Maintaining Professional Practice

I am currently seeing a male patient who has previously had a right sided stroke resulting in left sided hemiplegia. He has also had some trouble with continence and is documented as double incontinent. I have previously treated him with wet pants but on this particular day I am sure he had not only wet his pants (adult nappy type underwear) but also let out some faecal matter. Needless to say it was a difficult hour and a half of treatment in which I needed to turn away and take a few deep breaths of fresh air but called on all my professionalism to get through it. It is unfortunate that this patient is aware of his troubles as he previously apologized for spilling his drink bottle in his lap when there was no drink bottle present. It just highlights that even though patients may have physical deficits from neural injuries, they are often cognitively still aware and you need to treat them accordingly. Professionalism must be maintained with all patients no matter how annoying, physically or mentally demanding they are, most of them want to get better and need your help!!