I am looking for guidance to help an elderly man that lives in the assisted living where he lives and I work.  He hemodialyzes 3x per week, the staff at the ALF have concerns about the odor that now permeates into the hallways.  I use to work in Dialysis for 6 years but it has been a while, I can remember former patients have extreme episodes of diarrhea, some dietarily exacerbated, some fluid overload, and a few were just chronic.  At that time they ran on acetate which equaled a less than friendly "bicarb" experience.  This gentleman often has no idea that he is I say oozing instead of defecating but the liquid being expelled is often seen on the seat of garments.  We have finally convinced him to try briefs (pull depends) vs traditional BVDs, This gentleman has 2 cars and can drive himself to wherever he desires, my suspicion is he may partake in ETOH which may be a great contributing factor.  I would like to help as well as maintain the environment for the others that live there as well.  I am open to any suggestions.
HI I AM Chat Doctor.  YOUR IS REALLY COMMENDABLE. SINCE YOU HAVE A KNOW HOW OF DIALYSIS PATIENTS. IT IS DEFINITELY A GOOD SUGGESTION IF YOU CAN CONVINCE HIM IN DOING THAT. ALSO, THAT PEOPLE OF THIS AGE AND SPECIALLY ON DIALYSIS HAVE POOR BLADDER AND BOWEL CONTROL THAT CAN MAKE THINGS DIFFICULT. YOU NEED TO EDUCATE HIM REGARDING THIS. ENTRUST HIM SO THAT HE COOPERATES THANKS