Start of incontinence...maybe

[lizzybean]

Hi all, posted a week ago or so about my MIL. She has started carry spare undies, mentioned to me about a little accident. Got some good advice & bought her some pads. Gave them to her y'day & matter of factually explained what they were for & she seemed to accept them as a good idea.
Just been to the last day of our course at Age Concern (very good, by the way) she went to the loo after lunch, then was complaining about being a bit damp. By the time we got home she decided she had sat in a puddle!!! I explained she had probably leaked a bit after her visit. What concerns me was her reluctance to change her undies & tights when we got back, she was quite happy to sit in damp underwear.
Really not like her at all. Oh & do you remind them to put a pad on everytime they go out??? Every day as they get up???? Change them frequently???

 

[lulubel]

I am asking myself the same question, actually. My mum wears pads all the time now. I've got no idea whether its the beginnings of incontinence or just old age? She's aware that she needs to wear them, but I do find them discarded in the bathroom, and even in the washing sometimes!
I don't keep that careful watch on her, but I think she wears one during the day and another at night.
Not much help I'm sorry, but its a bit of a mystery to me too...

lulu xx

 

[Beate]

My OH is happy to sit in his full incontinence pants all day. He does need practical help and reminding to change them and get cleaned up. Sorry but with the disease goes all pride in appearance or hygiene concerns so you will have to check and remind every so often.

 

[2jays]

Mum used to rinse her damp Ten*a ladies under the tap and put them to dry on the radiator.

Then it was just put them on the radiator to dry and reuse them when they were dry, putting the one she was wearing onto the radiator

Then it was refusing to change them until soaking, and she would pad them with tissues until they were too wet and had to be changed.

On top of her Te*na ladies she would usually wear 2 pairs of pants - just incase the pad leaked

Which it often did as she became more incontinent.

In the care home now she only has Te*na pants. We have removed her cotton ones and the Carers are very good at getting the T pants changed regularly.

 

[Laurano]

My Dad used to flush them down the toilet frequently, we had a very good relationship with a local dynorod company. He also used to put them on lamps to dry out and sometimes would throw them out of his bedroom window, often when we were sitting on the patio! It's all so very difficult

 

[lizzybean]

Oh gosh Guys! I knew it wasn't going to be easy but you are putting the fear of God into me! Who knew all these things were out there waiting to ambush us? Don't let it stop you posting tho, I would rather know of possible difficulties in the future than not.

 

[MeganCat]

My mum is in a care home and has has the odd accident - though mostly ok, I guess this is just around the corner

How do you get pads? Will the home arrange it? Is it through SS or health or do we have to purchase them privately?

 

[Maymab]

Not sure if it is the same everywhere but I think you get referred by the GP to the Continence Service. Where I live the p ads are free and will be delivered.

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[jaymor]

My mum is in a care home and has has the odd accident - though mostly ok, I guess this is just around the corner

How do you get pads? Will the home arrange it? Is it through SS or health or do we have to purchase them privately?

My husband has now become incontinent and he wears the pants which are great. When he has his more lucid moments and knows he needs the toilet he can deal with taking them down as he would his boxers or pulling the leg to one side to manage a wee. He would struggle to do that with a pad.

His pants are supplied by the nursing home but he does have CHC that is supplied by the NHS.

From my meetings at Alzheimer Society it seems that they buy the pads themselves to start with until they have seen a continence nurse,. Then they are supplied free and delivered or picked up. Some say they are not prescribed enough and still have to purchase some themselves and others have said the ones prescribed are not absorbent enough despite the user being tested for urine output. It really does seem to be a problem.

I would say if someone has been seen and prescribed free pads then the home can apply to receive the pads/pants or if the incontinence happens when they are in the home then the home applies for a visit from the nurse and they get the pads so will be free.

Just something else for us to worry about.

Jay

 

[jawuk]

My husband has had urinary incontinence at night for about two months now and wears the large pads and 'Y front' pants supplied by the incontinence service beneath his pyjamas and sleeps atop a bed pad. Every morning without fail he is soaked, pads, pants, PJs and tee shirt.
I've cut out all caffeine from his drinks, don't give him a drink after about 6pm and make sure he goes to the wc frequently and always before he gets into bed. It makes no difference whatsoever and I'm beginning to wonder whether there's any point in padding him up every night when he still gets absolutely wet through.

Is this nightly soaking normal even when using incontinence kit or am I doing it wrong?

 

[Chrismitch]

Pads and pants are not paid for by the NHS for occasional accidents, only for permanent incontinence and only after an assessment.

 

[Beate]

My husband has had urinary incontinence at night for about two months now and wears the large pads and 'Y front' pants supplied by the incontinence service beneath his pyjamas and sleeps atop a bed pad. Every morning without fail he is soaked, pads, pants, PJs and tee shirt.
I've cut out all caffeine from his drinks, don't give him a drink after about 6pm and make sure he goes to the wc frequently and always before he gets into bed. It makes no difference whatsoever and I'm beginning to wonder whether there's any point in padding him up every night when he still gets absolutely wet through.

Is this nightly soaking normal even when using incontinence kit or am I doing it wrong?

Same here, whatever I do, everything's wet in the morning.

 

[Izzy]

I set my phone alarm for 2-3 hours from when the pad went on and take him to the bathroom to put a fresh one on.

 

[bilslin]

Hi izzybean think my mums at the start of it also. Her laundry bin longs when I go to sort the washing out for her. Tried many times with the pads, she wont wear them, more so of a night time, cw tried putting them with her nighty but she kept putting back in the draw so just have to wait I guess and see what's next. just another thing to deal with on this horrible joinery of AD. lindax

 

[Maymab]

I don't think you are doing it wrong Beate. I have tried everything and pestered the Continence Service no end but haven't found a really satisfactory answer to this unpleasant problem. My O'H wears the Tena pants over the Maxi slip but the success rate is disappointingly low. Don't think there is a good answer to the problem really but it does help to know you are not the only one going through the same thing.

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[jawuk]

Does anyone know of a reason why night time urinary incontinence occurs? Is it part of dementia and if so, what instigates it? My husband never has a problem telling me during the daytime that he needs to go to the loo so he definitely hasn't lost sensation in his bladder.

 

[2jays]

Does anyone know of a reason why night time urinary incontinence occurs? Is it part of dementia and if so, what instigates it? My husband never has a problem telling me during the daytime that he needs to go to the loo so he definitely hasn't lost sensation in his bladder.

Possibly... But I have no idea only a guess...

Because his brain "switches off" during the night so the normal body triggers that wake you and me are not so urgent or understood by him.

I do think this is part of what happens with dementia. Only because of what I have read on here, not personal experience.

 

[Winnie10]

Ten.. Pants

NHS products used by Mum when in hospital were never absorbent enough.
Did you know if you buy the products direct from the company who makes them you don't have to pay VAT.
Usually have some offer on eg:4 boxes (yes boxes- perhaps three packets in a box depending on product) for the price of three. Good clean up products too.

On keeping dry - yes I check Mum like you would a tot.
But say to her I need to go to the loo, do you? Answer quite often no, at this point I say, will you take me? she is quite happy to do this remembers she is my mum and thats what mums do take you to the bathroom.
Explained the importance of being dry and not letting the pad get too wet as urine infections would set in which might result in hospital (Mum accept this so far)
I have found the pads (maxi Night) have higher absorbance rate than the pants.
So use them day and night time. The pads are more shaped and comfortable to wear.
Night time include bed pad and wake her to take to toilet early morning about 6am.
Always have white cotton knickers so can wash altogether at 60 wash to kill germs.

 

[Izzy]

Does anyone know of a reason why night time urinary incontinence occurs? Is it part of dementia and if so, what instigates it? My husband never has a problem telling me during the daytime that he needs to go to the loo so he definitely hasn't lost sensation in his bladder.

This discusses nighttime incontinence -

http://www.nafc.org/bladder-bowel-health/bedwetting-2/adult-bedwetting/

This Society website might be of interest -

http://www.alzheimers.org.uk/site/scripts/documents_info.php?documentID=136

 

[ASH74]

Local community NHS should have a specialist nurse responsible for supporting you and prescribing products, internet search your local area and it usually will give you the info. For us this happens via the district nursing service who do the assessment etc for products, we now get a monthly delivery directly to home......while in hospital the NHS should supply products there directly ( but don't rely on that happening!).


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