By Chris Woolston, M.S.
Alzheimer's disease steals a person's privacy as surely as it steals memory. At a certain stage, your loved one may recall a time when she could bathe herself, but that time has passed. As a caregiver, it's your job to keep her clean while maintaining her comfort and dignity.
The job description will change constantly with the disease. At first, the person in your care may feel embarrassed about undressing in front of you. You can ease his mind by giving him a towel or shower blanket to drape over himself. If he is still able to do so, he'll also feel better if he can do most of the scrubbing. Just give him clear, step-by-step instructions as he goes along.
Maintaining comfort and safety
Modesty wears off with time, but new problems will set in. The person with Alzheimer's may become frightened or confused by a shower or the sound of running water, or she may fear drowning in a bathtub. If she seems alarmed, try changing your approach. For instance, it might help to put water in the tub before she enters the room, or to allow her to watch you run the water. She may prefer a sponge bath to a shower if, for example, the sound of the water hitting the tiles or tub is unsettling her (this is common among Alzheimer's patients).
If bath time is still distressing, consider buying a bath chair and a hand-held shower hose. The chair can be a way to help her relax, and you will worry less about slips and falls.
When bathing a person with Alzheimer's, safety is a very real concern. Check the temperature of the water, keep the bathwater no more than six inches deep, install a nonskid bath mat, and don't use any slippery bath oils or soaps. If you have a tub, you may want to have your loved one sit on a chair beside the tub, then move her legs over the side from a seated position. Most important, don't turn away for even a moment.
Here are some other tips for making bath time go smoothly:
Bevery Bigtree Murphy, M.S. Alzheimer's and Bathing. http://www.ec-online.net/Knowledge/articles/reflections.html
Sloane, Philip. Advances in the Treatment of Alzheimer's Disease. American Family Physician. Vol. 58, No. 6, 1577-1586.
Dr. William Molloy and Dr. Paul Caldwell. Alzheimer's Disease: Everything you Need to Know. Firefly Books.
Last Updated: March 11, 2013
May 21: Reflux Relief
New research shows lifestyle changes can help control heartburn and other symptoms of GERD.