"Pull-up" high-absorbency overnight diaper for adult male?

DLS_PMHNP, MSN, RN, NP · May 10, 2012

Any chance you can refer to them as briefs vs diapers?

thanks

CabanaDay · May 10, 2012

Any chance you can refer to them as briefs vs diapers?
thanks

I don't understand the question. Please elaborate.

sauconyrunner · May 10, 2012

Diane is saying that maybe if you call the diapers Adult Briefs rather than Diapers, that you may have better success. you may not, but I know that people hate hearing the word diaper.

tomc5555 · May 10, 2012

Client is incontinent of urine and feces and alone overnight 8 to 10 hours. I do bath visits. Client's shirts, sheets, pillows, everything are often soaked in urine.Maybe it's not out there. But I'd like to find an overnight diaper in a pull up.Family is reluctant to accept any change, so if it's pull-ups (Depends Underwear) during the day, they want pull-ups at night. I have educated on overnight diapers including showing family how to put on tape-ups but the best I could get them to do was adding guards (Poise pads) to the Depends.Has anyone found a high absorbency/overnight pull up? I'd really like the brand and name or UPC number.

The family needs to understand it is unacceptable to have this man wet all night. The problem is he needs care during the night to keep his skin healthy. Exposure to urine causes skin breakdown. Is he able to turn himself during the night?There is no brief that will absorb and protect him all night.IMO he is being neglected and if you are certified or licensed you are a mandated reporter of abuse and neglect. Do the right thing and advocate for this man.Good luck.

CabanaDay · May 10, 2012

Diane is saying that maybe if you call the diapers Adult Briefs rather than Diapers, that you may have better success. you may not, but I know that people hate hearing the word diaper.

Ha ha ha! I used the term diaper in this forum in hopes that would better clarify the difference between, well Pull-up Adult Briefs and, um Adult Briefs. I'm terribly sorry Diane if reading the word diaper offended you.

CompleteUnknown · May 10, 2012

The family needs to understand it is unacceptable to have this man wet all night. The problem is he needs care during the night to keep his skin healthy. Exposure to urine causes skin breakdown. Is he able to turn himself during the night?There is no brief that will absorb and protect him all night.IMO he is being neglected and if you are certified or licensed you are a mandated reporter of abuse and neglect. Do the right thing and advocate for this man.Good luck.

There are several incontinence aids on the market that will indeed keep a person's skin in good condition despite being worn all night. The most absorbent one that is used where I work holds 2.5 litres I think, and will keep the skin dry overnight.

It's not necessary to change continence aids during the night if the right product is used and it's certainly not neglect to have a suitably absorbent pad of the right size worn all night. 8 hours is usually quite feasible.

To the OP, I don't think you will find a pull-up that has a similar absorbency to overnight pads, I haven't seen one anyway and would be interested to hear if anyone knows of any. Overnight taped pads can be a little difficult to apply correctly - could you get some free samples so the family could have a look and perhaps then they'd be willing to give them a try?

Is the person mobile at all during the night? I think the night pads are too much of a falls risk in people who are mobile or don't understand or remember the reason for the pad.

CabanaDay · May 10, 2012

There is no brief that will absorb and protect him all night.

I disagree. Millions of men and women manage their own nocturia every night by wearing absorbent incontinence pads or fitted briefs, or both. They sleep, or at least stay in bed, for eight hours or more, get up, wash up, and away they go with their day --- for years.

Do the right thing and advocate for this man.

I think the right thing is finding a better brief the family is comfortable with using. They are doing a great job allowing a parent to live-in. They just need some help.

CabanaDay · May 10, 2012

To the OP, I don't think you will find a pull-up that has a similar absorbency to overnight pads, I haven't seen one anyway and would be interested to hear if anyone knows of any.

I agree but I have done Medicaid bath visits where Medicaid provided top of the line briefs --- the ones with dry granuals inside instead of absorbent fibers. They seemed to hold a liter and a half. But they were unlabeled. And a year ago.

Overnight taped pads can be a little difficult to apply correctly - could you get some free samples so the family could have a look and perhaps then they'd be willing to give them a try?

Yes we tried and they gave up. Only way to do it would be remove all the briefs from the home... path of least resistance leads to the package of Depends pull-ups used during ther day. I even tried the old trick of pre-taping the tape-ons so they are in the form of a pull-up. There is no aide in the home at bedtime. So any teaching has to be in the morning. A hands on learning session each night, one hour, for a week would do it if the agency wasn't so busy a client manager could sell them on the idea, or a nurse manager could intervene.

So we are still looking for super absorbent pull-ups.

CompleteUnknown · May 11, 2012

I haven't actually seen these but I just found Abri-Flex Extra pull-ups at Sanicare that hold just over 2 litres - can you get those where you are? (I'm not in the US).

Maybe you could add a really absorbent liner and that might give you another 500 ml maybe? Would that help?

CabanaDay · May 12, 2012

Abri-Flex Extra Pull-ups at Sanicare that hold just over 2 litres - can you get those where you are?

Yes! Thanks. NorthShore. Also trying Prevail Adjustable Underwear which has the polymer beads (granuals). By weight based guess it appears we need to contain about 1300 cc.

Maybe you could add a really absorbent liner and that might give you another 500 ml maybe?

Well, the guard pad currently in use is part of the problem. Think designed for female "Poise Pad" placed in a male's Pull-up brief. One side of the pad is covered in adhesive and stuck to the diaper. As such, the excess urine (once the "Poise Pad" is saturated) flows around the "Poise Pad" instead of being drawn into the diaper. When forced to use a "Poise Pad," my answer has always been to slit the adhesive backing lengthwise several times. (Before sticking it to the brief!) Again, recall there is no aide at bedtime, just family.

To untrained, inexperienced family, the answer is to stuff a second "Poise Pad" into the Pull-up brief. Which actually makes more urine flow into the bedding since now the leg opening elastic is overstretched. To restate, the family just won't be convinced to try a fitted brief (non Pull-up) based on the difficulty of changing a tape-on fitted brief. Client is mechanical lifted into bed for incontinence care and family is used to logrolling several times to pull up the Pull-ups.

Thus the high absorbency Pull-up used with no "Poise Pad" overnight is my suggestion. Obviously an RN visit or Medical Social Worker visit would be a better choice. Maybe I used the word "diaper" when I asked at the office and that's why I'm being shunned. :)

CompleteUnknown · May 12, 2012

Yes, you need the 'flow-through' liners/boosters otherwise it's a waste of time, as you say. I think the Abri-Let booster pads would probably be okay with the pull ups, but perhaps they'd be too bulky.

Good luck, hope the high absorbency pull-ups work for them. It sounds like the family is doing a great job, all things considered! :)