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Bed Wetting

 
 
Reply Mon 1 Nov, 2004 05:45 pm
My mother is 83 years old. She lives in her own apartment. She has had a couple of falls and as a result of not doing her physical therapy after them, she has lost some of her mobility and now uses a walker, She could easily have done her exercises, but chose not to. She sleeps almost all the time. Her days and nights are mixed up like a baby. Sometimes she is in bed until four or five in the afternoon. She has a potty chair right next to her bed, but she will stay in bed and wet herself rather than getting up. She has to change her sheets and bed clothes daily because of this. She sleeps more heavily that I thought possible. Most elderly appear to need less sleep, but she is in bed 16 to 18 hours of the day. We have taken her to one of the best geriatric doctors and also a geratric psychiatrist in town, to no avail. We are all at wits end with this. She wants to live alone, but I am thinking that if she will nto get herself up touse the bathroom, maybe she needs nursing home care. Her doctors and psychiatrist seem to have no answers. She is totally noncompliant and nobody knows what to do.
It is hard for me to believe that she has let herself get to this level. She has always been such a lovely woman and so proud of her appearance.
Any suggestions would be appreciate.
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Type: Discussion • Score: 0 • Views: 2,703 • Replies: 10
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littlek
 
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Reply Mon 1 Nov, 2004 06:38 pm
what about good old depends (adult diapers)?
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Noddy24
 
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Reply Mon 1 Nov, 2004 07:00 pm
when she's awake, is she mentally alert? Is she eating properly? Can she leave her apartment by herself? Is she in much pain? Does her apartment smell of stale urine?

I presume her mattress has a waterproof covering?
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ewhitley
 
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Reply Mon 1 Nov, 2004 07:40 pm
Mother is very mentally alert. She gets around the apartment with the use of a walker. She does wear Depends. It is not that she is totally incontinent, just that she will not get out of bed to urinate and consequently soaks the bed. She does have a waterproof cover on her bed. Yes, her apartment smells of urine. Please understand that she is totally capable of getting to the bathroom when she needs to. I just do not understand why she is content to wet the bed and herself, rather that get up to use the toilet. I also cannot understand her wanting to spend so much time in bed. She seems to prefer being asleep. Otherwise,herhealth is remarkably good.
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littlek
 
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Reply Mon 1 Nov, 2004 08:27 pm
Well, maybe she doesn't actually wake up when she needs to pee? I mean, perhaps it's not a concious decision to wet the bed, but that the concept doesn't even come up for review in her brain before she lets loose.

Have you talked to her health care people about anti depressants?
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ewhitley
 
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Reply Tue 2 Nov, 2004 08:32 pm
Yes, we have been taken Mother to a geriatric psychiatrist who prescribed an anti-depressant. She takes it when she wants to, and will not follow the doctors orders.
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Noddy24
 
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Reply Tue 2 Nov, 2004 09:02 pm
May I term your mother "willful"?

Other possible terms would be "exasperating", "maddening" and "exceedingly trying".

You have my sympathy.

The rule for involuntary commitment of a mental patient is , "Is the person a clear and present danger to herself or others." Do you feel your mother is putting herself in danger--or is she simply a smelly old woman?

Nursing home care runs at least $32,000 a year. Can she afford it?

What are you doing for your own morale? Are you an only child? Has your mother made a Living Will?
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ewhitley
 
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Reply Wed 3 Nov, 2004 08:56 am
Thanks for your support, Noddy. No, I don't think Mother is a danger to herself or anyone else. But you are right on the money about her being willful, etc. My dear departed aunt, Mother's sister, used to say, "I love her but I've never understood her." That about says it all.
I am the eldest of six children, so I am not alone in this. We are all so bemused as to how to help her. She seems to just ignore any unpleasantness and does exactly whatever she wants. Doctors can prescribe and advise, but she by no means always compliant. I know, for instance, that she does not take her medication for incontinence on a regular basis, which is in direct opposition to doctor's instructions.
When I compare Mother to her peers, women she has known all her file who are her age, I am amazed. She is still so pretty that she looks so much younger than they do, but when she starts moving around her age really shows. Her friends are still active enough to drive themselves around, go shopping, out to eat and to movies, but Mother has to totally depend on others to take her places and help her get around, because of her poor muscular condition. This condition is directly related to her refusal to cooperate with physical therapists. Her doctor told her long ago that this would happen if she did not change her sedentary ways, but all the advice was to no avail.
We have talked ourselves blue in the face, but she does not make changes to help herself.
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Noddy24
 
  1  
Reply Wed 3 Nov, 2004 11:24 am
ewhitely--

Can you take some comfort in having a highly individualistic, one-of-a-kind mother? Loveable, but sometimes unlikeable?

Right now, she doesn't want to be "helped". Like every other teen-ager, first or second time around, she's bound and determined To Do Her Own Thing.

Six children? At least one of you must have been spectacular as a Terrible Two--and now it's payback time.

Hang on to your sense of humor, if you can. You'll need it.
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ewhitley
 
  1  
Reply Fri 5 Nov, 2004 05:12 pm
Everything you all have said is true. I guess I was hoping that someone could give me some medical terminology that would clarify this situation for me. I keep looking for a reason.
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Noddy24
 
  1  
Reply Fri 5 Nov, 2004 05:28 pm
Sorry--aging is just not a logical condition.
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