First wet bed, next step?

Discussion in 'I have a partner with dementia' started by Jinx, Jul 21, 2014.

  1. Jinx

    Jinx Registered User

    Mar 13, 2014
    2,333
    Pontypool
    #1 Jinx, Jul 21, 2014
    Last edited: Jul 21, 2014
    The previous 2 nights I have discovered that B has wee'd on the carpet in his bedroom in front of the radiator, but had no recollection and blamed it on 'one of the others'. Last night I woke to hear him moving around and found him in just his underpants and a pullover, in bed, saying that everything was very damp and he couldn't understand it. He had removed his very soggy PJs but was sitting in the wee. Unfortunately I was completely unprepared for this event and had no mistress (meant mattress, but if he's got a mistress she deserves to get wet too!!) protection so now have to try and dry it out.

    So, obviously I need to get waterproof mattress protection now but do I wait until it happens again or assume that he now needs to wear pads at night. I know loads of you cope with incontinence but how did you cope when it first started?


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  2. 1954

    1954 Registered User

    Jan 3, 2013
    3,835
    Sidcup
    Hi Jinx

    With my MIL who lives with us I pre-emptied the situation. I got the mattress protector, removed carpet from bedroom and put vinyl down (for easy cleaning). After the first incontinence I asked the GP for a District Nurse to come and assess for pads which we have delivered. I put a pad on MIL whether she really needs it day and night because when she is incontinent its such a huge clean up situation and also I didn't want a 'smelly' house
     
  3. Izzy

    Izzy Volunteer Moderator

    Aug 31, 2003
    59,742
    Female
    Dundee
    Would he agree to go for an appointment to talk with a continence nurse? Your GP should be able to refer to this service. I think in some areas the nurse visits your home but we have to go to the clinic. It wouldl be good to get advice re what might be appropriate products for his particular situation. My husband was also prescribed medication to reduce the urge to urinate so much through the night. I'm not sure it works! Until you can get such an appointment I would consider seeing if he will wear pads or pull up pants.
     
  4. nitram

    nitram Registered User

    Apr 6, 2011
    19,140
    Male
    North Manchester
    >>>Kylie sheets<<< are very good

    May not be the best price, there are also other high absorbency products.
     
  5. Jinx

    Jinx Registered User

    Mar 13, 2014
    2,333
    Pontypool
    Thank you all, I will follow up all suggestions. Advice much appreciated.


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  6. Izzy

    Izzy Volunteer Moderator

    Aug 31, 2003
    59,742
    Female
    Dundee
    The continence nurse has told me not to use these as well as other continence pads or products. She said that both the sheet and the product will be drawing moisture from him and that will compromise his skin!
     
  7. jeany123

    jeany123 Registered User

    Mar 24, 2012
    19,036
    Durham
    I don't understand that Izzy, how does it work :)
     
  8. Sue J

    Sue J Registered User

    Dec 9, 2009
    8,035
    I would also get urine checked for an infection.
     
  9. Sue J

    Sue J Registered User

    Dec 9, 2009
    8,035
    I agree, I find it an interesting one. Something to do with osmosis I suppose:confused:
     
  10. geordie

    geordie Registered User

    May 11, 2010
    108
    Don't forget about protecting the skin from urine - GP can prescribe sth like Cavilon
     
  11. Izzy

    Izzy Volunteer Moderator

    Aug 31, 2003
    59,742
    Female
    Dundee
    I discussed that with the CPN today. She couldn't understand it either. Kylie is coming out of storage!


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  12. jaymor

    jaymor Volunteer Moderator

    Jul 14, 2006
    12,517
    Female
    England
    We had a talk by the continence nurse at our Alzheimer's society monthly meeting and she said she could no stress strongly enough that the right absorbency should be used. If a pad that could hold more urine than was being expelled was used then skin would be compromised as the absorbing partials would continue to draw liquid from the skin causing breakdown.
     
  13. Izzy

    Izzy Volunteer Moderator

    Aug 31, 2003
    59,742
    Female
    Dundee
    I know that's what our one is getting at. Having said that when the maxi slip is soaked through at 1am I feel justified in changing it to a new one. She doesn't want me to do this.
     
  14. LadyA

    LadyA Registered User

    Oct 19, 2009
    13,529
    Ireland
    But how do you know how much he's going to do on a given day or time? William can go all day without wetting - but will often flood the pad at night. Or equally, can only do a small amount at night and then flood the pad next day. And as he won't allow me to change him all day, he has to use eight hour pads.
     
  15. Izzy

    Izzy Volunteer Moderator

    Aug 31, 2003
    59,742
    Female
    Dundee
    Not sure what 8 hour pads are. The ones we get are Tena Comfort maxi slips. They are categorised by absorbency levels not hours. An 8 hour one would be brilliant overnight! Bill now has a sheath and leg bag for through the day. The night bag didn't work as he pulled it out more often than not.

    He passes lots of urine day and night! As he had urinary retention in November and had to have a temporary catheter he is on Alfulozin (or something that sounds like that. It's like Tamulosin). Also furosemide so he does pee a lot!

    When he did have the night bag and kept it in there was a litre in the bag in the morning.


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  16. LadyA

    LadyA Registered User

    Oct 19, 2009
    13,529
    Ireland
    Well, William's pads are referred to as "8 hour" pads, but on the package they are done by absorbancy too. Can't remember how much they hold. He was on a diuretic for a short while because of his fluid retention (congestive heart failure), but he didn't like wetting so much, and stopped drinking! Also, for some reason he kept complaining of back pain while on the diuretic, & the doctor said that while he had never come across that side effect before, he couldn't ignore it, and at William's age, the slight heart failure might be the lesser of the two evils.

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  17. Jinx

    Jinx Registered User

    Mar 13, 2014
    2,333
    Pontypool
    Well, no urine infection, so mattress protector bought and on the bed and himself in pull-ups without a murmur tonight. We shall see what occurs!


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  18. jaymor

    jaymor Volunteer Moderator

    Jul 14, 2006
    12,517
    Female
    England
    The continence nurse said the bladder when full holds at most 600mls.
     
  19. lin1

    lin1 Registered User

    Jan 14, 2010
    9,320
    Female
    East Kent
    Hello Jinx.
    With my mum the incontinence came on sort of gradually. though of course it can happen suddenly

    Hopefully the Continence nurse will be out to you soon and is able to provide you with suitable products.
    Whilst waiting for the visit it might be better to buy incontinence products or bed protection online, as you can fill out their VAT exemption form and not have to pay the VAT.
     
  20. lin1

    lin1 Registered User

    Jan 14, 2010
    9,320
    Female
    East Kent
    She didn't know my mum :D
     

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