The Need for Help
It is not uncommon for an elderly patient to need some assistance or accommodation when taking a medical test. A person with arthritis, joint stiffness, or other mobility problem may find it difficult to obtain a urine or stool sample without some help. A woman with dementia may be unable to follow the instructions on obtaining a "clean catch" urine specimen; she may also become confused or agitated when someone tries to do this for her. A person who does not see well or who has poor manual dexterity can have trouble using the required equipment, such as specimen cups or blood glucose monitors for diabetes.
Here are some tips to make the sample collection process go more smoothly.
Instructions — An older person may have trouble hearing verbal directions, reading printed instructions, or remembering when a test is scheduled or what it is for. A voice amplifier (which can be purchased relatively inexpensively at a department or electronics store) can be used to improve communications with a patient whose hearing is impaired, suggests Elon, who keeps a voice amplifier on hand in her office and another in her medical bag. Always ask for written instructions, preferably concise ones in large type. When giving oral instructions, take it one step at a time, and use a calm and reassuring tone; before you begin, seek to minimize noise and distractions and create a calm environment. Try playing soft music to soothe someone who is distressed or confused.
Special Equipment — Special equipment can make certain procedures easier and safer. A urine sample may be more easily collected in a receptacle placed in the toilet rather than in a cup or jar that has to be held. A magnifier with a bright light attachment can help a diabetic patient with vision loss perform self-monitoring of blood glucose. A different kind of lancet or needle may prove easier or less painful or intimidating to use.
Hired Help — Although nursing homes have personnel to assist with sample collection procedures, assisted living facilities do not always provide nursing support for these situations, explains Elon. If you need help where none is available, you may be able to hire a private nurse or home health aide who can provide the required assistance for a nominal fee, suggests Elon.
Privacy — Helping a person obtain a urine or stool sample can be a task neither party finds particularly pleasant. The person needing the help may be embarrassed, and the person providing the help may find the odors and cleaning tasks offensive. Provide as much privacy as is safely possible to increase everyone’s comfort level.
Compassion — The caregiver involved in specimen collection may find it helpful to view the assistance provided as an act of kindness and love. If you are aware of a situation in which a patient is not treated appropriately, take steps to ensure that the patient receives competent and compassionate care.