Things You Might Like to Know About Commodes
Written by Christine Hsin, Student Occupational Therapist
Talking about equipment that is related to using the washroom might be an awkward topic, but it is an important part of what we do every day. It’s especially critical for us at AssistList to talk about commodes because they are commonly needed and used by members in the community. Commodes allow one more easily to use the washroom, either by providing a seat and tank to hold the waste that can be moved closer to the individual, or by helping one roll more easily over the toilet in a chair that already has a toilet seat pattern. Commodes might be used by people who have incontinence or by those who are experiencing difficulty with balance, strength, and endurance that make getting to the toilet challenging. There is no need to be ashamed about using a commode, in fact, it can help one be more independent in their everyday life.
What are the different kinds of commodes?
- Bedside commode
Bedside commodes are typically placed near one’s bed and have a frame without wheels on the bottom. They usually come with a seat, bucket, and two armrests. They tend to be lightweight and portable, and the bucket is removable so that the waste can be properly disposed of. These commodes may be useful for someone who is having challenges getting to the bathroom safely or on time for them to relieve themselves. They tend to have rubber tips on the bottom so that they stay in place.
2. Transfer commode (Drop arm commode)
Transfer commodes are often very similar to bedside commodes. However, usually one or more of the arm rests are able to be dropped or pivoted out of the way. This can be helpful for individuals who need to transfer onto the commode from the side because it allows them to get to the seat more directly.
3. Over the toilet commode
Over the toilet commodes come with a frame that is on wheels. They lack a tub to hold waste. Over the toilet commodes are designed to be wheeled over the toilet to be used, with a seat that resembles a typical toilet seat. The wheels are often able to be locked so the user can stay in the same place. Some of these commodes can come with two larger wheels and two smaller caster wheels that allow the user to propel themselves to the washroom. Other over the toilet commodes can be pushed by someone else from the back. These kinds of commodes with their wheels can be easy to transport around the house.
4. Shower commodes
Shower commodes serve a dual purpose, helping those who need both a commode as well as a shower chair. They often have wheels on the bottom of the frame similar to over the toilet commodes so the individual can use the commode for toileting. Shower commodes can then double up as a shower chair because they can be wheeled into the shower and locked in place so the user can bathe safely. These commodes are often made out of materials that are water resistant, so they will not break down in a wet environment.
It’s important to note that while this is a general guide to commodes, some commodes that you may see available at a medical supplier, in the community, or on AssistList might have different combinations of these features. For instance, some over the toilet and shower commodes also have drop arms to allow for easier transfers.
Let’s move onto some questions to consider if you are getting a commode for yourself or a loved one:
What level of support does the user need?
- A user that is able to transfer independently and self propel might have a commode with larger wheels so that they can push themselves to the toilet. However, a user that might have more difficulty with transfer or is not able to push themselves might consider a different kind of commode.
- A user that is able to hold up their trunk might need a commode with less back support. However, a user that has less strength to hold up their torso may need a more supportive seat or additional chest straps so they can be secure.
Is there anyone available to support the user?
- While some users might be able to use a certain kind of commode with some support from another person, you may consider if they will have the assistance required for most of the day.
How might the user be using the commode? What is their environment?
- Consider the space that the user is going to be spending their time in. They might benefit from having a commode by their bedside if that is where they spend most of their day. If the user moves around a lot, they might prefer a commode that has wheels on it so it can be moved to where they are in their environment. If the user only needs a commode, they might not need the shower chair component built in.
These are just a few examples of things to think about when buying a commode. If you are considering purchasing a commode for yourself or a loved one, we recommend that you get in touch with an occupational therapist. Occupational therapists are healthcare workers that are knowledgeable in home medical equipment and consider your needs and environment to help provide a recommendation. If you are interested in finding an occupational therapist near you, you can contact your doctor, health authority, or use the OT finder available through the Canadian Association of Occupational Therapists, which is located on AssistList’s Partner page.
Thanks for learning more about this equipment used for a natural bodily process! We’re glad that you stuck through with us.
Christine
