Thanks for all the input! She has since passed, without a catheter
. The daughter was against it. For infection reasons and that the patient was very grabby and fidgety. Which makes complete sense. I would have supported it if she wanted it. But I supported her when she didn't but my director felt I should have pushed it more, but I saw no reason to.
The reddness was not do to incontinence, it was because she was failure to thrive, 80 lbs soaking wet
. Bony and bed bound.
I hate to say it, but my now old boss was very " I am right, I've been doing hospice for so many years"
But as always, these are things that should be discussed in team, and was. And the medical director agreed.
I'm just greateful she died a peaceful death at home.