Bathing is a common struggle between seniors and caregivers
Getting an older adult to bathe is a struggle for many family caregivers.
The biggest worry is that not bathing will cause skin or urinary tract infections. Seniors might also get itchy or develop strong body odor.
But how often should seniors bathe to prevent health problems?
We’ve got 3 essential bathing tips to keep your older adult clean and healthy while minimizing arguments and stress.
1. Seniors don’t have to bathe every day
Even though most Americans are used to showering every single day, it’s not a strict requirement for good health.
At a minimum, bathing once or twice a week helps most seniors avoid skin breakdown and infections.
Using warm washcloths to wipe armpits, groin, genitals, feet, and any skin folds also helps minimize body odor in between full baths.
However, some dementia caregivers say it’s actually easier to bathe every day. When bathing becomes part of someone’s regular daily routine, they’re much less likely to resist.
Of course, it’s essential to take your older adult’s specific health conditions into consideration when choosing a bathing schedule. Some people may need to bathe more frequently than others for medical reasons.
2. Running water isn’t necessary
Showering or bathing in the tub are the easiest and most thorough ways to clean the body.
But if your older adult absolutely refuses or has limited mobility, a sponge bath will do just as well.
We found these helpful step-by-step instructions on how to give a sponge bath.
Here’s a quick overview:
- Gather all your supplies and make sure your older adult is warm and covered up.
- Start from the face/head and move down the body, saving private parts for last since they’re the dirtiest.
- For warmth and privacy, uncover only the body part that’s currently being washed.
- Wipe one area at a time and change washcloths between sections so you’re not wiping with dirty cloths.
If needed, waterless cleansers, bathing wipes, and no-rinse shampoos (regular or with cap) also work well.
Some people may feel that these products leave a slight residue. In those cases, do a final wipe with a clean, damp cloth after cleansing with the solution.
Plus, if your older adult enjoys their “no-water” bathing experience, they might be less resistant next time.
For additional comfort, try:
- Making the room toasty warm
- Playing soft, soothing music
- Dimming the lighting a little
- If using bathing wipes, warm up the opened package of wipes in the microwave in 10 second intervals.
- Giving a back rub or arm and leg massages
- Calling it “spa time” instead of bath time
3. Careful personal cleansing prevents urinary tract infections
Using the toilet
Cleaning the perineal area thoroughly after using the toilet helps prevent urinary tract infections. Get your older adult in the habit of using moist wipes, especially after bowel movements.
Moist wipes are much more effective at cleansing than toilet paper – just be sure to fold to a clean section each time they wipe. (Note: Flushing moist wipes down the toilet, even the “flushable” type, can clog plumbing.)
Adding an inexpensive bidet to the toilet is another option for keeping sensitive parts clean.
Important: Make sure women always wipe from front to back. That keeps bacteria from getting into the urethra and causing an infection.
Wearing incontinence briefs
If your older adult wears incontinence briefs, check every two hours or so and change them regularly so they’re never sitting too long in a soiled brief.
Cleanse thoroughly with a moist wipe during each change, making sure to wipe women from front to back.
Recommended for you:
- 7 Tips to Get Someone with Dementia to Shower
- 8 Useful Bathroom Aids for Seniors Make Everyday Tasks Easier
- 4 Ways to Get Someone with Dementia to Change Clothes
By DailyCaring Editorial Team
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Elba Beolchi
Very useful information, I am a 85 years old woman , when I don t feel to shower, make sure with the help of cloths clean my body of course started with face armpits and genital area . I wear pads for my urine incontinence and when moving bowels use plenty of toilet paper ( the sphincter muscle is weak) and finish with cloth unfortunately don have bidet , so common in my home country.
I have short time memory and a bitbut for the time being I am very conscious about bit unsteady , at the moment I walked without help but very careful of not falling when walking . i tripped once but fortunately no breaking bones .
Thank you again for your information and for the readers .
DailyCaring
Thanks for the kind feedback! It’s wonderful that you’re able to use a variety of ways to keep yourself clean and comfortable, depending on the need. We’re so glad you weren’t injured in your fall.
Lois Neal 96
I never get the water right temp. Correct. The home has issues of puoes going hot to cold no matter what shower is used . The temo. Never the same.
Is there an alternative? Using A bath tub is not possible. Fall risk is high.
DailyCaring
It sounds like you may need to contact a plumber to get help with the water temperature.
michael howard
My wife of 25 years is not comfortable with the shower because she wants to have specific worms and she cannot stand in the shower alone. Together, we found a solution and now she takes shower in the rehab center alone.
DailyCaring
It’s wonderful that you worked with her to find a solution that helps her feel comfortable while showering.
Margo Ziegler
These daily emails are extremely helpful to me. Thank you so much.
DailyCaring
Thanks for the kind feedback! We’re so glad that our emails and articles have been useful.
Emily
My mother is 87 with moderate dementia, hearing loss and low vision. She absolutely refuses to take a shower and physically can not take a bath. She will goes weeks at a time with no shower or changing clothes. She is very controlling and sorry to say but mean to her. She now has horrible body odor and the furniture smells from her. I don’t know what to do? I am exhausted. She refuses to let anyone help her.
DailyCaring
Getting someone with dementia to change clothes and/or bathe can be a big challenge. It’s possible that it’s an unpleasant or scary experience because of the dementia, hearing loss, and impaired vision.
You might want to focus on ways to make her feel more in control of the experience and help her feel aware and comfortable in the bathroom environment.
We’ve got some suggestions here that might help:
– 7 Tips to Get Someone with Dementia to Shower https://dailycaring.com/7-tips-to-get-someone-with-alzheimers-to-take-a-bath/
– 4 Ways to Get Someone with Dementia to Change Clothes https://dailycaring.com/4-ways-to-get-someone-with-dementia-to-change-clothes/
Anonymous
caretaker need share with dementia people their experience with shower time to time, but in permanent daily occurring discuss./how good it is, ask them what they think about/…
Juana Anita Flores
The best way to treat an elderly person is by allowing them to make some decisions. I have been a nurse for fifty years, in two
gigantic hospitals, three nursing homes
and for children that were mentally disabled
and I loved my jobs. I would ask my patients
what they wished , no matter what. Now I
care of my disabled Veteran.
DailyCaring
Absolutely, it’s important to ask a person their preferences and allow them to make decisions as well.
Noel Rosney
Showering & Bathing time can be pleasurable, a lot of older people may not be mobile enough to get in to the shower or bath. The main aim is to make grooming time fun, & enjoyable for the person. This way the Person is looking forward to the next bathing time. Thank you Daily Caring for all the great tips.
DailyCaring
So true, the goal is to make the shower or bath as pleasant as possible. So glad these suggestions are helpful!
Andrea
I work in hospice as a CNA. We shower most of our patients twice a week. On occasion we get one that will only shower once a week.
In my experience, many elderly people resist because they have lost the ability to do some things for themselves already and they want to maintain some control over their choices.
Many others resist because their thin/thinning skin makes bathing an unpleasant experience due to being cold before/during/after their bath or shower.
Some things that I have found helpful:
Give them options that address their concerns. “You want to bathe twice a week? Which days work best for you? I’d like to be here to both ensure safety, but also to help make sure your bathroom is nice and warm before you get in.”
If they have dementia/Alzheimer’s sometimes it’s best to not ask them if they want a shower/bath. Instead say something like, “It’s time to get cleaned up.” Or you can say, “Will you come with me?” If they have other routine parts to their day you can also use statements like, “It’s time to get cleaned up for supper.”
When they complain about being cold during the shower I don’t sugarcoat anything. I say, “I know you’re cold. The shower will last just a few minutes more, so you’ll be cold for a few minutes, but I will help you get warm as soon as we’re finished.” When the shower is finished, I drape a towel over their head and shoulders, another one horizontally over the chest and shoulders, and a third one vertically to cover their legs. It helps them stay a bit warmer while I get them dry. Then I lotion them up and get them dressed. I blow dry their hair if towel drying didn’t get it dry. A wet head will make them feel cold long after their shower. It’s best to make sure it dries all the way.
Leading them to a favorite seat with the offer of a warm blanket helps round out the shower experience, making it more pleasant for all involved. This gives them something to look forward to at the end of what might seem like an unwanted or dreaded task.
I hope this helps some people. Working in hospice, I always love seeing patients being able to remain in their homes because their families are looking out for them. That’s not to shame families who choose to put their families in nursing homes – sometimes taking care of an elderly parent in-home is just not feasible.
Much love to all!
DailyCaring
Thank you for sharing these wonderful and kind tips!
Linda Coursey
My father-in-law thinks once a year is plenty. He reads a lot of Louis LaMore books, over and over. He does not have alzheimer or dementia. 93 years old. Walks outside every day , but will lay in bed/slept up to 18 hours. Do I force the issue, hire someone to bathe him (may not accept)?
DailyCaring
It sounds like this has been going on for a long time. It may be a good idea to speak with his doctor about your concerns. A medical professional is the best person to judge if his current bathing habits are ok for his health or if changes are needed.
Linda Petteway
My grandparents were Coursey from Georgia!:)
Sheree
My mother is 80. She’s a fall risk. I do not live close to her about 50 miles one way. How often should she be bathed? She only needs help getting in and out of tub. I wash her back. Help her dry off and make sure she dresses safely due to dizziness. Is once a week ok for a bath or more?
DailyCaring
It’s best to ask her doctor how often she needs to be bathed. A medical professional is the best person to judge if her current schedule is keeping her healthy or if changes need to be made.
Janet Meadows
I was a nurse aid for years thought this would help.
Luigi
My father is 85. He is capable of taking a shower but he doesn’t have one every day. I have tried so hard to get him to have a shower every day but he refuses. It has caused me so much stress. I also noticed he was not changing his underwear daily!
He says he knows when he needs a shower. After an argument it seems he has a shower every 2nd/3rd day . I prefer every second. He is quite sedintary but gets out in his garden most days as he loves his vege patch.
How often should he shower and what is acceptable? What about underwear?
Thanks for any tips.
DailyCaring
In the article above, we share tips on how often bathing is needed and how to keep sensitive areas clean to prevent infection.
It’s possible that your father is stubborn or simply doesn’t want to give up control of when he showers. But it’s also possible that he may have cognitive impairments that are causing this behavior.
Someone with Alzheimer’s, dementia, or a treatable condition with similar symptoms may also develop poor hygiene habits.
Here are some helpful articles with more information:
— How Is Dementia Diagnosed? A Geriatrician Explains https://dailycaring.com/how-is-dementia-diagnosed-a-geriatrician-explains/
— 8 Treatable Diseases That Mimic Dementia https://dailycaring.com/8-treatable-diseases-that-mimic-dementia/
— 7 Treatable Health Conditions with Symptoms Similar to Dementia https://dailycaring.com/7-treatable-health-conditions-with-symptoms-similar-to-dementia/
— 7 Tips to Get Someone with Alzheimer’s to Take a Bath https://dailycaring.com/7-tips-to-get-someone-with-alzheimers-to-take-a-bath/
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