She has been living with us for 8 weeks today, and will be for at least another 60 days. (She FINALLY signed the waiting list for an assisted living place!) She knows she has some incontinence issues but I don't think she wants to admit they are as bad as they are. She wears those always "underwear" which I've told my husband are not sturdy enough. She doesn't go to the bathroom to pee or change her "drawers" near enough. So, even with a waterproof pad (like a crib pad) and 2 thick towels on the couch where she sits, our couch has been peed on several times. Our cushions are NOT removable. Spray that is made for pet urine is not cutting it, either is vinegar and water. The other morning I noticed the towels were damp and stinky when I went to straighten them out before I left for work. So, of course I was late to work cleaning it up and throwing stuff in the laundry. (and this is a whole other issue--I am doing 90% of this caregiving for my husband's mom!) My husband did talk to her about it. She DID know she did it, but yet did not remove the wet towels from the couch. So the wet towels were somewhat soaked up by the back of the couch!! This is just one of the many pee issues I have. She lives with us because of physical/mobility issues and has nothing wrong with her mind. I know it must be difficult to admit and accept the incontinence issues but she's perfectly capable to remove wet items from the couch. We can't afford a new couch. I'm sick of my house smelling like pee! My husband talks to her about this but i dont think she takes it seriously and he doesn't remind her. He told her whether she feels she has to or not, to get up to use the bathroom every 2-3 hours and change her drawers even if only damp. That will help with cutting down in recurrent UTIs as well. I'm ready to wrap my whole couch up in heavy duty tarps! But then I'd have to do that to all the furniture because apparently she couldn't get the dog off her spot on the couch and sat on the loveseat instead, which has no pad or towels on, and my husband and I specifically said to please not sit there and left dog treats our for her to get him off the couch (he would move with the command off but I guess that's too much for her to say). How can I protect my couch? Like I said, cushions are not removable and the waterproof pads on the seat are not enough any longer since the pee is on the back cushions now too. Any ideas short of the plastic that used to cover furniture like at my great-grandma's? Thank you so much for any help!!!!
If you have trouble with her agreeing to wear depends, throw out panties and put these in their place. Put some in the bathroom in arms' reach as well as some small bags to tie up the stinky ones. Don't ask permission, just do it. Your house, your rules.
Stop depending on your husband to do anything: He's shown you how much he will do. COver the things that are not ruined, and throw out the sofa when she leaves, even if you can't afford another. Don't stress about the level she's assigned at the home as she will be safer there than anywhere else and they will see what she needs. Don't agree for her to return to your home for anything.
I feel like I mention so much it's like I'm rubbing it in his face that his mom has issues. That is so not my intention. My intention is to not have ruined furniture and a house that smells like urine!
My husband doesn't think it has anything to do with mental decline. He thinks it's part acceptance, part stubbornness and part physical because she has pain getting up and moving around.
My husband will not schedule a neuropsych evaluation and even if he did, she'd refuse to go or cooperate.
The fact that she can tell you where she is and who the President is does not mean that she doesn't have dementia. She needs testing to look at her reasoning abilities.
Always and Depends are lightweights. Go for Abena Abri-flex. Not cheap, but worth it. But she still has to change them. Probably 3 per 24 hour period. And if she's sitting in the current ones with urine in them, you need to worry about skin breakdown and skin ulcers.
One thing to try are different brands of Depend type products until you find one that works for Mom. Check around the internet for those companies that sell a lot of different brands.
It could be Mom's Depend type garment size is too small thus she can't pull the pants all the way up herself, thus the pants would probably leak out from the back. My Dad had that issue, and it was his caregiver who suggested a larger size which did work better.
Other caregivers had taken their love one to the bathroom every couple of hours whether the client wanted to go into the bathroom or not. Take Mom in, and turn on the water in the sink, for some strange reason that sound of running water will make just about anyone want to go :) It does for me.
How comfortable would your hubby be taking his Mom to the bathroom? Sounds like Mom can manage once she is there. And don't forget to the turn on the sink to a very slow run.
As for the cognitive decline, I see a tad bit of decline more than just "old person forgetfulness ". But, my husband doesn't see it. And that is a whole other issue. Is the neuropsych testing the same as the evaluation they will give her at the assisted living place to see what level care she needs? (there are 3 tiers of care at this place) She has already stated her objections to that evaluation (good lord help me). Even though I do more than half of the work, my husband is having a hard time accepting seeing his once very independent mother decline. I have to tread lightly. I'm so burnt out already.
Remove her "underwear" from her dresser. Replace with adult protective garments. This is a non-negotiable. Just do it.