Safe Brief Changes for Resistant Hospice Patients

Caring for a bedbound patient, especially one with dementia or in pain, can be challenging and stressful. Many caregivers face resistance when changing briefs, with patients pushing, shouting, or grabbing to prevent care. Nancy from Hospice Care Plan emphasizes the importance of preparation: always explain each step to the patient, use a turn sheet to avoid pulling on their body, and remain calm and reassuring. If the patient shows signs of pain, consult the hospice team or PCP for appropriate pain medication. For patients who are combative due to fear or anxiety, medications like benzodiazepines or antipsychotics may help reduce agitation. Administering these 30–45 minutes before care can make the process smoother. Caregivers are encouraged to seek help, learn different techniques, and use resources like Hospice Care Plan’s videos and booklets. Remember, supporting both the patient and yourself is crucial—care is treatment.

The Hospice Care Plan. (2025, April 10). Changing an incontinence brief when the patient can’t cooperate [Video]. YouTube. https://www.youtube.com/watch?v=3tnbMeyCFQQ