Changing a patient's diaper while they are standing ? - page 4
I am a Future RN student (one more semester of academics WOO HOO) and I am currently completing my clinicals for my CNA. I just started my rotation at a local LTC and OMG it is awful. Not the job I... Read More
Jan 24, '08Joined: Feb '07; Posts: 50; Likes: 18i have asked the patient/resident what they prefer, because i have done it both ways. last week i had a man who knew when he had to go, but he wore a brief in case of an accident. on the way back from the bathroom he asked if i could put his brief back on while he stood at the bed. i think it is easier if the patient is steady on their feet, and their dignity should always come first.
Feb 14, '09Joined: Feb '09; Posts: 1Calling a diaper a diaper is a good thing. Maybe not in the presents of the one who is being changed, but in general we all need to call them diapers.
When our lawmakers hear that we are changing "briefs" or "undergarments" they think of something washable, and
not a disposable diaper. That is why DIAPERS are not paid for by Uncle Scam.
I help take care of a few older people who live near by me, and after a life time of working and paying into
the system, they have to choose between DIAPERS and good food.
The sooner people quit calling a diaper a "pad" the sooner Uncle Scam will understand that they are necessary part
of keeping someone clean and dry, which is DIGNITY.
A pad is something a menstruating women wears, a brief is something a guy wears, and an undergarment is a tee shirt or bra, panties are something women wear....
A diaper is a diaper, so lets call them that, and hope that Uncle Scam will start to pay for them!
Feb 14, '09Occupation: CNA Specialty: 3 year(s) of experience in cna in ltc ; From: US ; Joined: Sep '08; Posts: 1,878; Likes: 2,817I don't see what's so bad about changing a brief standing up. It's no less dignified (or should I say, it's just as undignified) as changing one in bed or while sitting on the toilet.
We were taught not to call them diapers. We do have one guy who's walkie talkie, and normally not incontinent, who comes out into the hallway and asks us to get him a diaper everytime he gets MoM. I think he's afraid he won't make it to the bathroom in the middle of the night. I was caught off guard the first time he asked me.
Feb 17, '09Specialty: Med/Surg, Well-Baby Nursery, NICU ; From: US ; Joined: Feb '09; Posts: 30; Likes: 12I've changed a patient while they were standing up. I think it's okay as long as they are steady enough to hold themselves up while you clean them. It also helps if you can get another aide, nurse, etc. to assist you (one of you steadies the patient while the other cleans his bottom). I usually only clean a patient up in this manner when they're already OOB sitting in a chair..I'll realize they've had a BM when I stand them up to get them back into bed.
Feb 17, '09From: US ; Joined: Jun '08; Posts: 408; Likes: 181I don't see why it's wrong. If the patient is strong enough to stand, it makes it easier to clean him/her up and put a new brief on. And it's hard for 1 CNA to have 19 patients. That's TOO many patients. The facility needs to hire more people.
Feb 18, '09Occupation: ED NP and Clinical Instructor Specialty: Emergency Nursing ; From: US ; Joined: Jul '05; Posts: 1,201; Likes: 1,547I know that this has been said 1000 times but I will say it again. I my mind babies wear diapers and adults who are incontinent wear briefs, that's it in my mind. As far changing briefs goes here are my thoughts; if the patient/client is able to get out of bed and ambulate to the bathroom/commode then we clean up at the toilet with them standing after they have been allowed to sit on the toilet/commode so they can get a chance to use the toilet like an adult should be allowed to and they can stand when they are done to be cleaned up either by the help of another staff member or by themselves with support from the hand rails or a walker. If the patient/client isn't able to get out of bed then they get cleaned up in bed. I always remind patients that it won't take very long and that it is for their comfort which is usually enough to calm their fears and it makes the whole situation a lot easier.
Feb 18, '09Occupation: hospital floor nurse. Specialty: acute care, rehab, palliative ; From: CA ; Joined: Oct '04; Posts: 7,259; Likes: 10,972Pts deserve to keep as much of their dignity intact as they can. Calling a brief a diaper is degrading. I also call the devices they wear around their neck at mealtimes aprons, not bibs.
Feb 18, '09Joined: Aug '08; Posts: 417; Likes: 249We call them diapers and pullups, so do the residents all the time. I've said the word brief and they don't understand.
Changing either standing up is by far preferable to rolling back and forth in bed to get one on. We've had people who have since lost the ability to stand and miss the old way. They ask when they can go back to it.
A pad where I work is what we put under them to keep from changing the sheets all night. Day ratio is one to five or less. Nights its 1-22 or 1-36. And most of them have to be gotten up with help in the morning. Standing and doing it makes the job so easyyyy.
Feb 20, '09Joined: Mar '07; Posts: 1,205; Likes: 1,137I too have the resident stand if they are able. If it's in the bathroom, they hold onto the rails, and if it's beside the bed, they hold the bedrail. I have one resident who sleeps in a recliner and he likes to stand up and hold onto his dresser to be changed. You just have to do what's easiest for the resident and for you.