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Dignity - Behind Closed Doors - Decision Aid

  Level of mobility Level of safety to use the toilet alone Recommendation
1 Mobile Safe to be left alone in toilet Use toilet in private
2

Needs assistance with mobility

Safe to be left alone in toilet

Provide assistance to reach the toilet

Use toilet in private

3

Immobile

Needs help with transfers and transit equipment to get to / from toilet

Safe to be left alone in toilet

Use a wheeled chair to transport to toilet

Use toilet in private

4

Immobile

Needs hoist for transfers

Assessment indicates unsafe to sit unattended

Unsafe to be left alone but can sit on a toilet with surrounding frame and/or attendant supervision

Patient chooses to go to the toilet with or without supervision

Use a wheeled chair to transport to toilet

 

Use toilet with or without attendant supervision

5

Immobile

Needs hoist for transfers

nsafe to sit unattended

Unsafe to be left alone but can sit with surrounding frame and attendant support

Patient chooses not to go to the toilet

Use bedside commode with attendant support and adequate screening with “do not disturb” sign
6

Bed bound and needing planned bladder or bowel management

Unsafe to sit even with support

Use bed pan or planned rectal evacuations as part of a bladder or bowel management programme.

Ensure adequate screening with “do not disturb” sign

Commodes: Use of commodes may be appropriate in a single occupied room at home or a care setting if used in private.

Hoists: If these are to be used as a means of transport then all measures to maintain modesty must be taken

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