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Commodes: inconvenient conveniences

J R Naylor¹, G P Mulley

¹Department of Medicine for the Elderly, St James's University Hospital Trust, Leeds.

BMJ (Clinical Research Ed.)

|November 13, 1993

Summary

This summary is machine-generated.

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This study highlights that while commodes aid mobility and continence, users and carers face challenges with privacy, smell, and appearance. Improved design and follow-up are crucial for better commode use and acceptance.

Area of Science:

Gerontology
Rehabilitation Engineering
Patient Care

Background:

Commode use is essential for individuals with impaired mobility, difficulty climbing stairs, or urinary incontinence.
Understanding user and carer perspectives is vital for effective assistive device implementation.

Purpose of the Study:

To investigate the utilization of commodes and the attitudes of both users and their caregivers towards these devices.
To identify key concerns and challenges associated with commode use in a community setting.

Main Methods:

A study involving 140 commode users and 105 carers.
Semi-structured interviews using questionnaires were conducted with participants supplied commodes by a community appliance center.

Main Results:

Related Experiment Videos

Primary reasons for commode provision included impaired mobility, difficulty with stairs, and urinary incontinence.
Significant concerns were lack of privacy, unpleasant odors, unfavorable physical appearance, and inadequate follow-up support.
Users exhibited polarized attitudes (very positive or negative), while carers predominantly held negative views, particularly regarding cleaning.

Conclusions:

Health professionals must prioritize user privacy when advising on commode placement.
Alternative solutions like chemical toilets should be considered for individuals confined to a single room.
Regular follow-up is necessary to address issues like comfort and safety, and commode design should be improved.