Laughing now...You guys have had great ideas!!! Thank you so much.I love the shaving his butt part...but think my alert and oriented x 4 20 year old patient would object loudly!!!!!!! I am thinking I will try the shaving cream trick first since that sounds like I might get that by the patients limits...and now time for morning cares (where I am allowed soap, water and a wash cloth...oh boy!!!!!) Before this case I had no clue that is was what Miralax could do!!!!!!!