My co-workers and I are noticing a surge of young relatively healthy patient who are willfully incontinent. They have no structural bowel or bladder problems and are a & o x 3.We are a surgical unit with mostly stable post-op patients.Last shift I had a 40 something year old woman who was a few days post-op. I went into her room and she told me she had to urinate, so I told her I could grab a bedpan really quick but she insisted that she would just go directly into her diaper I then told her to press the call bell when she was done, instructed the PCA that the patient in room 2 will go to the bathroom and may ring the bell. I gave report to my colleague and went on break. When I came back from break I went to ask the patient if she wanted to be washed up and she said yes and as I cleaned her she said she needed to urinate again and commenced urinating on herself again while I was cleaning her.. she then chuckled and said she was urinating on herself all night and when I asked why she didn't ring her bell to be changed she just smirked and did not respond.I have had multiple patients like this. I had another patient again a/o x 3 who would defecate on herself and then ring the call bell. One of my co-workers puzzled said... " I dont' get it, if they have the presence of mind to know when they are soiled why can't they also ring the bell for a bedpan" Again none of these patients have had a bowel/bladder issue with incontinence?? None of them have expressed a feeling of incontinence, they just seem to not really be bothered.Somewhat unrelated but .. another patient I had who was a 25 year old new mom post c/s who was ambulating to and from the bathroom independently a few days post baby had a terrible odor that was filling up the hallway in front of her room. I went in, introduced myself and asked to look at her c/s incision (as that I thought it was infected and that was where the odor was coming from. It wasn't the incision, it was her vagina!I asked her if she would like to wash up (because everyone at the nurses station was aghast with the stench:barf02:) and would like a basin with soap and water to wash up at the sink. She refused insisting that the PCA come wash her up in bed, the PCA was on break so I washed her up myself as she refused to sit up out of bed, all the while her complaining that no-one understood how she felt giving birth and eating snacks. Her mother and boyfriend just sat in the room amongst the stench with straight faces Again, I understand being hospitalized and having surgery is rough, but days after the surgery some patients seem to regress or be depressed and refuse to be cared for properly?? Has anyone experienced this?