A bedside commode is a movable toilet that does not use running water and is used by individuals with limited mobility who cannot safely reach a standard toilet. It consists of a chair-like frame, a toilet seat, and a removable bucket underneath. These devices are invaluable for post-surgery recovery, for seniors, and for people with balance or strength issues. Using a bedside commode correctly involves a multi-step process, from initial setup to regular cleaning.
Setting Up the Bedside Commode for Safe Use
Before the commode can be used, it must be properly assembled and positioned to ensure maximum safety and stability.
- Assembly: Unfold the commode frame and ensure all parts, such as the back brace and support rails, click securely into place. For commodes with adjustable height, depress the push pins and set each leg to the same height until the pins click into place. The seat height should be comfortable for the user, with their feet flat on the floor and knees not higher than their hips.
- Placement: Position the commode on a firm, level surface next to the bed. Ensure it is close enough for an easy transfer but not in the way of walking paths. For commodes with wheels, always lock them before use to prevent any movement.
- Prepare the Bucket: Lift the commode seat and place the waste bucket securely onto the support rails. To make cleaning easier, consider placing a small amount of water or a specialized commode liner with an absorbent pad inside the bucket before use. This helps with odor control and makes disposal more hygienic.
Performing a Safe Transfer to the Commode
Transferring safely from the bed to the commode is critical to prevent falls. The following steps can be performed with or without caregiver assistance, depending on the user's mobility.
- Positioning the User: If a caregiver is present, ensure they are in a stable position and the user is wearing non-slip footwear. Have the user move to the edge of the bed so their feet are flat on the floor.
- The Stand-Up: Encourage the user to lean forward before standing up. The user should use both hands to push off from the bed or, if capable, reach back and grasp both armrests of the commode as they slowly lower themselves. It is crucial to use both armrests to prevent the commode from tipping.
- During Use: Once seated, leave the user alone if safe to do so, but keep a bell or call device nearby so they can signal for assistance. Ensure there is toilet paper or wipes within easy reach.
Emptying and Cleaning the Commode
Proper hygiene is paramount. A regular cleaning schedule prevents odor and bacteria buildup, making the process more sanitary.
- Emptying: After use, and while wearing protective disposable gloves, place the lid on the bucket and carry it to the toilet. Carefully lift the toilet seat and empty the contents into the bowl. Flush the toilet.
- Daily Cleaning: Immediately after emptying, rinse the bucket thoroughly with warm water and a cleaning solution, such as a disinfectant spray or a water and bleach mixture. A dedicated toilet brush can be used for scrubbing. Rinse well and dry completely before returning the bucket to the commode. Wipe down the commode's seat, arms, and frame with a disinfectant wipe after each use.
- Weekly Deep Clean: Once a week, perform a more thorough cleaning. You can soak the bucket in a water and non-abrasive cleaner solution. Ensure all parts, including crevices, are cleaned and fully dried before reassembly.
Troubleshooting Common Commode Issues
Even with proper use, issues may arise. Here's how to address some common problems:
- Odor: To minimize odor, ensure the bucket is emptied and cleaned promptly after each use. Placing a commode liner with an absorbent pad or a few inches of water with a small amount of bleach in the bucket can significantly help. Keep the lid on the bucket when not in use.
- Tipping: Tipping often occurs when the user pushes off one armrest unevenly. Remind the user to distribute their weight evenly and use both armrests during transfers. Ensure all legs are set to the same height and that the wheels are locked. Placing the commode against a wall can also add stability.
- Leaks or Spills: Leaks can result from an improperly placed bucket or a poorly fitting commode liner. Always check that the bucket is seated correctly on the support rails. Using a commode liner with an absorbent pad can help contain liquid spills. Some commodes come with splash guards to help prevent spills when transferring contents to the toilet.
Bedside Commode vs. Raised Toilet Seat
Choosing between a bedside commode and a raised toilet seat depends on the user's specific mobility needs and the home's layout.
| Feature | Bedside Commode | Raised Toilet Seat |
|---|---|---|
| Functionality | Portable toilet, can also be used over a standard toilet or in the shower (3-in-1 models). | Adds height to an existing toilet for easier sitting and standing. |
| Placement | Can be placed anywhere in the home, most often near the bed. | Attached directly to a standard toilet. |
| Portability | Highly portable, especially folding models. | Requires moving for cleaning and can be less stable if not properly fitted. |
| Convenience | Excellent for users who cannot make it to the bathroom, especially at night. | Great for users who only need help with the height of a standard toilet. |
| Maintenance | Requires emptying and cleaning of a waste bucket. | Less maintenance, though cleaning around it can be a challenge. |
Conclusion
Mastering how to use a bedside commode is an essential skill for ensuring the safety, dignity, and independence of individuals with limited mobility. From the initial setup and safe transferring techniques to maintaining a rigorous cleaning schedule, each step is critical for a positive experience. While a commode is a vital tool for preventing falls and simplifying care routines, understanding when a different aid like a raised toilet seat might be more appropriate is also important. By following these guidelines, you can ensure a safe and hygienic environment for those who need it most. For more information on caregiving and mobility aids, consult a healthcare provider or occupational therapist.
Note: A standard commode is not intended to be used in the shower unless specified as a 3-in-1 model or designated as a shower chair.
