Occasionally, we are asked to help with matters of personal hygiene. This can help restore people's dignity through not having to rely on help, as was the case with this project.
There are a number of "bottom wipers" on the market for people who find it difficult to reach, but these were not suitable for our bariatric client.
A commercially available product (the  Buckingham "easywipe" ) was extended using solvent-weld pipe and fittings used in plumbing. The paper release mechanism was retained by carefully cutting off and moving the bellows (and release button) to the end of an extension rod running through the new section.  
The use of solvent-weld for most of the construction ensured there were as few places for germs to hide as possible, made the adaptation very strong, and the whole unit can still be disinfected easily.
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Harrogate and Ripon Group