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The Pros and Cons of Aging in Place

A complete overview of the good and bad sides of aging in place.

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How Often Should an Elderly Person Bathe?

Key things to consider.

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Good personal hygiene is essential for everyone of all ages. However, older adults may have specific issues that affect their hygiene habits, such as how often they should bathe.

Regular senior bathing can help reduce the risk of infections, body odor, and skin irritation.

Additionally, older adults are more likely to be incontinent than younger people, leading to skin irritation and odor. However, bathing too often may dry the skin and cause increased irritation. Therefore, it is crucial to strike the right balance.

The article below examines how often elderly people should bathe, how to make the experience more comfortable, and tips for caregivers.

Factors That Affect How Often an Elderly Person Should Bathe

When trying to determine how often an older adult bathes, it is essential to consider a few factors, such as the following:

  • Physical abilities: Consider a person's mobility and pain, which may affect bathing frequency.
  • Health conditions: Certain health conditions, such as incontinence, may affect how frequently a person should bathe.
  • Assistance available: An individual who needs assistance when bathing may have to adapt their schedule to bathe when help is available.
  • Personal preference: Everyone, including older adults, has a preference for how often they bathe.

General Recommendations for Bathing Frequency

As stated above, different factors affect the recommendations for bathing frequency for older adults. However, most senior care experts agree that most older adults should bathe once or twice weekly.

It's important to understand that daily bathing frequency may also vary based on personal preference. For instance, some active older adults who exercise and sweat a lot may prefer to bathe daily.

There's nothing inherently wrong with a daily shower or bath. However, it is essential to avoid irritating or over-drying the skin. There are also considerations for individuals with mobility limitations or skin conditions. Certain skin conditions may require special soap or less frequent washing to avoid increased irritation. Mobility issues may also affect the frequency of senior bathing since it may be difficult for an older individual to get in and out of the shower or bathtub.

If mobility issues are a concern, alternative hygiene practices must be considered. For example, if an older person is bedridden, in pain, or difficult to move, alternative hygiene practices may be an option. These practices include bed baths, sponge baths, and towel baths.

Bathing Safety Tips for Older Adults

According to the Centers for Disease Control and Prevention, in the United States, about 25% of people aged 65 and older have a fall each year. Falls can result in serious injuries, such as traumatic brain injuries and hip fractures.

The bathroom is a common site for falls due to maneuvering in and out of a shower and wet surfaces. Using the proper equipment can make a significant difference. Additionally, injuries that can occur when bathing include burns from too hot water.

Consider the following bathing safety tips for older adults:

  • Use grab bars and non-slip mats to reduce the risk of slips and falls.
  • Test the water temperature before entering the shower to ensure it's not too hot.
  • Keep the bathroom well-lit to reduce tripping.
  • Have your cell phone nearby in case you do sustain an injury and need to call for help.
  • Seek assistance from family members, caregivers, or home health aides to reduce your risk of injury.

Bathing for Individuals with Mobility Limitations

If you're wondering how often should a sedentary elderly person bathe, it may vary depending on their preference and mobility. Some people may be sedentary by choice, while others may be sedentary due to mobility limitations.

However, a few things to remember when assisting sedentary individuals with mobility limitations with bathing:

  • Use adaptive equipment: Adaptive equipment, such as transfer benches, shower chairs, and a wheel in the shower, can be helpful.
  • Consider assisted bathing techniques: They may make it easier for an individual with mobility limitations to maintain good hygiene. One example is a towel bath. A towel bath involves covering the individual with a large, moist towel that contains a no-rinse soap solution. The individual is then washed and through the towel.
  • Consider joint issues: Take special consideration for individuals with arthritis and other joint conditions. It may be especially difficult for individuals with joint conditions to move in and out of a shower. For example, using a handheld shower may be helpful for individuals with arthritic hands. If possible, swap round knobs that need to be twisted or pulled for large flat shower handles that just need to be pushed and are more accessible for people with arthritis in their hands.

Bathing for Individuals with Skin Conditions

If you have certain skin conditions, there may be precautions to consider when bathing. An older adult may develop any of the skin conditions a younger person can, such as eczema. But older adults are also at a higher risk for skin conditions such as incontinence-associated dermatitis. Incontinence-associated dermatitis may develop due to prolonged exposure to the skin from urine due to incontinence.

In addition to certain skin conditions, older adults, in general, may experience different skin changes. According to the American Academy of Dermatology Association, older adults may experience some of the following skin changes:

  • Dry skin
  • Itchy skin
  • Increased irritation
  • Thinner skin
  • Increased susceptibility to skin infections

Because of these skin conditions and changes, older adults must consider a few things when bathing:

  • Use gentle cleansing products. Use gentle cleaning products that will soothe the skin.
  • Moisturize the skin after bathing. Use products containing hyaluronic acid and lanolin. Apply after a bath or shower.
  • Avoid hot water and harsh soaps. They can irritate and dry the skin further. Instead, use warm water.
  • Gently pat the skin after washing. Avoid rubbing harshly with a towel to dry your skin completely. Gently pat it after washing, leaving some moisture on the skin. Leaving the skin a little moist when applying moisturizer improves skin hydration.

Bathing for Individuals with Dementia or Cognitive Impairment

According to the National Institute on Aging, if you are helping an individual with Alzheimer's disease bathe, it is important to keep a few additional things:

  • Create a calm and safe bathing environment: Keep the bathroom inviting by keeping it well-lit and warm. Consider playing soft music if that helps an individual relax. In addition, make sure the water temperature in the bath or shower is comfortable. Never leave an individual with dementia alone in the bathtub.
  • Encourage an individual to have a role in their bathing process: Depending on the extent of cognitive impairment, encourage the individual with Alzheimer's to have a role in their bathing process, such as handing supplies to you, including a washcloth or sponge or washing whatever part of their body they can.
  • Provide clear instructions or guidance before, during, and after bathing: If someone can wash themselves, provide step-by-step instructions to help remind them of what to do.
  • Consider the time of day: Some people with dementia may be most alert early in the day. Consider bathing during this time, when an individual has the most energy and is most alert.
  • Use distraction techniques if needed: If the bathing process causes anxiety or stress, use distraction techniques as required, such as talking, listening to music, or watching a video.

Tips for Caregivers Assisting with Bathing

If you are a caregiver assisting an older person with bathing, it is essential to keep a few things in mind. For example, respect an individual's privacy and help them maintain their dignity. Consider placing a towel over the person's shoulder or lap and using a washcloth to clean underneath the towel so the individual feels less exposed.

It's also helpful to encourage independence as much as possible. Determine with the older adults how much they can do independently but be there as needed. In some cases, an older adult may just need assistance getting in and out of a bath but may be able to do most of the washing themselves.

Communicating effectively is one of the most essential aspects of assisting an older adult. Helping individuals maintain their independence and communicate effectively is crucial, as it makes them feel comfortable when they may require some help.

Conclusion

Developing individualized bathing routines is essential to reduce infection, skin irritations, and overall well-being. An exact bathing schedule will vary based on an individual's physical health and personal preference.

If you are a caregiver helping an older adult with bathing, it is vital to have open communication and help an individual have as much independence as possible.

Lastly, always remember safety. Falls and burns from hot water can occur. However, taking certain safety precautions and using the right equipment, such as grab bars and non-slip mats, can reduce the risk.

Good communication and a safe environment help promote a comfortable bathing experience for an older adult.

About the Author

MaryAnn DePietro CRT

MaryAnn DePietro CRT is a licensed respiratory therapist with over 15 years of clinical experience in critical care, emergency medicine, and pulmonary rehabilitation. She is also an American Council on Exercise certified personal trainer and holds specialty certifications in orthopedics, senior fitness, and weight management. MaryAnn has a degree in Rehabilitation from Penn State University and a degree in respiratory therapy.

In addition to her clinical experience, she has written extensively about all things medical, as well as health, fitness, and aging for various websites, magazines, and newspapers.

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