Recognition
They may no longer recognize bladder or bowel signals.
Alzheimer’s, Dementia & End-of-Life Care
When toileting becomes caregiving around the clock.
As Alzheimer’s advances, toileting can become one of the most intimate and exhausting parts of care.
Carebidet provides automated, no-transfer toileting care while the person remains in bed.
Why Alzheimer’s changes toileting
Toileting depends on memory, communication and the ability to participate in care.
As Alzheimer’s advances, recognition, communication, sequencing and continence can all change.
Communication
They may be unable to tell you what they need.
Sequencing
The steps of toileting can become confusing.
Incontinence
Accidents become more common as dementia advances.
Communication & toileting
Sometimes they can no longer tell you what they need.
A person may feel urgency or discomfort but no longer have the words to explain it. Caregivers are left watching behavior and nonverbal cues and trying to anticipate what is needed.
Carebidet does not depend on the person asking for help before every incontinent episode. For an appropriate user, it can detect waste and begin the toileting-care process while the person remains in bed.
The nighttime burden
Caregiving does not stop when the house goes to sleep.
Nighttime toileting and incontinence can disrupt sleep for both the person and the caregiver.
- Repeated waking to help with toileting
- Watching for discomfort or accidents
- Changing wet or soiled clothing and bedding
- Managing cleanup, odor and lost sleep
Research: Nocturia and urinary incontinence are associated with greater Alzheimer’s caregiver burden. Kamiya et al., 2023 →
Cleanliness, comfort & connection
Good toileting care is about more than hygiene.
Containing waste and odor can help create a cleaner, calmer environment for the person, family and visitors.
For the person
Less disruption. More comfort.
Cleaner, contained care can help protect dignity and reduce some of the disruption around incontinence.
For the family
Protect the time that is still yours together.
Less time managing toileting can leave more room for reassurance, touch, conversation, music—or simply being together.
When time together matters most, the work of care should take as little of it as possible.
Research: Dementia continence research describes effects on dignity, relationships and social inclusion. Alzheimer’s-specific research also found bothersome excrement odor more common in moderate/severe disease. Gove et al. → Kamiya et al. →
A different approach to in-bed toileting
Care can happen while the person remains in bed.
Carebidet manages toileting while the person remains in bed.
1
Detects
Sensors recognize urine or fecal waste.
2
Removes
Waste is removed through a sealed system.
3
Washes
The individual is cleansed with water.
4
Dries
Warm air helps dry the person following cleansing.
5
Helps Manage Odor
The closed system helps contain waste and odor.
The goal is complete in-bed toileting care with less need for transfers, bedpans and manual cleanup.
Important Fit Consideration
Carebidet works best when the person can remain reasonably settled and positioned in bed. It may not be appropriate for someone with significant agitation, constant movement, repeated attempts to get out of bed, or distress with the interface.
Published evidence
What the Research Tells Us
Selected research supporting the page’s key themes.
Late-stage Alzheimer’s
Late-Stage Caregiving
The Alzheimer’s Association notes that toileting difficulty is very common in late-stage Alzheimer’s and may require step-by-step help.
Alzheimer’s Association →Incontinence & communication
Incontinence in Alzheimer’s
People may stop recognizing the need to toilet, forget where the bathroom is or lose the ability to communicate the need.
Alzheimer’s Association →Alzheimer’s-specific caregiver burden
Family Caregiver Burden and Toilet Problems
A 2023 Alzheimer’s study linked caregiver burden with nocturia, urinary incontinence and inability to manage toileting independently, with transfer assistance and soiled clothing or bedding increasing as disease severity rose.
Search on PubMed →Nighttime caregiving
Dementia-Related Incontinence and Caregiver Sleep
Research describes nighttime waking, vigilance and fatigue among caregivers managing dementia-related incontinence.
Read full study →Severe Alzheimer’s
Alzheimer’s Disease Fact Sheet
The National Institute on Aging notes that severe Alzheimer’s can lead to loss of communication, complete dependence and spending most or all of the time in bed.
National Institute on Aging →Additional Support
Alzheimer’s & Dementia Support Resources
Trusted U.S. and international organizations that may help families navigate Alzheimer’s and dementia care beyond toileting.
Alzheimer’s Association
Care & support
Alzheimer’s Foundation of America
Caregiver guidance
Family Caregiver Alliance
Family caregiver resources
Eldercare Locator
Local services
Alzheimer’s.gov
Federal information
VA Caregiver Support Program
Veterans & caregivers
Alzheimer’s Disease International
Global dementia support
National Institute on Aging
Caregiving & late-stage guidance
NIA Caregiving Toolkit
Practical caregiver tools
Lewy Body Dementia Association
Related dementia resources
These organizations are independent of COHealth Solutions and are provided as potential resources for individuals, families and caregivers. Inclusion does not imply affiliation or endorsement.
Advanced Alzheimer’s & Family Care
Make one of the hardest parts of care more manageable.
For an appropriate person with advanced Alzheimer’s who is bedbound or significantly mobility challenged, Carebidet may support cleaner, more dignified in-bed toileting while reducing some of the work placed on caregivers.
Carebidet is an assistive toileting system. It does not treat Alzheimer’s disease or cure incontinence. Individual suitability should be discussed with caregivers and appropriate healthcare or hospice professionals.