Care of the elderly?

i take care of an 83 year od woman, who is now getting incontinent or urine when i take her out!! she has already messed my car ,wet herself in public where there hasnt been any public toilets. her daughter says she doesnt want her mum in pads and besides they ae NOT FREE on the NHS, surely she can be assessed for some kind of pads, there are 4 carers and we are all singing the same song. we are constantly changing sheets onher bed and underwear, i am getting tothe stage now where i dont want to be in care anymore! ??

alzheimers also!!!!!!!!!!!!!

Tell her daughter until she is the one changing the bed sheets constantly and cleaning up her poor mother who has soiled herself she should buy some pads!!
If you live in the UK you can buy adult pads from basically any shop and they are not expensive at all.
Im pretty sure you can get pads on the NHS you must get her selfish daughter to talk to her mothers doctor

You can be supplied with incontinence pads on the NHS, and these are a neccessity. Ask the health visitor or district nurse to come and assess your old lady, it sounds like she would benefit from a visit.

its very selfish of the daughter so say she doesnt want her mum in pads. Would she rather she wet her self and was cold/wet/uncomfortable and embarrassed until she was able to get home for a change of clothes? Im sue if hse as looking after her she may change her mind. I thought you could get them on the NHS so maybe try to see a nurse/gp?

get the Doctor to order the stupid daughter to wake up ***** and let your mum have some dignity.

well ain't that what your there fore ?? changing sheets and mopping up wee, as long as you get paid why worry about it.
he who pays the Piper picks the tune, if you dint like it hand your notice in

I would suggest that you purchase some briefs that are cloth and they do sell them that are re useable for the whole 'house'. Use them when the woman is not coming until you can get her to agree that the briefs are okay. Additionally you can buy some re usable blue pads and they can also be laundered.

Perhaps you can approach her daughter with the angle that incontinence is harmful to her mother's health. If she is not wearing pads or briefs that pull that moisture away from her body, it will sting and burn her skin, create offensive odors, and damage her clothing with urine stains, not to mention other surfaces she sits on. Urine that remains on the skin for any length of time will cause her skin to break down, creating painful sores called decubitus ulcers. These left untreated can start to tunnel under the skin and can become fatal to those in compromised condition. It is a major problem in the elderly and is responsible for many health problems.
If she has not seen her doctor lately, she should, because incontinence could be the result of a urinary tract infection that could go systemic and also be fatal left untreated.
As far as your car, before you put her in the seat, take a garbage bag and spread it on t he seat, then place a vinyl backed pad or blanket over the garbage bag. This should help to protect your car seats and will be easier to clean. You can also get bladder control pads to place on the bed, or use a plastic mattress cover on her bed to protect the mattress.
Incontinence can be embarrassing to the patient and to her family, but having urine odor and visible wetness is even more embarrassing. Her daughter is in a state of denial about her mother's problems and needs to see that her pride is only hurting her mother's health and well being.
There are medications that can help with incontinence. Her doctor can help with deciding which one is needed.

i imagine this is very frustrating for you. i have worked with families that have loved ones in long term care facilities for many years. lots of people aren't willing to admit that their parents need "diapers". if you don't have any luck getting funding for her pads, you could try explaining to the family that pads would be cheaper than what is being spent on laundry right now. explain that every time she wets, laundry needs to be done, and the cost of the pads are less. it is also embarrassing for her to be on an outing and have an accident. adult incontinence pads were designed to be comfortable, discreet, and affordable.
good luck, and keep on giving the best care you can.

Discuss the issue again with her daughter and advice her to contact a local incontinence nurse normally via a referral from GP or social worker. Incontinence nurses are better able to assess the ladies needs and offer relevant assistance and information to you as the carer and also to her daughter. As far as I am aware they do supply pads and in the long run it is for the greater good of her mum.

Firstly, if you don't want to be in care because of a bit of urine, then maybe care isn't for you, but I respect you wanting to seek help for this lady's problem. Which for her must be deeply distressing - how would you feel if you were in her position?

In my experience, urinary incontinence is common in elderly women, and it sounds like the lady you care for has urge incontinence and maybe some stress incontinence too, most probably caused by her pelvic floor muscles not being as strong as they used to be.

The moment you step in that lady's home you have a duty of care to protect her. Therefore if you feel that her daughter's wishes are causing the lady harm, or are having a direct affect on her health then you, and the rest of the carers should be reporting this to your manager, who in turn has a duty of care to report this to Social Services. You should have been documenting each time you find her to be incontinent, or each time she is incontinent when you are out of the house.

How does the lady feel about this?? If she doesn't like being incontinent, wants to do something about it, but is then this is even more reason to report this to Social Services.

Incontinence pads can be prescribed by a Doctor, and if they are prescribed then they ARE free, as the lady you care for will not have to pay for her prescriptions anymore. However, incontinence pads only cost about 12p per pad, even if she only uses them when she is out in the community surely this would help maintain this lady's dignity?

However if the lady herself does not want to go to the Doctors, or wear pads, then the best you can do is to help her as much as you can. Encourage her to use the toilet before she leaves the house, and for her own dignity, try not to go anywhere where there isn't an accessible toilet, protect your car seats with polythene with one of her towels over the top of it, and use the toilet as soon as you arrive at your destination.

I hope this helps. Remember that you can make a real difference to this lady's life and that's what care work is about - making a real difference to people's lives. She only has one life, help her live it in a way that you would want to live yours.

Good luck.

Hi this lady should have a social worker, you should contact her and tell her your concerns and the social worker can assess her. It is not nice for this lady to feel wet she can also get sores. Her daughter should realise this. Perhaps for now you can pop a sanitary towel in her clothing while she is out.

That's crazy not to put some sort of pad on her. If she is messing up your car make the daughter pay to have it cleaned. I would want my mom to be as comfortable as possible when she goes out or even at home. There must be a way to get her some sort of adult pads or panties with people who have this problem.