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incontinence pads

Discussion in 'I care for a person with dementia' started by witts1973, Nov 8, 2018.

  1. witts1973

    witts1973 Registered User

    Jun 20, 2018
    287
    #1 witts1973, Nov 8, 2018
    Last edited: Nov 8, 2018
    My mum has incontinence pads, after having sore ladies parts a few times,I rang the continence team for advice,we then had a visit,the lady was of little help but changed my mums prescription even though it had be renewed 2 months before and signed off for the year.
    She said the volume of the pads was too much for my mums liquid intake and so gave her the slip in pads and tried to give her 3 pads a day instead of 4,I said we will need 4 pads as my mum has 4 care visits and so she gave me 4,after a trial we found the night one was very wet so they have now given her 1 of the old type Abri Sans with sticky fasteners and 3 of the slip ins.
    I have noticed that the carers often fail to have enough pad showing at the vagina when it has been positioned so she can end up peeing all over the place in bed,one of the her very good carers has mentioned this to me tonight saying my mum always has a poo in at the pad every visit and so the pad can't be pulled any futher forward.
    I wish I hadn't rang the continence service in the first place now,believe it was a cost cutting exercise and how is it going to benefit the bed bound person now peeing all over the place and more at liberty to fiddle down below as they haven't got a fitted pad,has anyone ever managed to get a change of prescription with these people to suit the user?I have just researched and there is a pad for my mothers waist size which holds the same volume as the pads that don't fit properly it's 1 down in the range from my mums night pad,but no doubt more expensive than the slip in pads that she has been given
     
  2. nae sporran

    nae sporran Volunteer Host

    Oct 29, 2014
    4,832
    Male
    Bristol
    That's not much help is it witts 1973, sorry you are not getting the support your mum needs. After a false start with the continence service I wrote to them and requested a second appointment. They now send pull ups, it took a trial before they increased the absorbency on those, but persistence seems to work in Bristol anyway.
     
  3. Stayingpositive

    Stayingpositive New member

    Nov 6, 2018
    5
    I buy pull up pants for my mum in bulk from Boots as they are often on offer. I use her AA as she just sees them as ‘knickers’ and she has mostly remained independent to visit the toilet and if she leaks no problem. She doesn’t get sore so I believe they are money well spent. I wouldn’t want her to have to try those on prescription even if reduced cost or free as what we do works so well for her.
     
  4. witts1973

    witts1973 Registered User

    Jun 20, 2018
    287
    Thanks,at least I can ring them tomorrow and tell them the carers have said that they are an awful fit for my mum so it doesn't sound like I'm being fussy and going against the grain for the fun of it,I will let you know what they say.
     
  5. marionq

    marionq Registered User

    Apr 24, 2013
    4,891
    Female
    Scotland
    I had an appointment yesterday with John at the incontinence clinic and the nurse was very helpful and told me there were a number of different types for John. She demonstrated a few of these she thought were right but told me that watching for skin breakdown was paramount. She told me not to use any creams like Sudocrem I might have in the medicine cabinet but to go the GP and get one of the specialised creams. Sudocrem apparently blocks the urine in and the acid in the urine irritates the skin.

    The main thing is that the pads she's giving me are on trial so that I decide which is best before ordering a load of them. She also said if circumstances change to phone her and we would try a different product. What a difference when you have nurses listening and being helpful
     
  6. witts1973

    witts1973 Registered User

    Jun 20, 2018
    287
    Yes indeed,the lady that visited last time was very abrasive and belittled me as a carer in front of my friend that had visited,but when you get somebody that listens and has an open mind,they are priceless
     
  7. Sad Staffs

    Sad Staffs Registered User

    Jun 26, 2018
    409
    Female
    My husband constantly pees. He has lots of problems with his kidneys and bladder, constant infections, repeat antibiotics.
    The incontinence service provide a night time wrap around pad. I have to fit it, he wouldn’t be able to do it himself. I found that he needed a smaller size than they said. It needs to fit very snug, and I use a booster pad inside. The booster pad doesn’t have a waterproof backing so it just absorbs more. On top of all this I put him a pair of pull up pants which catches any leg leakage.
    The service provide us with 3 day pads. This isn’t enough so I buy in stock from the same place the incontinence service use, Hartmanns.
    I also buy pull up pants for when we go out, and that is where I get the booster pads, called Strampelpeter level 2, from.
    It’s all a nightmare. But we just go day by day, hour by hour. Bx
     
  8. Philbo

    Philbo Registered User

    Feb 28, 2017
    496
    Male
    Kent
    When my wife's incontinence first became a problem, and after waiting over 3 months for our referral to the incontinence team, they initially said that they only provided pads.

    I said that these would be of no use as my wife already had a habit of discarding the panty-liner products I had tried using and I had progressed to pull-up pants.

    I then found out that in such circumstances, they can indeed supply pull-ups, which they eventually agreed to do. It also helped that they had just moved contract supplier to the same brand/type we had been purchasing ourselves. They supply enough for 4 a day.

    It really is a post-code lottery though but worth pestering your incontinence team further?

    Good luck.
    Phil
     
  9. witts1973

    witts1973 Registered User

    Jun 20, 2018
    287
    Thanks folks I have spoken to them this morning and I'm expecting a call back from the lady that was rude on the last visit,I asked did it have to be her that deals with us this time and they said yes,oh well I shall see if anything can be resolved.
    Have a good weekend
     
  10. May30

    May30 Registered User

    Feb 25, 2017
    9
    Hi my dad is in the same situation but we can't get him to wear the pull up pads! He wets the bed he shares with my mum every night and wets himself regularly during the day. I've bought some special incontinence washable pants but am worried they won't be absorbant enough. Any tips about how I can persuade him to wear them? He did for a while when the carers helped him but now he's refusing help from the carers so I'm having to do it
     
  11. Bunpoots

    Bunpoots Registered User

    Apr 1, 2016
    1,941
    Nottinghamshire
    I had this battle with my dad who is now in a Carehome. He would not accept the need for incontinence protection and constantly peed everywhere. It really got me down!

    I did briefly have some success with stick on pads from incontinence choice stuck into his white y fronts. I used double sided sticky tape from pound land to make sure there were no flaps sticking out cos if he noticed the pads he just took them out :mad::mad:

    Eventually he was prescribed pull ups by the continence clinic and he wouldn't wear them. Several people have had success by removing all normal underpants so pull ups are the only option. My dad just went commando :eek:...

    So I told dad the doctor said he had to wear these special pants to stop his bum getting pressure sores as he sat down so much...he then claimed that the pull ups were "ladies pants" the doctor was a "blaady idiot" and dad was off to town to buy new pants...(he didn't )

    I bought a stamp set and stamped "MENS" on the front in of the pull ups in blue letters and, grudgingly, he accepted them though he said they made his bum look big :rolleyes:

    I used to dread going to dad's and became obsessed with the fit of his trousers - if he didn't have the tell-tale square bum I knew I had a battle on my hands!! We frequently had 2-3 loads of washing a day and the electric carpet washer was in daily use but still the bungalow smelt like a badly maintained public toilet :confused:

    When we eventually got carers in, as dad would never accept being bossed about by me, it became easier as he usually just accepted their help (but not always).

    Sadly this is one of the things that necessitates a move into a Carehome especially when double incontinence starts. It's so frustrating because if they'd just wear the inco pants life would be better for everyone involved.

    Sorry for the essay - I hope you find some way to deal with this horrible aspect of the disease.
     
  12. Sad Staffs

    Sad Staffs Registered User

    Jun 26, 2018
    409
    Female
    I know how difficult it is. They dig their heels in and it becomes aggressive, well it does for me!
    I can’t offer any advice I’m afraid, it’s so tricky when they refuse to do what you know is the right thing. For me, I suggest something, and if he refuses, I might be more assertive. A row will ensue, shouting and swearing, then he will sulk..... but more often than not he then comes round to thinking its a good idea! This happens regularly.
    Just a thought... if your Mom, or you wore them, and he could see that it’s routine for others, might that work?
    Probably a silly response from me, just trying to think what might work.
    Take care and thinking about you. Life can be such a struggle can’t it. Bxx
     
  13. May30

    May30 Registered User

    Feb 25, 2017
    9
    Thank you bunpoots and sad staffs for your replies. It helps a lot to know that I'm not the only one going through it! I'm an only child and my mum has mental health problems so it makes me feel like I'm completely on my own sometimes. It's so hard watching my dad going through the angst of wetting himself all the time. He was always so proud and private that I hate seeing him in such a mess. I've ordered a few different types of incontinence pant to try so
     
  14. Sad Staffs

    Sad Staffs Registered User

    Jun 26, 2018
    409
    Female
    I really understand about your dad being a proud and private man. My husband is exactly that.
    It’s not easy for you either. It’s the role reversal thing. Your mom and dad have always been there, now it’s you there for them, and that’s tough to come to terms with.
    My dad died when I was 18 and my mom lost her dad the night before her husband. I have no idea how dreadful that must have been for her. Not sure why I told you that!
    But my mom was wonderful, always there, never ever criticised, so when she became ill I found that so hard because she would no longer be there to make me better. The roll reversal where I had to care for my mom was impossibly hard.
    Take care of yourself, keep in touch and let me know how you get on...
    With love, B xx
     
  15. j.s.king

    j.s.king Registered User

    Oct 23, 2017
    21
    Female
    Southampton , England
    My dad often "leaks" has piles which bleed and often has faecal accidents, which along with the barrier cream carers apply to his bottom makes laundry a mammouth task. He wont accept there is a problem and refuses point blank to wear pads or pull ups .some time ago i got him to try pull ups but he didn't get on with them. I think if they could make pull ups / pads that have a front fly opening so he could have a wee standing up when he went to the loo it may help. I can imagine his confusion on dashing to the loo for wee and then not being able to get his @@@ out for a wee . Much easier for ladies who are used to pulling underwear down and sitting on the loo
     
  16. witts1973

    witts1973 Registered User

    Jun 20, 2018
    287
    Hi,you can get a wash product called Pro shield foam and spray which the GP will be happy to provide on a repeat,its very good and takes away odours too,it comes in a little spray bottle,I just thought I would say as this may help your dads skin a little,I assume you get barrier creams prescribed too
     
  17. witts1973

    witts1973 Registered User

    Jun 20, 2018
    287
    Hi have y
    Hi have you spoken to the continence team about the supply of continence pants being prescribed and advice,your GP can give you barrier creams and was products on repeat too,I'm on my own too,take care.
     
  18. j.s.king

    j.s.king Registered User

    Oct 23, 2017
    21
    Female
    Southampton , England
    The district nurse prescribed Pro shield which i believe the carers use to clean his nether regions , can is use if on his clothes as well ? despite soaking /spraying/scrubbing / hot wash i can still smell the smell when i iron his pants and trousers:confused:
     
  19. witts1973

    witts1973 Registered User

    Jun 20, 2018
    287
    I'm not sure you would use for clothes,it's probably just more obvious when you put the iron to the clothes and the steam brings the smell to your nose,I wouldn't have thought it obvious once your dad is wearing them,just googled this if it helps https://www.mumsnet.com/Talk/housekeeping/2502014-Urine-smell-in-clothing
     

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