The need for help
It is not uncommon for an elderly person to need some assistance when taking a sample for a pathology test. A person with arthritis, joint stiffness, or other mobility problems may find it difficult to obtain a urine or stool sample without some help.

A person with dementia may be unable to follow the instructions on obtaining an appropriate urine specimen. They may also become confused or agitated when someone tries to do this for them. A person who does not see well or has poor manual dexterity can have trouble using specimen cups, or blood glucose monitors for diabetes.

Here are some tips to make the sample collection process go more smoothly.

Instructions — An older person may have trouble hearing verbal directions, reading printed instructions, remembering when a test is scheduled or what it is for. Always ask for written instructions, preferably concise ones in large type. When giving oral instructions, take it one step at a time, and use a calm and reassuring tone; before you begin, seek to minimise noise and distractions and create a calm environment.

Special equipment — Special equipment for collection can make certain procedures easier and safer. A urine sample may be more easily collected in a receptacle placed in the toilet rather than in a cup or jar that has to be held. A magnifying glass with a bright light attachment can help a diabetic patient with vision loss self-monitor their blood glucose. Using a different kind of lancet or needle may prove easier, less painful, or lessintimidating to use to obtain the blood.

Hired help — Although nursing homes have personnel to assist with sample collection procedures, sheltered housing facilities do not always provide such nursing support. If you, as an elderly person, need assistance where none is available, you may be entitled to help from a community nurse or care assistant.

Privacy —Helping a person obtain a urine or stool sample can be a task neither party finds particularly pleasant. The person needing the help may be embarrassed, and the person providing the help may find the odours and cleaning tasks offensive. Provide as much privacy as is safely possible to increase everyone’s comfort levels.

Compassion — The carer involved in specimen collection may find it helpful to view the assistance provided as an act of kindness and love. If you are aware of a situation in which a person is not treated appropriately, take steps toensure that the elderly person receives competent and compassionate care.