At times my mother can stand up after getting off of the commode and stay standing, with assistance, while someone else cleans her. Other times, when standing her legs will just give out and she won't/can't stand up long enough for someone else to clean her and pull up her pants. What can we do to make this easier? She is wearing depends but she still needs to stay standing up for a short period of time in order for someone to clean her.
Best of luck.
Fair warning, my mother, with Dementia, was still being taken to the toilet several times a day (for dignity, I suppose; she wore pull-ups). There was a grab bar and the aide would say, "now grab the bar Mrs. A". The aide was supposed to check that she had done so.
One day, the aide did not glance up to see if mom had grabbed; she hadn't. Mom fell, hit her head, broke her wrist and died about a week later.
If you install a bar, you HAVE to check that she has grabbed EVERY SINGLE TIME.
Sorry for your loss of Mom. 🌹
(Sorry -- I responded before reading all the other responses that said the same thing.)
If you are talking about a toilet, get a portable commode like this one pictured. Medicare will pay for one.
The bar on the back should be removable, take it off. A new commode should come with a bucket and splash guard. Place the commode over the toilet. (You can remove the toilet seat because the commode has one) Place the splash guard where the bucket goes and make sure the bottom goes down inside the toilet bowl a couple of inches. The legs can be adjusted. Now Mom has arms she can lift herself up with and hold herself up with.
Going further down that path, a bidet could do most of the cleaning in situ, leaving just a quick wipe to finish.
Impossible for an older wrinkly person to be sanitary with just a wipe.
PT could possibly assess why her legs are giving way - & assess if exercises could help.
OT could advise re equipment. For hygiene, maybe a squirt bottle & long handled wiper (sponge on a stick)?
There are standing machines that can be hired or bought ($$). There is a simple one without mechanics they use in aged care homes - with a grab bar, knee guard (to stop knees fully bending) & paddles to semi sit/lean on. A person needs to have leg strength to stand up to use it, but it can be safer for those who can't stand for long.
I'll try to put a link just to see what I mean. Definately need professional to advise with that sort of gear though as not suitable for everyone's needs.
Without standing ability, it's hoist transfer to bed (or recliner that flattens) to change pads lying rolling side to side.
My daughter, RN, says our bodies are good for about 80 yrs. After 90, we are passed our expiration date. 😊
To assist her with standing, we had the counter next to the toilet and would bring her walker, lock the wheels and let her hold on (if she is strong enough).
If I were buying one today, I would consider this one. I don't know if I knew they had it when I got ours or not.
Make sure the toilet is at the right height for her as well. A riser seat might help if she is taller, or an ADA height toilet.
As her decline progresses a Sit To Stand will help a lot. Just raise her up, pull down pants, remove soiled brief, clean and pull up the pants. The Sit to Stand can be brought into the bathroom so there is privacy.
something like this (maybe not this exact one, but go on amazon and you'll find plenty)
It has hydraulics to lift the person up and down on the toilet. Because of the opening, you can use a cleaning wand to clean her up without having to have her stand.
Roll mom to her side to clean then roll back.
The one my dad uses is on Amazon
Lumex Stand Assist Patient Transport Unit
I suggest that your Mom go for PT. They have many exercises designed for seniors, however, there is one called sit-to-stand that I believe helps her with toileting. I run my Mom through my own modification of that exercise where I make my Mom lean forward for about 3-5 seconds both on the way up to standing and on the way down, which means that she is on her feet for a minimum of 10 seconds, before continuing and doing the next iteration.
The exercise was taught to us by a PT person who uses it on children who cannot stand (like a 3 year old who cannot stand or walk yet). This exercise was used to get my Mom's legs and abs strong enough while teaching her to be balanced so that she could get back to using the walker and ditch the wheelchair. My modification to the exercise was just to make her hold that "lean forward" pose for 3-5 seconds before continuing which means that she is on her legs for a minimum of 7-10 seconds before she sits down.
The first iteration is always really difficult for my Mom because her body doesn't remember exactly what to do. However, with the second and subsequent iteration, muscle memory takes over. As my Mom's dementia progresses, I'm trying to think of all the kinds of motions that I will need my Mom to automatically do. She lost the ability to walk backwards decades ago. However the ability to move/balance on uneven/moving surfaces, step up and down from a curb, are things that we practice in exercise every day. However, sit-to-stand is the one exercise that no matter how little time I have available, I always do a minimum of 5 iterations. I tell her it is to help her with the toilet.