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Male with dementia has begun to pee outside rather than in the bathroom. Re-direction has not helped. Any suggestions?

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Was this gentleman a mail carrier in his previous job (or some similar type of job)? There was a gentleman at my parent's AL who would urinate in the corner of the dining room all the time; it turned out he was a mail carrier in his former job who would have to urinate outside on his route every day. When dementia took over, he reverted back to the old days in his mind, as is common with dementia, and went back to 'peeing outside'. The facility had a heck of a time getting him to stop doing that. Of course, he was in AL when he should have been living in Memory Care AL which is what eventually happened: he moved to Memory Care.

The door to outside can be locked, but this gentleman will probably start urinating on the floor INSIDE the house if you do that. You can dress him in an anti strip suit (search Alzheimers anti strip suit on Amazon) with a Depends if things get to the point where it becomes necessary. Otherwise, just leave him be, that's my suggestion. We pick our battles with dementia, that's the truth. At least he's not peeing on the dining room wall! :)

Good luck!
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Not much you can do ...
If this is in your yard (or his) and it is obscured from view of neighbors I would not worry much about it.
You can make it more difficult but if he is continent it will also make it more difficult for him to go to the bathroom by himself.
There are "onsies" that you can use.
If you are helping him dress that is an option, in the winter a "union suit" would work.
One of the things about dementia, don't know if you want to call it a good thing or not but...with each "problem" that you have to find a solution for that "problem" will pass as the decline occurs and that brings a whole 'nuther set of problems.
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If it’s at his own residence I’d let it fly. Sure beats using the carpet. My son has always been on diuretic meds and when I was potty training him so long ago I had a neighbor complain that he was peeing outside—unreal, a 2 year old on Lasix is somehow bothering you?! I think much the same about a senior with dementia. Some things just need a bit of tolerance and understanding
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BurntCaregiver Jul 2022
Tolerance and understanding can only go so far. No civilized people should have to tolerate an adult man whipping it out and taking a piss outside. A two-year old is different. If some old man is so out of it with dementia that he doesn't know better, then he should not be left alone.
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If he is in his or your home I would be thankful he isn't doing it in your inside garbage cans. That is what my grandfather did including poop! Also let your neighbors know that he has dementia. That way they will know what is going on and they can actually help keep watch for him wandering etc. Also we live in the country and my husband thinks you are supposed to pee outside and he does not have dementia! lol Apparently that is a man thing.
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Lovemom1941 Jul 2022
It’s a man thing here, for sure. Of course, they know to go to the back yard and not in front of people where a person with dementia might not.
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My husband pees outside (on our block, no neighbors in view) for preference in the daytime. His prostate is enlarging, which slows things down as is common when men age, so he takes his time and enjoys the scenery.

I wish I could too, and I certainly do on the farm. If I have diarrhoea, I also do the other thing out in the paddock, with a temporary wipe on a stone or grass until I get back to the house. Tissue is a waste problem, it takes too long to break down and is an eyesore.

In history, women with long full skirts often didn’t wear knickers, stood with legs astride and peed on the grass. Public toilets weren't common in picnic places.

Look on the bright side – no flushing needed, so it saves on the water bill!
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BurntCaregiver Jul 2022
I've had to do both outdoors myself. Like when camping or hiking out in the woods. It is what it is. My first husband was in the army. He taught me how to dig a 'cat hole' if you're dropping a deuce outside and bury it like a cat.
Making a habit of going to the bathroom outside in the yard is disgusting plain and simple.
Someone also has to be the one who goes around cleaning it up. It has tp be cleaned up same as when someone has a dog, or chickens, or any other kind of livestock. When it's not cleaned up it attracts rats and other vermin. Then everyone who lives around them has a problem.
You say 'Guys do it all the time'. Guys do somehing else all the time too. I've lived with my father, my uncle and two male cousins, two husbands, and raised a son. Only one time did I see this. My first husband was so drunk one time (he was drunk often but always maintained some measure of civilization) that when his friend dropped him off he whipped it out an took a piss in the birdbath in our yard. I saw from the window and went out and yelled at him. Then he stumbled and passed out on the lawn. I didn't even help him into the house but left him there to sleep outside like an animal.
People get dementia this is a sad fact of life. Seriously, the people responsible for them have to draw the line on how far they will humor them. Or how much they will go along with certain behaviors.
I'm saying ifn grandpa doesn't have sense enough to use a toilet at his own house, he belongs in a memory care.
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Wow, I am surprised at how divisive this thread had become.

The replies show the rural/city and cultural divides between us.

Indoor plumbing has not been around for all that long and in many places in the world it simply does not exist. There are places where outhouses are uncommon as well.

Instead of getting hung up on general concepts of where and how a person should relieve themselves, let’s help OP.

Lee, when was his last medical exam? I would start there and talk to his doctor about your concerns.

Is the yard secured? Can he get out of the yard? Wondering is another concern. Also there could be trouble if he pees in someone’s yard.

Me? I would take peeing outside over inappropriate peeing inside.
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Probably can't change him from "going" outside. Might want to create an outdoor area he can use - sheltered from prying eyes, hardy plants that can take the extra "watering", and hose it down frequently.
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Lee, my grandmother would pee behind the tree, in the grass. Problem was that the tree was a brown recliner and the grass was the green shag carpet.

Everyone would have been so grateful if she was going outside.

After the doctor has ruled out any medical issues, I would ensure he has some waist down privacy and be thankful it's outside.

Learning to pick your battles and let go of social expectations when dementia is present is a tremedous gift for yourself.
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Two husbands, one son, four stepsons and 12+ grandsons and all of them on occasion were known to take a whiz outside. And I have at the farm or on a camping trip.
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Is he doing so in a way that can be seen by others or in a “private” place. Like the other respondents said, this may be a pick your battles thing.
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