- 0Aug 7, '12 by BrandonLPNHas anyone else heard of these? At my facility (90% male residents) we put them on most of our incontinent residents. Basically it's where you take a brief, poke a hole through it, pull the penis through the hole and wrap it around the penis in a ball. So the penis is all "wrapped" up. Then you just dress the resident in another brief and pants like normal. This is done so the guys don't soak their pants, sheets, wheel chair, etc. They've been doing it this way for at least 20 years. A new nurse just started, and she says this is "illegal" anywhere else. I have to admit, I was shocked and appalled at this practice when I started, but it really doesn't seem to cause any skin issues. I DO think we have more UTIs because of them. When i started, the staff educator told me they were harmless. I had never seen them before this place, does anyone else use them? Does it seem like a health issue?
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- 2Aug 7, '12 by Asystole RNI am curious as to the advantage of utilizing two briefs for a single soiling versus one. Are your male patients so well-endowed that a separate brief must be used to contain their massive genitalia? Do they urinate in such vast quantity that a single brief simply cannot contain the deluge? Or is this so that they can be left for a longer period of time between brief changes?
This could very much so be a patient dignity issue but I am curious as to what a clarified rationale would be.
- 0Aug 7, '12 by BrandonLPNNo, we use them on all incontinent male residents. They're used to decrease the frequency of brief changes. Most of them get a brief change once, maybe twice, a shift. It should be noted the residents prefer them. They can go about their day without soaking their pants. And most of them request (demand) not to be woken during the night and third shift only changes them once, shortly before first shift comes in.
Again, I was stunned by all this when I started, but it really does seem to work well. We have less skin issues than most other facilities I've seen. And the guys seem happier and have more freedom to go about their activities. We have a garden, a wood shop, a cafe, a pool room and a bowling alley all on site and lots of volunteers tom help them out. I think the wraps are just used to enable the incontinent residents to be off the floor for extended times and to sleep through the night. It sounds lazy/shady, I know, but if the guys are healthy and happy, isn't that all that matters?
Sometimes I just wonder if having soaking wraps pressed against the penis causes UTIs?
- 1Aug 8, '12 by merleeI am having a hard time visualizing this, and am not sure if a male incontinence brief would not be more appropriate. Does this wrap act like a clamping device of sorts?
There are a variety of incontinence systems that would seem to be better overall. Is this a financial issue, as well?
- 3Aug 8, '12 by blessedmomma247I have been in LTC for a long time and this is a first for me. To me, this would be both a diginity and health concern. I would also think this is cause of your increase UTI's because the residents are not getting proper peri-care done. Generally, in most LTC, residents should be offered to be toileted every two hours and more if needed. If a resident is constantly soaking thru the brief, his clothes, and down to wheel chair; then that should be evaulated further rather than covered up. Do they have an over active bladder? UTI? Is it related to their meds? I also understand that residents have the right to refuse to be changed or toileted, they are busy with daily activities and therapy; however I think having a toileting program in place is better than "peenie wraps".