oVERCOMING Bathroom Challenges with Parkinson's: A Caregiver's Guide
For those caring for a loved one with Parkinson's disease (PD), even routine tasks like using the bathroom can become major challenges as the disease progresses. Parkinson's symptoms such as tremors, rigidity, and balance issues can make it extremely difficult for your loved one to safely and independently use the toilet, shower, or bathtub.
As a caregiver, it's important to make the bathroom as accessible and safe as possible for your family member with PD. Here are some tips for anticipating bathroom needs and creating an environment that provides dignity, security, and comfort.
Conduct a Bathroom Safety Assessment
Take a careful look at the bathroom through the lens of Parkinson's symptoms. Identify potential hazards like slippery surfaces, lack of grab bars, narrow spaces, or high bathtub walls. This will help you determine what modifications or assistive equipment may be needed.
Install Grab Bars and Non-Slip Surfaces
Grab bars can provide crucial support and stability when your loved one is transferring on and off the toilet, getting in and out of the shower/tub, or needs assistance standing up. Place multiple grab bars in optimal locations and ensure they are securely installed. Also add non-slip mats or adhesive strips on all bathroom floor surfaces.
Consider a Shower Chair or Bench
For those with significant balance or mobility issues, a shower chair or built-in bench can allow safer bathing while seated. Choose a model with a hand-held shower head for easier rinsing.
Use Raised Toilet Seats
Standard toilets may be too low for your loved one to comfortably and safely get on and off of. Raised toilet seats with armrests and grab bars can make the bathroom much more accessible.
Make the Path Clear
Remove any floor mats or rugs that could cause tripping. Ensure there is a clear, open pathway to the bathroom with no clutter or obstacles that could be hazardous.
Prioritize Warmth and Comfort
Bathrooms can get chilly, which can exacerbate Parkinson's symptoms like tremors and rigidity. Keep the room warm, and have towels, robes, and non-slip shoes/slippers readily available. Also stock up on hygiene products, toiletries, and absorbent undergarments.
Schedule and Prioritize Bathroom Assistance
Based on your loved one's needs, establish a bathroom routine and schedule assistance accordingly, especially for bathing. Never leave them unattended in potentially precarious situations.
Adapt as Needs Change
As PD progresses, your loved one's bathroom needs will evolve. Continually reassess and adapt the space with equipment like commodes, bathroom lifts, or even renovations to accommodate wheelchairs or walkers.
With some forethought and the right modifications and equipment, you can dramatically improve bathroom safety and independence for your family member with Parkinson's. Don't hesitate to consult occupational therapists or PD resources to ensure a dignified, secure bathroom environment.
