Bathing Assistance Issue

My 91 year old mother-in-law has lived in an apartment under my house for 8 years. She has always been very easy going and still often is for the most part. She has been experiencing memory issues for a couple years, but her memory has declined significantly since January. She was diagnosed with early stage Alzheimer's in March.
I am increasingly helping her with many things. She is still able to live independently with help, although her memory decline has been picking up speed in the last few months in spite of being on Aricept and receiving memory therapy.
The problem is that she needs assistance now with showering and hair washing. My MIL also has severe osteoporosis and uses a walker. This problem along with her memory issues are making it impossible and dangerous for her to shower independently. We have a woman come in once a week to help her. My MIL won't allow the woman to help her more than once a week. The woman has done an excellent job and is very kind to my MIL. My MIL likes the woman a lot but absolutely hates receiving help with bathing. She complains to me constantly and argues that she does not need her help. I then have to tell her why she needs the help. After several exhausting minutes, my MIL finally admits that she can't bathe on her own and that she knows that she has to accept the help. However, her short term memory is deteriorating, and she forgets our conversation and starts arguing with me again within a few days. It is getting exhausting because it is turning into a weekly thing. Thank goodness she is always nice and cooperative when the woman actually comes to help her.
Next week, the helper has to change her day, and my MIL told her to skip next week. That means she will go two weeks without bathing or washing her hair. She thinks her wiping herself down with a washcloth is enough, and she could not care less about washing her hair. She is satisfied only getting her hair washed every 6 weeks when I take her to the hairdresser. This is a woman who used to be very careful with her cleanliness.
I know it's the dementia and her frustration with needing assistance, although she welcomes my help with other things. This is clearly not the person she was even a year ago, but what do I do? I feel like I am going in circles with her on this subject. Suggestions would be appreciated.
Comments
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Yes it is a circle - you are fortunate to have a kind bath assistant. Try not getting your Mom to understand [she can't] maybe try saying the woman- that she likes- needs the job or credits for her nursing classes [ if your Mom is frugal].
Also try the youtube videos by Dr Natali Edmonds, Teepa Snow , and here is a list of more
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Have you considered dry shampoo? I would avoid any reminders early in the week that the woman will be coming. No point in bringing up a sore subject. Trying to get her to understand why she needs help and getting her to remember that is probably not going to happen. I would change the subject, offer a distraction or even sympathize with her a bit. Maybe a combination. Could you bring her to the hair dresser more often just for the wash? I hope you can find a solution.
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@donna9621
What should you do? Stop talking about it. Hard. I know.
The swerve to becoming "allergic to showering" is more of an early late-stage behavior so she may be further along than you assume. This means she is well past the ability to follow a reasoned argument; attempting to reason with her will only agitate you both. Sometimes it helps to present shower day as a spa day.
She might be more agreeable to the shower visit if it included something social and fun. Lemonade and cookies and the aide fussing over her might be enough to improve her attitude. If the aide is coming for tea and a visit it might be more acceptable.
The aide who comes should report to you and refrain from discussing schedules or care plans with the patient. Given her confusion, switching days of the week, or even adding a second day, would likely go unrecognized. If she says, "but she was just here", you answer "if seems like it" or "time flies…" or some such banality. If the hair washing is an issue, you could "treat" her to a wash and dry at the salon.
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ETA: There are microwavable wipes available for skin cleaning that would be better than a wet washcloth alone. if you heated her one before getting dressed she might go for it.
HBCVS Health Cleansing Wipes, Extra Large, 48 CT - CVS Pharmacy
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From a healthcare standpoint it's really not an issue. If she's willing to sponge off and has good bathroom hygiene, getting her hair done every six weeks is enough. I realize in our culture we're used to bathing much more often, but she's not a sweaty teenager, and elderly skin is thin and dry—it doesn't need much washing. A bigger concern would be if bathroom hygiene were beginning to fail, or if she were wearing clothes that were visibly (or smell) dirty.
She may also be from a very modest culture in which talking about personal hygiene or having someone around is deeply embarrassing.
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Commonly Used Abbreviations
DH = Dear Husband
DW= Dear Wife, Darling Wife
LO = Loved One
ES = Early Stage
EO = Early Onset
FTD = Frontotemporal Dementia
VD = Vascular Dementia
MC = Memory Care
AL = Assisted Living
POA = Power of Attorney
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