New statistics maintain that by 2025 almost 3million over 65s will need care provision, with a quarter of later life spent with some kind of disability(*). Simultaneously, Age UK is alleging that, already, more than 1million people are left to struggle with day-to-day tasks.
Says Caroline Abrahams of Age UK, in a recent article, “There are big implications for contemporary life, including housing, health and care” as a result of our ageing population. Under its Care in Crisis campaign, the charity particularly singles out using the toilet as an issue. Using the toilet IS one of the biggest issues: we go to the loo on average eight times a day!
But it is too frequently overlooked at the expense of the more obvious, less sensitive tasks such as getting dressed, preparing a meal. Think about it: if someone struggles to turn the pages of a newspaper, how can they grasp and tear toilet tissue, and then wipe themselves? If they need a riser recliner chair, don’t they need similar with the WC?
Bear in mind, under the Care Quality Commission guidance for providers, people’s individual needs should be met, and their independence promoted. Premises may need to be adapted to deliver those criteria. And simply phrasing questions with analogies above easily enables identification of toileting as an issue, without offending any personal sensitivities.
Actually, in our experience, once the topic is out in the open, it is welcomed! It’s just not a subject the older generation willingly raise. A more holistic approach to use of budgets could alleviate some of the pressure, enabling people to undertake at least that daily task without help. Think how long it takes care staff to help someone answer the call of nature.
What if, where appropriate, that person was given the tools (aka the assistive technology, equipment) to so do unaided? The cost would be quickly mortised against staff costs. In addition, potentially, once that person no longer needed the equipment, there is no over-riding reason why it could not be re-allocated to someone else, or moved to a different location, to enable another to benefit. For example, a Closomat wash & dry toilet in one en-suite in a care home would be used by all residents who occupied that room over years. A Closomat wash & dry toilet in an individual’s home can be adapted with accessories, at the outset or retrospectively, to tailor it to their needs as those change with time- something that is unique to Closomat. (http://www.clos-o-mat.com/index.php/products/case-studies/88-palma-vita-case-studies/domestic/267-marilyn-carr.html)
One of Closomat’s Aerolet toilet lifters could enable a person to get on and off the WC without help. If in an individual’s home, when they no longer needed it, it could be moved to a different address to deliver the same benefit to another. So even though the capital cost has been recouped, the equipment is still delivering benefit- in effect free of charge! There are further benefits too. By empowering the recipient to undertake something so intimate without help, you enhance their feeling of independence, empowerment, of being in control. All have significant psychological benefits, improving the person’s mental health and thus potentially reducing the need for medical intervention. Such equipment can help them stay in their own home, reducing their need for care support, so you ease the strain on already stretched homecare resources. It alleviates their need for admission to a residential care home, so you ease the strain on the lack of available beds.
James Randall is a case in point: http://www.clos-o-mat.com/index.php/products/case-studies/93-aerolet-case-studies/431-the-best-bathroom-in-the-world.html So isn’t it time we adopted a more holistic approach, to alleviate the potential crisis? After all, every little helps.
ENDS (*) The Lancet Public Health Journal