I work in home health.  I have an elderly patient who c/o having to "wipe
and wipe" after having a bowel movement, but still doesn't obtain a level of
acceptable cleanliness.  He shared this problem tearfully, stating that in
just the past few years he feels as though he's "falling apart."  My
suggestions were as follows:  supplement his dry toilet paper with flushable
moist wipes; try to incorporate ample fiber (fruits and vegetables) in his
diet in an attempt to "firm up" the stool as much as possible; if
interested, obtain a bidet that attaches to the existing toilet (found one
at sammonspreston.com, anyone else have any other sources?).  Anyone have
any other ideas/suggestions/input?  I appreciate it.

Bill Maloney, OTR
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