Dealing with a parent who has dementia and is smearing feces on walls can be distressing and confusing. This behavior, while upsetting, is not uncommon in people with dementia.
Feces smearing, also called scatolia, often happens because the person with dementia is experiencing confusion or disorientation. They may not recognize what feces is or understand that it’s unsanitary. In some cases, they might be trying to clean themselves but lack the cognitive ability to do so properly[1].
This behavior can also be a way for the person to express frustration, seek attention, or communicate discomfort. They might be constipated, experiencing pain, or feeling anxious. Sometimes, it’s simply because they can’t find the bathroom or don’t remember how to use the toilet correctly[1].
For people with dementia, the sense of smell and awareness of cleanliness can diminish. They may not realize what they’re doing is inappropriate or unhygienic. It’s important to remember that this isn’t deliberate misbehavior, but a symptom of their condition[4].
To address this issue, try to establish a regular toileting routine. Remind your father to use the bathroom every few hours. Make sure the bathroom is easily accessible and well-lit. You might need to leave the door open or use signs to help him find it[1].
Check if your father is experiencing any physical discomfort or constipation. Ensuring he stays hydrated and eats a diet rich in fiber can help prevent constipation[1].
If the behavior persists, consult with his doctor. They might recommend medication adjustments or suggest ways to manage the behavior. Sometimes, occupational therapists can provide strategies to help with daily living activities[1].
Remember, this situation is challenging, but it’s not your father’s fault. Approach the issue with patience and compassion. Don’t hesitate to seek support for yourself too, as caring for someone with dementia can be emotionally taxing[1].
