Read Now! FREE educational video. Alzheimers Bathing Battles: Part 1: Shower Technique. Bathing tips + video for OTs, caregivers and anyone who struggles with bathing someone with Alzheimer's, dementia or other cognitive impairment. | #OT #geriatricOT

Alzheimer’s Bathing Battle Tips

Bathing someone with Alzheimer's, dementia or other cognitive impairment is one of the biggest complaints from caregivers. There is fighting, arguing, and frustration. There is worry about body odor, risk of infection and being in pain due to chaffing and soreness.

Everyone that struggles with bathing goes through this. First thing to focus on is that you cannot change your loved one. Trying to rationalize, over explain or justify taking a bath typically does not help.

The focus needs to be on changing and adapting how we approach them, how we set up their environment and how we interact with them.Read Now! FREE educational video. Alzheimers Bathing Battles: Part 1: Shower Technique. Bathing tips + video for OTs, caregivers and anyone who struggles with bathing someone with Alzheimer's, dementia or other cognitive impairment. | #OT #geriatricOT

Click here to download your FREE Supplemental Video: Bathing Battles Part 1 with MORE Tips + Demonstration

The Foundation

  1. Use eye contact, touch and calming words and familiar scents.
  2. Make sure equipment is set up in bathroom prior to bathing, which all help in reducing a fear of falling:
    • nonslip bath treads,
    • grab bars,
    • shower bench or chair,
    • hand held shower with an on/off button
  3. Establish a routine and anything that they did or used prior to having dementia should try to be used - a favorite soap, did they use a washcloth or a sponge to bathe? Shower or tub? What time of day did they typically bathe - before bed or right away in the morning?
  4. Allow extra time - slow the task down, do not rush through.
  5. Make sure all caregivers that are helping with bathing know the routine to ensure consistency.

The Environment

  1. Simply state instructions - do not over explain, use short sentences and give them longer to respond.
  2. Ask "yes" or "no" questions - example: Water too hot? vs How hot do you want the water?
  3. Chat and have conversation during bathing to keep them calm - familiar topics like flowers, cooking, weather vs complex topics like news, current events or activities going on in the family, etc.
  4. Reduce noise, loud conversations and music.
  5. Sit or squat next to them to help them bath so they can see you and see what you are doing. Do not stand above and look down on the caree in an authoritative position.

The Preparation

  1.  Get them to agree to bathing. You may have to get creative, but a few examples include:
    • Telling them someone special (ex: a family member, clergy member, etc) is coming over for a visit or you are going to be visiting them and it might be nice for them to freshen up.
    • Get dirty! Have them do some baking, garden, organize some things out in the shed - anything to engage them, but make them obviously dirty. This can trigger a response that they want to bathe to clean up.
    • Sometimes changing the term from "bathing" to "spa" or "freshening up" decreases anxiety and makes them more agreeable.
    • Have them bring towels or toilet paper into the bathroom for you (half the battle is getting them in the bathroom in the first place) and have them smell a familiar soap or shampoo prior to bathing. This can illicit the memory of bathing and makes them more agreeable to the task.
  2. If agitated, use techniques to calm them down prior to bathing such as singing, distraction or even prescribed medications by your physician.
  3. Turn the up the heat in the bathroom so it is very warm. This way, there is no excuse that the room is too cold.

Click here to download your FREE Supplemental Video: Bathing Battles Part 1 with MORE Tips + Demonstration

Time to Bathe

If possible, bathe your caree on their dominant side - so if they are right handed, you want to try and sit at their level on the right side. Have them remove clothing in the bathroom and if possible, while on the shower chair or bench that you are using in the bathing area.

Tell them with a simple direction to "take off your shirt" and even pretend you are taking off your shirt so the directions are clear. One article of clothing at a time and have them take off as much as their own clothing as they can - this helps them feel like they are in control.

After removal of the shirt, place a warm towel (right out of the drier) and drape over shoulders to help with modesty and warmth. Even if modesty wasn't an issue in the past, it may be now and being covered makes people feel safe, secure and not vulnerable.

Then have them remove the pants and underwear with simple direction and pretending to remove your pants as a demonstration. Again, place a warm towel on their lap.

Lastly, remove socks.

Make sure the temperature of the water is warm and use a [easyazon_link identifier="B00JUS0NA0" locale="US" tag="senioflour-20" cart="y" popups="n"]hand held shower with an on/off button[/easyazon_link]. This allows you to get the water ready to the best temperature, turn it in the "off" position, get your loved one in the shower and you are ready to go! They won't have to sit in the showering area, freezing cold and wait for you to adjust the water to the correct temperature. Also, you are able to manually direct the water, which is more comforting for the person not in control of the shower.

If the caree is calm and wants to remove the warm towels, let them, but if they are resistant, start by getting the towel wet with the water using the hand held shower. In many cases when the towel (and/or bra and underwear if they are resistant to removing them) gets wet, they will naturally want to take them off.

Complete the bathing task with demonstration, basic instruction and showing them what you will be doing at each step.

When you are done bathing, make sure you have a few more warm towels ready to go. A tip to keep the towels warm is put them in a trash bag after you get them out of the drier, so they will stay warm until the end of the bathing task.

Dry them off, hand them the clothing, one at a time and demonstrate putting the clothes on - just reversing the steps you used to get them undressed. Be sure to keep them covered for modesty and warmth.

Click here to download your FREE Supplemental Video: Bathing Battles Part 1 with MORE Tips + Demonstration

What is your best tip for bathing someone with Alzheimer's or dementia? Leave a comment to share!

For more information on bathing someone with Alzheimer's or dementia, check out the Alzheimer's Association for additional resources.

Looking for more OT treatment ideas, education videos, clinical resources, patient handouts, assessments and support? Check out the Learning Lab membership and join today!

Comments 10

  1. This very effective and useful discussion in the article. This post discuss on the importance in bathing. Thank you for the post.

  2. This is how I like to do my therapy showers. If only the SNF had the time to spend with each client to reinforce the independence that OTs work so hard to establish and encorage.

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  3. Pingback: Domino Match Game for Patients with Low Level Dementia | Seniors Flourish

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  4. Wonderful content!! By that I mean, not only the instructions, but the heart that you put into the experience for both you and the care receiver! The elderly community, especially those suffering with all forms of dementia and memory loss, are dear and near to my heart. Thank you for sharing!

  5. What a beautiful description. Makes me want you to bathe me! Also reminds me that these carees can still enjoy potentially anxiety-provoking situations, if they are presented in the person’s just-right circumstance.

    1. Thanks Sarah! I just feel it is so important to make those people that are frightened of bathing participate to their fullest ability and actually many find it therapeutic after their caregivers can figure out the best way to do it for them!

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