Sticky poop...I need some tips!

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I have an older pt with m.d., he takes Miralax for his bowels...but it makes everything sooooooooooooooo...sticky!!!! It would be bad enough to clean off a cute baby tush.....but this an adult hairy bottom. I end up using a lot of wipes and t.p. (family/pt. doesn't want wash cloth and soap used) any handy tips to make this clean up easier???

If this pt is incontinent, which he probably is, I think shaving his butt(at least with a safety razor, electric razor may be a different story) would be a horrible horrrrrrrrrrrrrrrrrrrrible idea. I think that would just cause him to develop bed sores. Get some of the wipes and soak them in warm soapy water and lay them on the sticky poo...It will loosen right up! I agree with finishing up his pericare with a nice coating of baby oil. That'll grease him right up!

Shaving a butt would not cause bed sores. Bed sores are caused by pressure- not alopecia :) It could be an issue with ingrown hairs or razor 'skid' marks/razor burn....but bedsores- not likely at all :)

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just wondering, why did you say in your first post that he was an "older" patient, then say he was 20 years old? I'm confused.. i was picturing and old man butt the whole thread. haha. maybe you do peds and this is considered an older patient for you?

sorry just curious. :confused:

I just saw the m.d......muscular dystrophy... :smackingf Now it makes more sense :) I was thinking wrinkly old prune butt. Sorta wondered why the hair was still clinging to life back there..... a 20 y/o- that makes sense :up:

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Bed sores are caused by pressure- not alopecia :)

:lol2:These are words to live by. :lol2:

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

This is one of those threads that have plenty of visuals...:lol2:

Plain ole Vasoline to lube things up. I love peri bottles too!! Warm water and some no rinse body wash helps and if you can squeeze it in a wee little Hydrogen peroxide in the mix and you should be god to go...;)

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I don't understand why the family is against using washcloths and soap, it's a 20 year old butt!!! If it was me I would educate the family on the benefit of using the washcloth instead of wipes that can leave residue which can then cause sores and irritation. Unless this young man is really frail I would consider inquiring with the family on their reasons. You could mention that the patient would also feel better with a good soapy wash than with a wipe down. Another thought, if it is a sore butt that is their concern, consider the times you have to wipe with either method. The washcloth would get the job done faster and with less strokes. Just my 2 cents.:twocents:

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I don't understand why the family is against using washcloths and soap, it's a 20 year old butt!!! If it was me I would educate the family on the benefit of using the washcloth instead of wipes that can leave residue which can then cause sores and irritation. Unless this young man is really frail I would consider inquiring with the family on their reasons. You could mention that the patient would also feel better with a good soapy wash than with a wipe down. Another thought, if it is a sore butt that is their concern, consider the times you have to wipe with either method. The washcloth would get the job done faster and with less strokes. Just my 2 cents.:twocents:

And, the microfiber ones (I've gotten them at Dollar Tree) are really soft, and easy to wash... a lump of OxyClean in with the regular soap fixes a LOT of stuff....(haven't tested out sticky poo, but some of my cooking is just a poop chute away).

Maybe it's the whole reusable thing....there are also fairly inexpensive larger dry wipes that can be used with any cleaner.

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i suppose brillo pads are out?

personally, mineral oil could have multi uses.

ingesting it as part of bowel routine, and applying to bottom after cleaning.

nsg aides i've worked with, swear by their shaving cream.

leslie

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Specializes in Home Health.

Glad to know about the shaving cream, just in case.

You all are too funny!

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Specializes in LTC.

See if you can convince the family to invest in some washcloths specifically for peri-care. They can come from a thrift or dollar store they don't need to be fancy for butt wiping.

Sometimes I will use a wipe like a washcloth as well. Rinse out the smelly stay on cleanser and use them with soap and water.

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Specializes in LTC, Palliative.

I have never even thought of using oil or shaving cream. Interesting. In the nursing home that I work at, we use blue pads with lots of warm water and peri wash. The blue pads are a lot softer than say face cloths.

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a&d ointment. it's a petroleum jelly base, so it meets the criteria for slippery and non-drying, plus the vit a and vit d keep the skin in good shape. i got such great results using this on my babies' butts i started using it at work (nursing plan of care, no md prescription needed). never had to scrub hard again.

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Specializes in Float.

BRILLO! :lol2:

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