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My 90 year old father has urinary incontinence at night. Leakage isn't bad,,,the problem is that he feels the wetness next to his skin & it wakes him up - which means he's not ever getting a decent night's sleep. We've tried every store brand we can find and I've done internet searches & ordered a variety of brands - nothing has worked well yet. He prefers pull ups to tabs,,,but will wear tabs if it will get the job done.


So....can anybody recommend a nighttime diaper that: 1) absorbs well and 2) feels dry next to the skin so my Pop can get a decent night's sleep?

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Yes. I found Abena products to be the best, also. Worth the cost.
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Yes. I found Abena products to be the best, also. Worth the cost.
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Since my last post I have discovered Abri-Flex L2 pull-ups - softer, cheaper (1 euro per pair) and longer-lasting. Mum now uses two pairs per day instead of three, and leakage incidents are extremely rare.
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I found that Abena L1 Briefs is a great product to consider - we buy ours from XP MEDICAL or Northshore. Neither one of them take Medicaid nor Medicare but put out a reliable product.
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I could open a store with all the products I've tried, and keep trying for my husbands incontinence - he is in late stage Alz. So far, Depends are in the lead. ALSO, I purchased several pairs of plastic/washable pullups to go over them at night!! This process seems to work incredibly well. Sure he gets wet, but because it is contained, he must feel warm, and it doesn't seem to create a problem for him.
Sani Pant Reusable Briefs by Salk --- you can find them on Amazon, or Vitality Medical which is a great site for all incontinence needs. Their prices are good too.
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Try website HDIS the best pull up is Reassure
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HelpmehelpMama: Definitely get a fresh pair on her! Wetness next to her body will have an odor and is not good for the skin since the skin is the largest organ in the body.
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Should I change my mothers disposable pants each time she urinates or do I wait until she feels the wetness? I've been changing each time thinking that it is not sanitary to keep them on, thus using many diapers.
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Tena pull-ups work for my 91-year-old mother who is incontinent and totally physically dependant on me since a fall nearly three years ago. After some trial and error, and although she is not a big lady, we use Super Large pants which are more comfortable for her dry sensitive skin, plus a large bedpad to pick up the rare overnight overflow, and an additional small bedpad while I am changing her, just in case. I change her three times a day (before breakfast, before a late lunch, and at bedtime), and very rarely find any overflow, which has cut down mightily on sheet and pyjama-washing (though she still has a fresh pair of pyjamas every day). The pants wick moisture away from the skin, and contain the odd bout of diarrhoea. They are pricey (24 euros for a pack of twelve, which lasts four days) but worth it for us in terms of comfort and reduced hassle. And there is none of the background urine odour which is so prevalent in nursing homes and hospitals, except at the point when I am changing her. I realise the price may be unrealistic for many people - an alternative might be Depends, which look very similar and are about half the price but which are not immediately available where I live. Hope this info is useful to someone.
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Walgreens briefs for men work nicely for me.
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If your dad is feeling the wetness.. I would suggest the Tranquility overnight diapers.. Hope this helps..
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This answer is two fold. Incontinent underwear with extended Overnight super absorbency. Also booster pads . Each of these articles are able to hold 3.5 litres of fluid. Hence, two bags holding 3 litres of milk as an example. My parent had severe urine in continence issues and never slept through the night. Now sleeps through the night and their is rarely extra bed linen etc to wash. workload for me has decreased, odours in house have disappeared and parent is feeling dry and secure enough to go out of their living area. Becuz they don't feel they will have an accident or require the constant need for a bathroom toilet. We use Presto briefs or attends, and presto or tranquility booster pad liners.Bought through healthwick .BTW these products are able to wick any wetness away from the skin
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My mother found a company located in Olivette Mo. It is called HDIS and they have a variety of items for incontinence. They offer a sample pack do you can try items. Mom used to buy over the counter and found items at HDIS these are more comfortable and more dependable. Very nice company to work with.
Friendly and helpful. They also have coupons a lot and offer discounts if you get auto fill orders call and see if this works for you. fast service too
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And then if he hasn't messed up the second Depends, it can be reused the next night...just switch it out...second one now touching his body. Then get a new second one for the second night and so on...
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Suggestion: A double Depends.
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I use Walgreen's Certainty briefs 24/7. I use a Foley, so urinary incontinence is not a problem. Most of the time I'm constipated because of the pain meds I take, but once in a while I've used too much Miralax and get too loose bowels. The briefs keep the poop nicely isolated from my pajamas or pants, and they're easily removed with a pair of scissors. If there's a lot of, er, contents, they be scraped or shaken out of the briefs into the toilet before one discards the briefs. they're not expensive.
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american health care supply
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I use the Northshore Supreme briefs they work great for me
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captain: You've got to kidding, right? WHO IN THEIR RIGHT MIND LEAVES AN ELDER NAKED IN BED? Really? But if he was naked, then he wet and pooped up the bed, right? Really? Hello!!!!!!!!!!!!!!!!!
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I order Tranquillity pull up pants for my mother. She also uses a "top liner" with them to contain (more of the large quanity) extra liquid. So there isnt any seekage at all. The top liner is a large flat pad that is very absorbent too.
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I thought you had left us.
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I've been using an internal Foley for over a decade, with only a few instances of UTI. I can't do straight cath, because (as my urologist says) my bladder has shrunk to about fist-size, so it doesn't hold more than 250cc max, so I'd have to wake up every 3 hours or so. If you don't have a spinal cord injury, as I do, you should be able to control every active function, including bowel and bladder. But if dementia starts, an external Foley, or even an internal one may be preferable to an "accident," soaking the bed. Either would allow both patient and caregiver to get 7-8 hrs, of a nice night's rest.
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We order my MIL's pullups from Amazon. They are called Tranquility Overnight and I just check who has the cheapest price on Amazon's list and order them there. They are cheaper than ordering them on the actual separate diaper sites. They are always free shipping also.
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la11. I am happy those work for someone. We tried them a couple years ago, in respone to an add in newspaper. Ended up with a horrible skin infection. Not to mention they will not stay on. Think twice before you try them. Repeat. Then think again. Those things cost about $1,000 per month and the company will not take them back once they are shipped.
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I may ask my sister to talk to Pop about an external catheter - she's a CNA. We saw an ad for one in AARP Magazine...but Pop wasn't interested at all once I explained to him what it was.
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For overnight, have you ever considered an EXTERNAL catheter such as a regular condom catheter or else the Men's Liberty external catheter (which attaches only to the tip of the penis using hydrocolloid--a material also used in wound treatment and which does not irritate like latex or silicone)?

I agree that an INTERNAL catheter should always be avoided if possible, due to the risks, but the external catheters have sure made a world of difference for my dad's overnight comfort.

Men's Liberty is covered under Medicare at 100% with a doctor's letter of medical necessity. Condom caths are also covered under Medicare...I think... but I'm not up to date on how that currently works cause my dad has been wearing Men's Liberty for the last few years. He's 91 and he wears an external catheter so that he does not have to get up in the middle of the night to go to the bathroom.
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I read another recommendation on another thread here for Wellness Diapers. The poster said they worked great. They are pricey, but worth it. That post is located in the Discussion section.
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pfontes16, good luck!! I am amazed that so many people have have found that Tena and other brands actually work overnight. I have tried everything on my husband. Even with an added pad, they don't keep him dry more than two hours. And limiting liquids only helps minimally. It also interferes with his medication absorption, leading to unresponsive episodes. We have gone so far as to hire someone to stay until midnight , to keep him dry until then, and so I can sleep. But by 1am , 2am at the latest he is calling me to say he is soaked. And indeed he is. Every time he is hospitalized he gets hugh bed sores because they don't change him. And that is at a "nationally recognized" hospital known for excellence in geriatric care! Several doctors agree that catherization is dangerous in this case because the chance of infection is high. So, if you find something that really works, please let me know. I am way past sleep deprived, impoverished from trying diapers that do not absorb!
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Thanks for all the tips! We're not going cath - Pop wouldn't be able to figure out how to use is and I'm not ready to see what I need to see on my dad in order to use one. Pop is already limiting liquids....he supplements with Gatorade and chewing gum....I really wish he wouldn't have to do that as I worry about dehydration...so getting a diaper that will allow him a long night's sleep would be our dream.

I've ordered samples of most of the products mentioned here. I'll let you know if anything works out perfectly!
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Tena is available on Amazon with free shipping. Subscribe & Save is available on some Tena items.
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