Jump to content

Managing incontinence in the hospital

Posted

Just curious to how incontinence is managed at your facility. I’m talking about the incontinent bedridden patients who can’t get out of bed. Besides condom Caths and purewicks which do not always stay put. We are not allowed to us briefs. Do you think briefs contribute more to skin breakdown? It can’t feel good to wet the bed, gown, and blankets either.

Silverdragon102, BSN

Specializes in Medical and general practice now LTC. Has 33 years experience.

Why are they bed ridden? I work LTC and unless palliative we encourage everyone to get up and we do use systems for incontinence and these are changed when we lay residents down in the afternoon and again when they go to bed. I see less skin breakdowns when using systems (diapers) properly than I do when used incorrectly

Sweetheart2005, ASN

Specializes in Med surg/tele. Has 10 years experience.

We use briefs and check out incontinent patients every two hours, more often per judgement if indicated, or if a patient is able to know they’re wet and tell us, when they say so. In combination will use barrier creams on those with known incontintinence issues. Those with more severe skin issues that briefs are a problem, we drape chucks around them almost like a brief but much looser

LISA25

Specializes in REGISTERED NURSING.

WE HAVE A RES. THAT IS OBESE, URING HAS TESTED POSITIVE FOR ESBI, AND NOW SHE HAS BREAKDOWN. WHAT DO YOU THINK? CATHETER TO STOP HER SITTING IN URINE, AND HER WOUND BEING IN URINE, OR NOT? HELP.

SORRY, URINE. THIS IS A LONG TERM CARE CENTER.

Sash09, MSN, EdD

Specializes in masters. Has 6 years experience.

On 7/1/2020 at 1:48 PM, love lilacs said:

Just curious to how incontinence is managed at your facility. I’m talking about the incontinent bedridden patients who can’t get out of bed. Besides condom Caths and purewicks which do not always stay put. We are not allowed to us briefs. Do you think briefs contribute more to skin breakdown? It can’t feel good to wet the bed, gown, and blankets either.

When it comes to using external urine management devices. We don't have a wide number of options available to choose from, I came across below mentioned products, which helps a great deal in eradicating the chance of developing any form of infections and CAUTI. In my personal experience I found Consure Medical's QiVi better than Primo FIt- https://youtu.be/eku_PVCwD1E

External Urine management device/kits available:-

1. QiVi

2.Pure Wick

3.Primo Fit

4.UriCap