Updated: Feb 26, 2021 Published Feb 23, 2021
sooyoon09
6 Posts
My son suffered brain damage, is now reliant on diapers. He gets a heavy flow at night. He sits still in a good position with a pillow unless he is in my lap and reclined. We tried some brands at the store and they leak at least once a day sometimes many times a day I think it's because it's too thin for his entire bladder especially at night. I'm thinking of buying them online but I'm not sure what to do. If you use them I would like to know what you like.. He's 25 166cm and 65 kilograms trying to gain weight after being underweight for other reasons. Comfort is the biggest concern for me, needs something soft. Nothing slip on, only pin or tape.
I have been changing him in his bed. But I don't like using a pad on his bed where he sleeps. Dressing him in bed gets hard because his bed is lower than my waist. I'm also worried about him falling off of the bed because he slips in bed easily. I would like to find a special needs changing table that was safe and comfortable for him. Good for me at my height because I'm very tall and maybe one that I can store things in instead of using space in the dresser. I'm not good at assembling so it will be something I have to deliver or pick up. I would also like a recommendation on what to do in public bathroom besides for using many mats. Thank you for any recommendation
sleepwalker, MSN, NP
437 Posts
Have you tried doubling or tripling on the diapers? One is NOT going to be enough to stop leakage. You'll have to adjust your diaper allocation with your supplier but that's usually not a major issue.
Try putting two on in typical fashion and then place the third vertical at night and horizontal during the day...the third diaper will catch most of the urine during the day/night and makes for easier changing. The two main diapers serve to catch overflow pretty much stopping leakage.
You need to obtain a hospital bed from the insurance company...it will let you adjust the height for changing comfort, transferring, etc.
2 hours ago, sleepwalker said: Have you tried doubling or tripling on the diapers? One is NOT going to be enough to stop leakage. You'll have to adjust your diaper allocation with your supplier but that's usually not a major issue. Try putting two on in typical fashion and then place the third vertical at night and horizontal during the day...the third diaper will catch most of the urine during the day/night and makes for easier changing. The two main diapers serve to catch overflow pretty much stopping leakage. You need to obtain a hospital bed from the insurance company...it will let you adjust the height for changing comfort, transferring, etc.
I see you're in Korea...hopefully you're utilizing the information provided to you in previous posts.
Remember that no one on this site can provide medical advice but there are numerous resources available for your situation which you'll have to tailor based on what's available in your country.
amoLucia
7,736 Posts
OP - sadly, respondents here may not be aware of what supplies are available in Korea. That's a handicap for us here.
Also, without knowing how your health care system works is an EXTREME handicap. His eligibility for services, its reimbursement and availability for personal care assistance with case management would be critical need to know for us here in order to be of much help.
I believe there might be some social service organizations in your country that you might be able to tap into. Just a thought, are you abe to view Youtube videos??? They freq have how-to videos that may be of assist for your son & you.
Have you tried using an incont pad WITH the adult pull-up? Like double padding? They also make fluid-repellant FABRIC bedpads, not the plastic kind. Might be an option.
Good luck.
Kitiger, RN
1,834 Posts
For large-capacity male clients, we use 2 incontinent pads inside the diaper in front, at the top. One pad wraps around the member, the other pad lies horizontally, over the top. We have very few leaks.
NRSKarenRN, BSN, RN
10 Articles; 18,926 Posts
75 kg = 143 lbs in the U.S.
I've used this type of washable waterproof bed pad for years for my homecare patients, including spouse to protect bed. 3 pads work for 1-2 days for chair/bed bound clients + total incontinence allowing time to wash and dry.
Most families have found 34" x 36" ( 86.36cm x 91.44cm) size works well, others like larger 36" x 52". (91.44 cm x 132.08 cm).
The larger size waterproof bed pad could be used as "changing pad" on top any surface bed, floor, chair.
example RMS Washable Waterproof Bed Pad shown.
There are hundreds of brands of adult incontinent briefs (adult diaper) for sale in the U.S. You will need to check what is sold in Korea.
Three main types:
a. Pull up -- good for trying to bladder train on toilet or commode; side can be ripped off to remove.
b. Tabbed brief --day or night - some have reusable tabs
c. Washable/reusable --snap sides
Booster pads can be used to insert inside brief for overnight leaks. Use caution as can cause severe diaper rash to skin breakdown from constant wetness and urine burn.
I've found womans incontinence pads work even better as a liner for men --
Use a "barrier ointment" to protect skin from excess wetness. I've found those with Zinic Oxide as ingredient work best.
examples:
Hope our posts help you care for you disabled son. Best wishes moving forward.
There are bedrails that can be bought for a regular bed
EZ Adjust rail
Munchkin Toddler safety rail
Be safe!