The question waa; What to do if your parent can’t stand long enough to be cleaned while toileting?
The answers were all about commodes and sit showers, but my LO has multiple, loose BM’s while lying or sitting and therefore gets feces in places that are hard to clean, skinfolds, genitalia etc.
She is unable to shower regularly so thoroughly cleaning is a must or she gets UTI etc. Short of a colonoscopy bag, is there a device that will help her stand for more than 60 seconds without over taxing her physically?
You know the mechanics of all this. And anyone else can imagine the mechanics by thinking of an infant that weigh 100 to 200 pounds.
I am really sorry. There's no magic. Incontinence results at end of life, much in the same way falls do, in end of life issues, sepsis from UTIs and skins breakdown so severe that sepsis claims lives.
You might try youtube for videos on cleansing incontinence. They surely have them on everything involving catheter bags; perhaps a film will help with the "turn on the side, two pillows between the leg, gentle cleansing with soft wipes front to back, and etc.
Whatever you try to do, the simple fact is that the feces, upon exiting, is contaminating the entire peri-anal area. Especially in women the e-coli travel to the urethra, which is in women only inches long, and has easy access into the bladder.
I am sorry. Wish this old nurse had better answers. Hoping someone comes around with something I haven't seen, done or thought of.
What about a simple peri-bottle? That’s what I’ve used post-childbirth, and post-surgery. Maybe having a few ready before each trip to the toilet?
https://a.co/d/0a1Nb3IU
Good luck.
A hand held bidet sprayer could be used in a similar manner but IMO hooking up to both hot and cold water is a necessity, I'd also want something that allows for various water pressure and spray patterns (that's where using the shower head was really nice)
This is when it's time to go over to using actual diapers and get a bed that can be raised and lowered. So, the best way I found for such a situation as yours, is when it's time to change the diaper, the person has to be laying down on the bed (which you've raised to a comfortable working height), and you get a basin of soap and water and literally wash them up. The put on a clean diaper. If it's only urine, you can use wipes.
There really is no other way. It's a hard life for whoever's in charge of keeping the person clean.
Barrier creams need to be applied to completely dry skin, so consider keeping a dedicated travel-size blow dryer at her bedside to use after washing her (that has a medium or cool setting).
OMGosh!! Game changer.
Mine is super deluxe--it warms the water that sprays you. The seat of the bidet is heated--and there's a built in fan that dries you off. You can adjust the spray wand to do a simple 'butt wash' or, for women, the full 'undercarriage wash'. Your LO stays seated and lets the bidet do all the work. You can run several washes, if necessary. The water will get colder, but hopefully, it's not necessary to use more than once per bathroom visit.
My DH has bowel issues and I know he wasn't washing and wiping well (I do his laundry and he'll stain a pair of undershorts and I have to use a LOT of bleach spray to get them clean.)
No need to stand there while someone wipes you clean. You get cleaner and stay cleaner. It's probably one of the best gifts I've ever received!!
You have options.
As mentioned a Bidet would be a great solution. But depending on the level of cognition someone may have to operate it for your parent.
Changing and cleaning in bed is another option.
If the person has some trunk strength and can stand for a little while a Sit To Stand is a great option. It will support the person and cleaning and changing can be done easily.
If there is no trunk support then a Hoyer Lift.
Here's an example of a lift that may help her get on/off the toilet, and potentially position her for easier cleaning.
https://www.sed-med.com/
I had to hire an aide to come put him on the bedside commode so he could poop, and then she would hold him up while I cleaned him up.
And if on the rare occasion he again pooped in his tab diaper while in bed, I would have my son come and again hold him up by his bedside commode, so I could get him cleaned up real good, and my son would put him back in bed.
I never had an issue with not getting him cleaned up real good doing it that way.
So perhaps you need to hire an aide to come hold your parent up while you clean them up real good.
And because my husband was also under hospice care during those 22 months, the hospice aides came twice a week to give him a bed bath, which worked out well too.
Sit to stand machine require leg strength. Hoist lifter requires the space to use. Commode requires trunk strength.
There are recliner commode chairs, but bathroom space would need to accomodate the extra size. If bedroom/bathroom setup allowed, hoist to reclined commode, wheel over toilet & use hand-held shower-hose for cleaning. I'm picturing a hospital/aged-care type set up - open bathroom, no shower step, & no bedroom carpet.
It may be that bed-care is the only workable option left in the home setting.
Also since OP says frequent care is needed due to multiple stool events bed-care would most likely be necessary at least some of the time , otherwise she would be transferred in and out of bed all day long .