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Unless the lady is also incontinent, then the ideal is an assisted transfer to a bedpan or commode. The slings used for this purpose are designed to allow for toileting.
But assuming that some sort of continence protection is necessary, I'd have thought a diaper would be easier to change than a pull-on, which would also make it more comfortable for the woman (less tugging about).
Why not have a look at some of the product websites and see what would meet her needs best? You might be surprised at the huge range of shapes, sizes and absorbencies on the market.
When my mom was mobile enough for a walker she used the pull on kind. However, changing one involves removal of shoes and slacks, while sitting on the toilet. That process got very hard to manage for her alone so she started to avoid it. When she had a caregiver it was more manageable but still time consuming. Now in the NH she uses the kind with tabs and the aids can change them easily on the toilet or on the bed without removing any other clothes. Maybe using a pull on would work ok for bedtime where just a nightgown is worn. Moms roommate does this.
I prefer diapers as pull on breifs are harder to put on and gap some usually causeing leakage. Diapers are easier to change when a person is sleeping and cleaner when taking it off.I noticed when we used to use pull ups that a BM would get messier in pull ups. I do have to say though that your loved one may prefer the feeling of pull ups because it feels more like underwear.In my opinion although we want to maintain their dignity it's ultimately is the caregiver/hygiene that needs to be considered.
If she can stand a little and use commute then the pull ups are better you still have to get on over shoes and put pants back on over shoes which can be a pain. But if she can't stand and get onto commute the diaper style is better. That's what I did with my mom.
If they can't even stand, putting on pull ups will be a nightmare.
My people can still stand so pull ups are best for me.
1) Stand them up. 2) Pull down the pants and diaper to knee height. 3) Sit them down. 4) Pull off shoes, pants and then diaper. 5) Put on diaper, pants and shoes to knee height. 6) Stand them up. 7) Pull it all up. 8) Sit them back down.
Only takes 1-2 minutes for me to do it. 1-2 hours to convince them to let me do it.
I found a way to take off and put on a dirty/clean Depends without taking off their pants and shoes! This is especially good news when in a public bathroom and the floor is gross to have to take everything off. Bear with me, most say "that can't be done" without taking everything off and putting all clean stuff back on, but it can! 1) Rip old pad (depends) off the person, at the side it rips so it can come off without having to go down to the floor with it. I agree that diaper is demeaning so Mom and I call the Depends.....PAD. 2) Now Mom is naked except for pants, socks and sneakers all down at her ankles. 3) You will now do ONE AT A TIME foot to put on her new pad. 4) Put the first half of the pad over her left foot and pull the pad through over her sneaker, sock and pants. (It is easy if you make sure Mom/Dad is wearing loose sweat pants or something like it.........Don't try this with tight jeans, TOO HARD. 5) Now one half of the pad is on one leg, pulled through her pants and on top of her sneakers, socks and pants. Now comes the harder part, but well worth it after you get the hang of it doing it 10 or 20 times. 6) You are going to take the other half of the pad and push it down the right leg and over the right sneaker. Make sure as you pull it over the right sneaker it does not "twist" and come up her legs "backwards". Then pull the pad up, her pants up and WA-LAA, you have successfully changed a person without having to take off/put back on their pants and sneakers! 7) Pass this "trick" onto your friends with toddlers with pull ups, works the same way. Remember, LOOSE pants, NOT jeans.
Do not use diapers for the bedridden. Just use chux bed pads to protect the bed. Using diapers of any kind for the bedridden is dangerous because feces will more likely cause a UTI. I never could understand why people use diapers for bedridden people. Makes no sense whatsoever. Chuxs also make it easier to clean them. and you know immediately if they need cleaning.
depends. It will stay in place, easily to tear off on the sides. Mom has a government cell phone. I set the alarm every hour. That is her Que to check herself. If wet, then I can come and change her. I was doing it at first on my own, but I felt it was disturbing her dignity as she was already not "feeling" the pull ups. This way she checks herself
I had to make this decision for my Mom. She can’t stand and has contracture if her legs. The care givers told me it’s easier for them to use diapers with tabs as opposed to the pull-up. So I switched over. Seems to be working ok
First, I do not like the term "adult diaper" I always said Tab Brief so that will be the term I use to answer this.
If a person must rely on someone else to get them to the bathroom and help them pull down pants, pull down a "pull up" type brief then a tab type brief is easier. If you are in any bathroom particularly a public bathroom in order to aid someone that is toileting you need to pull down pants, remove the "pull up" brief, once they are done you have to remove the pants and possibly the shoes they are wearing put on the "pull up" brief, put the pants back on, put the shoes back on then get them up and steady then pull up the "pull up", pull up the pants.
With the Tab type to aid someone that is toileting you pull down the pants, remove the tab type brief, when they are done stand up, put on the tab type brief, pull up the pants and you are done.
By the way, and this going to sound crazy but here goes.... While my Husband was still mobile I put the tab type on him backwards. There is a good reason to doing this. I would open up the sides of the brief and place it between the legs bringing it up as far as I could then I would bring the tabs around and fasten one side then the other. By doing this backwards I was using his body resistance to get the tabs as tight as possible so it would fit tighter with less gaps. It did not have the look of a saggy loose brief and it seemed to me that it would feel more comfortable than one that gaped and sagged. Once he could no longer stand and I was changing him in bed I used them the "normal" way and the tabs would fasten in the front.
The tab briefs would be much easier than the pull ups. If a person is bedridden the tab briefs can be put underneath them and the person rolled one way, then the other to get the brief under them, then fasten them.
I didn't find the pull ups to be enough for nighttime use, so it was always the ones with tabs and the washable bed pad. I don't know how you could get the pullups on someone who is bedridden.
I got them on the same way as I got on her cozy pyjama bottoms, roll left and pull up the right, roll right and pull up the left, but by then mom was a pretty small woman. Now that she is in a NH she has to wear a gown at night and open backed pants during the day because the aides can't figure that out.
If she cannot stand, you don't want pull-ups. You will need the one with tabs.
And I always kept a washable pad under my DH - even on the chairs. Better safe than sorry. I was less worried about the mess and more worried about the added stress to my husband. This way he didn't worry about accidents.
Dealing with this issue recently, the adult diapers would be easier for the caregiver to manage removing and putting on. The woman’s self esteem/depression about “the diaper” word needs to be monitored...some find it demeaning but maybe understanding it is what works best for her might help.
Do NH discourage hydrating????I mean less water means less pee, yes..... and do smoothies encourage more number 2.....hence the fruits,spinach,and various bulk with orange juice...….as a water based blender item?Personally Iam always peeeing as I drink the eight glasses daily but I can run to the bathroom!
Call them briefs not diapers. Took me awhile to get use to that. My mom is in NH. She can't use the toliet & doesn't like a bedpan She can't walk or stand. Briefs work for her. She is in bed most of time & keeps the tabs loose fitting so not to cut into her leg. She has a pad underneath her too. She does get in wheelchair sometimes for activities. The briefs (diapers) are easier for staff to change her.
foxxmolder, I hope I never have to do this...I am glad your way works, but I envision it being a game of twister while folding a fitted sheet. You and Martha Stewart could master this, not sure I could!
lol!! it took me a loooooooooong time to master it, but once I did, it has been a lifesaver when I have mom out at a restaurant with me and the public bathroom floor is messy or wet;)
Pull ups are best for people who are still able to stand up. Briefs with tabs are best for people who require lifting or turning. Also I always recommend using inserts no matter what kind of undies are being worn. Like a pad, it absorbs right away and keeps fluid off the skin. Briefs or pull ups alone do not do that and can leave urine to sit on the skin and cause irritation. Also it can be much easier to change a pad when it is soaked as opposed to changing undies and pants and having to do skin care over and over. Inserts are a life saver. As far as industry terminology goes, diapers are for babies and we avoid this terminology to keep from embarrassing people. Adults use briefs or pull ups. At least here in the south. I know these things are different in other areas.
You definitely want the diapers (with the tabs), not the pull ups/briefs. You'll want to buy liners (the inserts) that go inside the diaper to soak up the extra pee. Finally, you'll need to buy "chucks," which are the disposable sheets you put on top of the cloth bed sheets, to further keep the pea and poop off of the bed, which will leak out of the diaper anyway. The chucks come in a couple different sizes, I think ours are 30" by 30."
My mother, 91, was using the pull ups when she was still mobile. The tab type would fall off as her mid section was bigger than her rear - she prefers dresses so didn't have the option of slacks helping to hold the tab type on her. Now that she is bedridden for the most part and rarely walks to the toilet, we use the tab type. We still have a huge box with packages of pull ups, but attempting to pull those on while in bed is just as hard on her as the person trying to pull them on. Mobility is the clue to what you should use in my opinion.
Diaper is better if she can’t walk or stand...that’s what I use for my mother who can’t walk or stand without the lift machine. Diaper you can put on while she’s in bed & then she turns ...with pull-ups (she used to use with an extra pad inside) when she was able to walk to bathroom herself...well, you get the idea..!!!
Hi! Most likely an adult diaper due to the fact she is bed ridden and unable to walk and stand as you mentioned and It will be easier for her and the person taking care of her.
What people are referring to as an Adult Diaper may be what I've seen CNA (certified nurses assistants) 'ripe off' as necessary or if necessary vs taking one's time with the tabs. Definitely use the PROTECTIVE BED PADS. They come in disposable and washable. I would recommend getting the large washable and putting 1-2 disposable on top of that, if necessary. You want to avoid having to launder real bedding as much as possible.
I do not ever use the word 'diaper' in talking to an adult. I call them disposable underwear. That is what they are - and supports personal dignity as one ages.
You absolutely want to have a good waterproof mattress bed protector. That is a given. Actually, you can't have too many layers of soil protection. Heed our suggestions - better than learning the hard way. . . We did that for you. Gena.
I am a trained nurse and have been for many many years and have used all the products on patients. Now I have moved in with my mother to help her. She is semi ambulant and has continence issues. I personally have found that depend pull ups are comfortable for her and hold all accidents. You can use the blue waterproof sheets too if you like but at this time I find just the pull up sufficient and I think mum feels it is more dignified. If she is bedridden then perhaps the ones with tabs as easy to roll mum and place under her , but it's good if she can be sitting for part of her day.
When I worked in a facility we would tear down both sides of the pull ups and put inside of diaper because adults Leak so much it helped on laundry Sometimes the inside pad would only get soiled and I ....would be able to wash and still use the diaper but I beleive the wrap around velcro diapers are the BEST especally if loved one is not mobile .they are so much easier VERY MUCH EASIER...NO DOUBT !!....
In my opinion an adult diaper. Its easier to roll the woman changing a diaper than, pulling up and down on a Depends. For extra protection, you may add and insert depends (pantyliner) for overnights.
If someone is immobile it can be pretty hard to pull a pull-up into place. My mum is fairly mobile so we use the pull-ups on her (Tranquility and Tena are great) but at night we put one of the diapers (they sell them as 'briefs' but they have tabs just like a diaper) over top for added protection against wetting the underlays. Some (ones we got from the nursing home and what was used there) are super cheap and flimsy, but we have bought some that are really substantial and sturdy - from Sams Club.
My mother cannot stand or walk. She also has fairly severe dementia. I care for her at home; a CNA/GNA comes for 2 hours in the morning and puts her on the bedside commode. Otherwise, I use the following: On the bed: (1) North Shore Premium underpads (green) [ they are disposable, big (36 x 36); I "stagger" 2 over a washable Chux, this way if the top disposable gets soiled you have the one under it, and the Chux only needs to be changed when you change the bedding. Also, the arrangement makes it easier for me to "slide" her up in the bed if she moves too far to the bottom during the day. (2) Underwear: Tena 67903 Super Stretch Large/Extra Large Briefs 56 per case; these are disposable "diapers" that fasten with very reliable velcor-like tabs; although my mother isn't huge, she carries most of her weight in her stomach and bottom -- this size is big enough that "even I" am able to change her without a whole lot of trouble. The "super" is extremely absorbent, usually keeping her dry overnight and during the day; don't be fooled -- the Tena "ultra" product isn't as absorbent. I buy these products online. I always refer to "underwear," never diapers, to my mother; when she expresses concern about needing to go, I reminder her that's what the special underwear is for, and she's usually ok with it.
Most of the hospitals in my experience seem to be using gowns and washable chucks which make it easier for staff to change and clean up a patient. Any adult protective underwear does have the potential to bunch up and become very uncomfortable and lead to bedsores. As has been mentioned pull ups can easily be torn down the sides for easy removal. Public toilets frequently have wet and /or dirty floors so taking an old newspaper or piece of plastic to put on the floor can be helpful.
It is very important to use the remoistened wipes whenever changing protective pad so that irritation from urine is prevented plus rubber gloves for the caregiver. In many ways the tab pads are easier to use but do not seem as comfortable for someone who is mobile. Always be prepared for some leakage around the legs especially if your loved one has diarrhea which does not seem to be absorbed well in any product. For that you may need full arm gloves like the Vets use.!!!!!!!!!!!!!!!!!!) I have not used a bidet but think it could be very helpful. My solution is just to get in the shower. Never thought I could use a bed pan I just wobbled about on the full side ones but the small fracture pans work like a dread. You can just slip it in from the front and away you go! I even used it at night in rehab when sleeping in a recliner to the amazement of the staff.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
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Unless the lady is also incontinent, then the ideal is an assisted transfer to a bedpan or commode. The slings used for this purpose are designed to allow for toileting.
But assuming that some sort of continence protection is necessary, I'd have thought a diaper would be easier to change than a pull-on, which would also make it more comfortable for the woman (less tugging about).
Why not have a look at some of the product websites and see what would meet her needs best? You might be surprised at the huge range of shapes, sizes and absorbencies on the market.
Maybe using a pull on would work ok for bedtime where just a nightgown is worn. Moms roommate does this.
My people can still stand so pull ups are best for me.
1) Stand them up.
2) Pull down the pants and diaper to knee height.
3) Sit them down.
4) Pull off shoes, pants and then diaper.
5) Put on diaper, pants and shoes to knee height.
6) Stand them up.
7) Pull it all up.
8) Sit them back down.
Only takes 1-2 minutes for me to do it. 1-2 hours to convince them to let me do it.
1) Rip old pad (depends) off the person, at the side it rips so it can come off without having to go down to the floor with it. I agree that diaper is demeaning so Mom and I call the Depends.....PAD.
2) Now Mom is naked except for pants, socks and sneakers all down at her ankles.
3) You will now do ONE AT A TIME foot to put on her new pad.
4) Put the first half of the pad over her left foot and pull the pad through over her sneaker, sock and pants. (It is easy if you make sure Mom/Dad is wearing loose sweat pants or something like it.........Don't try this with tight jeans, TOO HARD.
5) Now one half of the pad is on one leg, pulled through her pants and on top of her sneakers, socks and pants. Now comes the harder part, but well worth it after you get the hang of it doing it 10 or 20 times.
6) You are going to take the other half of the pad and push it down the right leg and over the right sneaker. Make sure as you pull it over the right sneaker it does not "twist" and come up her legs "backwards". Then pull the pad up, her pants up and WA-LAA, you have successfully changed a person without having to take off/put back on their pants and sneakers!
7) Pass this "trick" onto your friends with toddlers with pull ups, works the same way. Remember, LOOSE pants, NOT jeans.
If a person must rely on someone else to get them to the bathroom and help them pull down pants, pull down a "pull up" type brief then a tab type brief is easier.
If you are in any bathroom particularly a public bathroom in order to aid someone that is toileting you need to pull down pants, remove the "pull up" brief, once they are done you have to remove the pants and possibly the shoes they are wearing put on the "pull up" brief, put the pants back on, put the shoes back on then get them up and steady then pull up the "pull up", pull up the pants.
With the Tab type to aid someone that is toileting you pull down the pants, remove the tab type brief, when they are done stand up, put on the tab type brief, pull up the pants and you are done.
By the way, and this going to sound crazy but here goes.... While my Husband was still mobile I put the tab type on him backwards. There is a good reason to doing this.
I would open up the sides of the brief and place it between the legs bringing it up as far as I could then I would bring the tabs around and fasten one side then the other. By doing this backwards I was using his body resistance to get the tabs as tight as possible so it would fit tighter with less gaps. It did not have the look of a saggy loose brief and it seemed to me that it would feel more comfortable than one that gaped and sagged.
Once he could no longer stand and I was changing him in bed I used them the "normal" way and the tabs would fasten in the front.
And I always kept a washable pad under my DH - even on the chairs. Better safe than sorry. I was less worried about the mess and more worried about the added stress to my husband. This way he didn't worry about accidents.
and do smoothies encourage more number 2.....hence the fruits,spinach,and
various bulk with orange juice...….as a water based blender item?Personally
Iam always peeeing as I drink the eight glasses daily but I can run to the bathroom!
it took me a loooooooooong time to master it, but once I did, it has been a lifesaver when I have mom out at a restaurant with me and the public bathroom floor is messy or wet;)
As far as industry terminology goes, diapers are for babies and we avoid this terminology to keep from embarrassing people. Adults use briefs or pull ups. At least here in the south. I know these things are different in other areas.
to protect extra pee,
I do not ever use the word 'diaper' in talking to an adult.
I call them disposable underwear. That is what they are - and supports personal dignity as one ages.
You absolutely want to have a good waterproof mattress bed protector.
That is a given. Actually, you can't have too many layers of soil protection. Heed our suggestions - better than learning the hard way. . . We did that for you. Gena.
If she is bedridden then perhaps the ones with tabs as easy to roll mum and place under her , but it's good if she can be sitting for part of her day.
Any adult protective underwear does have the potential to bunch up and become very uncomfortable and lead to bedsores.
As has been mentioned pull ups can easily be torn down the sides for easy removal.
Public toilets frequently have wet and /or dirty floors so taking an old newspaper or piece of plastic to put on the floor can be helpful.
It is very important to use the remoistened wipes whenever changing protective pad so that irritation from urine is prevented plus rubber gloves for the caregiver.
In many ways the tab pads are easier to use but do not seem as comfortable for someone who is mobile. Always be prepared for some leakage around the legs especially if your loved one has diarrhea which does not seem to be absorbed well in any product. For that you may need full arm gloves like the Vets use.!!!!!!!!!!!!!!!!!!) I have not used a bidet but think it could be very helpful. My solution is just to get in the shower.
Never thought I could use a bed pan I just wobbled about on the full side ones but the small fracture pans work like a dread. You can just slip it in from the front and away you go! I even used it at night in rehab when sleeping in a recliner to the amazement of the staff.