incontinence question

Nurses General Nursing

Published

I am in a wheelchair and have cerebral palsy. I am not incontinent per se, but I began wearing adult briefs because one of my home health aides recommended them. They work great for their purpose. I have aides coming four times a day. In the home health field, there are ALOT of call-offs and no shows. Well, now I wear attends so I can go if I need to before they come, if they are late, or if they don't show up. When the aide does come, they either change me or help me in the bathroom (take off the attends, I use the bathroom, put it back on).

The one problem I do have is, they are absorbent when I am sitting in my chair, but I am usually soaked overnight (sheets, blankets, briefs, everything.) I go the same amount. Why is this?

My second problem I have is I wear Attends Classic 10 medium. I finally found a brand I like, is comfortable, and doesn't leak everywhere. And now it's off the market. Everyone has cloth. I hate cloth. It isn't as absorbent.

So I need help with why I leak laying down but not sitting in my chair and finding a new brand. Thank you.

Specializes in Ortho, Case Management, blabla.

I wear Attends Classic 10 medium. I finally found a brand I like, is comfortable, and doesn't leak everywhere.

Is this some sort of viral marketing campaign?

Is this some sort of viral marketing campaign?

i'm not understanding your comment...

leslie

Hey casi:

Which Tena product is the most adsorbent? There is like 10 different kinds. Also, you said I should look for diaper style/tape briefs. Isn't that what Attends are? How do I know? Thanks.

Specializes in LTC.

What I've used on people are Tena brand, they are blue plastic. I've looked for them all over online and they might be the Tena classic, but I can't find a good enough picture to tell.

Specializes in Surgical tech in nurseless angio suite..

My second problem I have is I wear Attends Classic 10 medium. I finally found a brand I like, is comfortable, and doesn't leak everywhere. And now it's off the market. Everyone has cloth. I hate cloth. It isn't as absorbent.

So I need help with why I leak laying down but not sitting in my chair and finding a new brand. Thank you.

Hi. I would suggest trying Abena. I've used the Abena (both plastic and breathable) to deal with fecal incontinence, and sometimes I've had urinary accidents in the Abena X-Plus when I am rushing somewhere trying to get to a bathroom (like driving through a bad part of town late at night on my way home from work) and suddenly my pelvic floor just gives up and I lose control of my urine along with the stool...with an distended gut pressing on my bladder, this can happen.

Anyway, I've not had a leak in the Abena of either feces or urine. But they are more expensive. I use that brand only when I am extra-sick, or in some sort of activity where I know I could have an accident and it may take a while to get to a restroom.

On a daily basis, I use the high-end Tena pullups, the ones that come 16 or 18 to a bag (medium), not the cheap Tena Serenity ones, they're junk. The Abena pullups are better, but expensive.

I pay for them all myself. I could probably get my insurance to pay, but they're already paying $1500 a week for my medication and I now have a maximum lifetime limit...

I used to buy the Abena from drugstore.com, now I order them from xpmedical.com (disclaimer: I don't work for either company).

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