Hi Everyone,
My patient has dementia but she's still very much independent in going to the bathroom. I wipe her everyday to make sure she does not leave behind any poop stains. She doesn't soil her diapers and so I'm asking, in this situation how often should I change it to avoid bacterial infections like a UTI.
Sometimes he leaks a little so this is the best decision for him.
I read to change everyday if you can afford it. That is not a problem for us and well worth the peace of mind.
So I as I say to friends who are caregivers..make the best decision you can.
I am almost 84 and have worn a 3 layer pad combination for the last several years even tho im not “really” incontinent … yet. im just using them for possible protection.
the following is a description of the layers for those who are saying WHAT ?!
first is the pad. Over that is a paper towel followed width-wise and placed length-wide on top. Pulled almost but not quite to the back end of the pad. Finally a thin liner laid on top about half the length of the paper towel and extending to my underpants to keep the paper towel from falling off and down my pant leg.
Surprisingly not as uncomfortable as it sounds.
Im only incontinent enough to maybe have to change only the paper towel or liner occasionally.
It basically depends, i think, on my bowel rolling onto the appropriate other part.
I like doing it that way to save money since i usually need to change only the paper towel or liner not the whole thing.
Im also using hand sanitizer when i go into the bathroom and washing my hands with soap when i leave. I dont have to worry about where my hands have been when i go in and dont worry about spreading germs when i come out.
All this amounts to is how cognizant a person is and the level of incontinence.
i guess depends on your budget
I would have thought morning and evening
The briefs are expensive and I constantly search for “deals” to lessen the burden. But keeping her healthy and comfortable and her skin healthy is worth it. It’s terrible that it’s not a covered or subsidized expense given what she still pays for supplemental health insurance!!!
Diapers usually have tape tabs that you use to open and close them to chg or remove them. It’s a little confusing because lots of people don’t like the term diapers. They say it’s demeaning, so what ever style you wear, the kind that pull up or the tab closure kind they prefer to call them adult disposable briefs or disposable underwear.
If the brief (aka diaper) is dry and clean no need to change it. I would change it if it is damp from sweat. I would also change it if it appears that the filler inside is bunched or moved around a bit.
Given the scenario that you have given, you don't change your own underwear after you have gone to the bathroom so the same would apply to your patient.
My mom wore pull-ups to keep from having to rush and risk a fall. She never knew when she might not make it so wore the pull-ups.
I would be changing morning, noon, dinner time and bed time, these are also natural times to visit the toilet so perhaps you can have her do that while you check her pad or pullups - there's no need to change if she's dry.
Now, giving yakima the benefit of the doubt I bow to your wisdom and good advice, cwillie, and I think that your ideas for changing are stellar!
Do fill me in, and then I can answer.
I would switch her over to pull-ups during the day and if she doesn't mess it, have her change into a clean one every day when she gets washed up and dressed for the day.