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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Maintain Vaginal And Rectal Hygiene In A Dementia Patient With Incontinence?

My wife has sever early onset dementia and is bed bound. I'm fighting for her ever breath and as her husband and caregiver, I've been taking care of her now for 12 years. She has systemic tendon contracture and is incontinent and has a feeding tube. She's fighting off a second bought of C-Diff with Dificid $4000. for a bottle of 20 pills or a 10 day supply. When I get up at night to change her diarrhea seems to go into her vagina. I clean it out as best I can with soap and water and then a cream to protect her skin. How can I keep the loose poop from going into her vagina and causing a urinary tract infection. I love my wife more than anyone else in the world and I would like to have her around for a few more years. She just turned 65 on Christmas day. She can't speak so I have to anticipate her every need and when she needs to be changed. In the day I have a caregiver helper but when I to sleep at night I don't know when she's going to go so sometimes she sits in her poop for hours even though I get up 2 to 3 times a night. How can I protect her by misdirect the poop and keeping her clean and safe?
Sat, 1 Mar 2014
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Ophthalmologist 's  Response
Now nurshing care isthe only requerment. You are doing every thing except for bed sore prevantion care. Change her posture regularly give sponging and apply powder all over the body. Proper hydration isto be mantained. Better to mantain intake output chart. Apply eye drop for prevanting exposure keratitis.Hygiene of mouth is to be mantained. good luck God will help her to recover. You will get blessing from God.
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How To Maintain Vaginal And Rectal Hygiene In A Dementia Patient With Incontinence?

Now nurshing care isthe only requerment. You are doing every thing except for bed sore prevantion care. Change her posture regularly give sponging and apply powder all over the body. Proper hydration isto be mantained. Better to mantain intake output chart. Apply eye drop for prevanting exposure keratitis.Hygiene of mouth is to be mantained. good luck God will help her to recover. You will get blessing from God.