This problem has stumped me and my brother. Mum washes herself at a sink, but refuses to use a shower. As a result she is clean enough not to smell, but we suspect her frequent attacks of cystitis are at least partially caused by her poor hygiene. Last week she moved home to be closer to me. In her old bungalow, she would use the shower, but only briefly. Basically, she stood under it long enough to get wet, but didn't properly wash. Her new bungalow has a lovely ensuite, but she has used excuse after excuse to avoid using it. I've offered to help her, but she turns me down. She isn't so incapable that we could insist on a care worker washing her, and we've run out of ideas to get her to shower herself (the shower has a grab rail, non-slip mat, step into it, etc.). We are waiting for an occupational therapy assessment, and I'm pinning my hopes on them having some ideas.