steve/landlord wrote:
on our rank we have a woman that uses us regularly but she really has a hygiene problem in fact three of the drivers have been physically sick when we approached the licensing committee and asked if we could refuse her on the grounds of how bad she was they said no and we could get our license revoked has any body come across this before
I think that your wheelchair lady has the following problem & if she does, there is nothing that she can do about it, except for the last paragraph.
Sorry about the content but you did ask.
As for not taking her, there must be some 'belt & braces' way of refusing her, but you really need to be sure before you do.
Colostomy is a surgical procedure that involves connecting a part of the colon onto the anterior abdominal wall, leaving the patient with an opening on the abdomen called a stoma. In a colostomy, the stoma is formed from the end of the large intestine, which is drawn out through the incision and sutured to the skin. After a colostomy, feces leave the patient's body through the abdomen. A colostomy may be permanent or temporary, depending on the reasons for its use.
Placement of the stoma on the abdomen can occur at any location along the colon, the majority being on the lower left side near or in the sigmoid colon, other locations include; the ascending, transverse, and descending sections of the colon. Colostomy surgery that can be planned ahead often has a higher rate of long-term success than those done in emergency surgery.
People with colostomies who have ostomies of the sigmoid colon or descending colon may have the option of irrigation, which allows for the person to not wear a pouch, but rather just a gauze cap over the stoma, and to schedule irrigation for times that are convenient. To irrigate, a catheter is placed inside the stoma, and flushed with water, which allows the feces to come out of the body into an irrigation sleeve. Most colostomates irrigate once a day or every other day, though this depends on the person, their food intake, and their health.
Colostomies are viewed negatively due to the misconception that it is difficult to hide the pouch and the smell of feces, or to keep the pouch securely attached. However, modern colostomy pouches are well-designed, odor-proof, and allow stoma patients to continue normal activities. Latex-free tape is available for ensuring a secure attachment. People with colostomies must wear an ostomy pouching system to collect intestinal waste. Ordinarily the pouch must be emptied or changed several times a day depending on the frequency of activity; in general the further from the anus the ostomy is located the greater the output and more frequent the need to empty or change the pouch.
PS We also have these passengers, but thankfully very, very occasionally.
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