
Normany, there are ways they can accomadate his need to go to the bathroom.One they can put an external catherator on him.Also they can have a chair that has a potty attached.If they are asking that he do it in his disposable panties, ask them how soon they change him.If left he will get sores so fast and that will become a big problem.Also they can use a portable , hand urinal for his urine.Have to be careful as they become lazy and the patient suffers.They can also use a bed pan when he is lying in bed.I have faced all this and know it can be done, but I do not consider my self to be lazy.
Posts: 2148 | Location: home | Registered: August 02, 2005
The SNF that our LO was in will help with transfer. The problem we encountered was how quickly they got there after she rang. Since she's on lasix, it's urgent when she calls.
She maintained sufficient arm strength, however, to provide some assistance. She's also about 120 lbs. There may be different issues involved re safety when you're dealing with an adult man who isn't able to assist at all. It would be very bad if they dropped him, you know?
But, good for you for asking these questions! If he's fully aware of his need, and an alternative is available, the decision shouldn't be based on the paid caregivers' convenience.
