WWYD - odour - sensitivity - dignity
WWYD - odour - sensitivity - dignity
A resident has a noticeable odour of urine. Staff have gently asked if they need any help with continence, but the resident insists:
“I’m completely continent. Stop fussing over me.”
The odour continues, but there is no obvious evidence of incontinence. The odour is getting stronger. Staff are concerned there may be an underlying continence or health issue, but don’t want to embarrass or label the person.
How do we raise a potentially sensitive health concern without taking away someone’s dignity, privacy or independence? WWYD
I don't say anything to her,I won't make her upset and I inform the nurse about the changes,she may need the urine test to confirm if any urinary tract infection.the nurse can discuss with her.
I would enquire if there is any family that could be spoken to about bringing in a good supply of underwear, i would suggest doing a urine test to check about infection but i would do all of this without losing any dignity
I will choose a quiet, private moment and, inform the nurse rather than several people raising the issue. Ask neutral questions such as:
“Have you noticed anything different recently?”
“Are you having any changes when you pass urine?”
“Any discomfort, urgency, frequency or difficulty getting to the toilet?”
“Have you been drinking as usual?”
“Would you be happy for us to check whether anything might be causing the change?”
There may be causes other than incontinence, so I don't make the odour itself the diagnosis.