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Most hospice patients eventually lose bowel and/or bladder control because of either the disease or a decrease in level of consciousness. This can be depressing or humiliating to your loved ones. Maintaining privacy is important when providing intimate care.
Before a patient becomes incontinent, a bedpan or urinal might become necessary. Ensuring that the bedpan or urinal is regularly offered can be very effective in maintaining continence when your loved one is still able to control the bowel or bladder. If the patient is not confined to bed, a bedside commode can be used.
If incontinence occurs regularly, your loved one may need incontinence pads or briefs. The hospice staff will help you to obtain the needed supplies.
Some patients become so embarrassed or humiliated by incontinence that they decrease their intake of food and fluids. They may also refuse laxatives that are necessary to avoid constipation. In these cases, constipation may become severe and cause abdominal pain and cramping or bowel obstruction. Constipation is prevented with a bowel regimen. Overall, it is important to communicate your love and understanding, and to maintain privacy. |
