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Newsletter, July-September 2017

How to take care of the night sleep of a patient with urinary incontinence

M. Dvoryaninova


  • to try not to wake up the patient during when changing his night diaper;
  • to try to see to it that by the morning the patient does not lie in a wet bed (if you cannot come up to the patient or he refuses to use a diaper but does not ask for a bedpan, etc.).

What can be done:

  • to put in diaper pants an additional pad made from a diaper, better a smaller than the one used by the patient. Then, if the pad is overfilled with urine the diaper will take in new portions of urine. But not everyone can buy pads, especially the expensive night ones, while a small pad helps only if a patient does not urinate much and you can often check up whether it is wet and immediately change it. To make a pad from a diaper you should carefully tear away its wings without damaging the absorbing layer. You can also cut off all extras from a diaper to make it look like a pad. Of course, it is better to use one diaper and change when turning the patient. But it sometimes happens that during a turn the diaper is dry but in 15 minutes it may be wet. The patient may begin to nod by this time, so it is better to unfasten the diaper quietly and take the pad away. And another note: we put a pad where the patients urinates the most (usually it becomes clear in a couple of days). If upwards, you can try to place the pad horizontally. For a man you can make a small pocket from the pad. There are many ways. You should simply tune in to a particular patient.
  • To prevent an active patient from taking off a diaper, you can do something like a body. Certainly, it will not suit every patient (some will figure out how to put off our device), but as an option it can be tested. How to make a body? If you can sew you can make a professional model. But we will consider a simple way. Let us take our patient's athletic shirt or a T-shirt, a longer one, and sew a button in middle of its bottom and make a buttonhole. When we button up our body the button will not disturb the patient because it will touch the diaper.

There are professional ways (http://alzstore.ru/spec/clother/) but responses to them are not very positive, while our ways have proved to be quite successful.

By the way, the same site presents mittens (http://alzstore.ru/spec/fixator/af1002.html) as devices that prevent a diaper from coming undone. Anyway, what is necessary is an individual approach.

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