Hand care in advanced dementia
In the later stages of dementia the hands sometimes close into a fist, and the person can no longer say when being touched or handled hurts. Carers notice resistance when they try to open the hand, an odour from the palm, and skin that is becoming sore. The risk is that the hand is simply left closed.
The Carrot Splint is drawn into the closed hand deflated, so nothing is pushed against the fingers. It is then inflated gently, two or three squeezes at a time, and stopped as soon as the fingers lift from the palm. Care can be given calmly, and the palm kept clean and dry between times. A soft cloth cover sits against the skin.
For a family carer this often means that hand care, which had become a daily struggle, can be done quietly as part of washing. The person is never forced, and if they show any sign of discomfort the air is simply let out.
Consent and dignity matter here. Explain what you are doing each time, even if you are not sure it is understood, go slowly, and stop if the person is unhappy. Ask the nurse or therapist who knows them to show you the first time.
The Carrot is one size, fits either hand, and is washed between uses. Replacement covers are supplied so one is always ready.