OK, I want to know if any of you can top this: A resident in the dementia unit where I work broke the all-time toileting record today. She was toileted a whopping total of 14 times during my 8 hour shift. I am not at all kidding -- we have electronic hand-held computers that we use to chart each time a resident is toileted at the time it happened.
Incidentally she doesn't have a UTI to account for the frequency of urge to go, and she's also on an anti-anxiety drug to try and stop her hysterical fixation on going to the can. In other words this is all in her head....although she does tend to get constipated (despite the use of Miralax) and today she was an absolute terror in her demands to be sat down on the commode.
Here's the official record of toiletings:
5:59 am, 6:39 am, 7:00 am, 7:11 am, 8:20 am, 9:19 am, 9:46 am, 10:25 am, 10:31 am, 10:54 am, 11:48 am, 12:22 pm, 1:05 pm, and 2:01 pm. All these were performed by myself and my partner, the 2:01 toileting was done by the RN who gave her a suppository.
I spoke with the Assistant Dir. of Nursing about this resident today and told her how much this situation is getting out of hand. If we try to gently reassure her that she'll be OK for just a little while and just to please wait to be taken back to the toilet she gets extremely agitated and upset. She'll sit in her wheelchair in the doorway of her room and cry out 'HELP!! HELP!!' until one of us comes to toilet her again. Her behavior is frightening and upsetting to the other residents. She gets extremely angry when told that there are others that need help as well and it's not fair to make them wait to use the bathroom when the majority of our time is spent only on her. She's awake day and night and hardy ever sleeps, the NOC shift is not spared her behavior either. You'd think she would wear herself out with this routine day after day. She's like the Energizer Toilet Bunny.