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Would like to hear professional opinions about using Medaline Ultra Absorbent pads as overnight diaper. One of our caregivers mentioned she saw this method used in a hospital. Concerns- skin breakdown as Medaline pads do not wick moisture.

I told myself I would reach out to as many people as I could about MALE CONDOM CATHETERS. Let me preface this by saying we take care of our aging parents in home. My dad was able to use a urinal overnight to pee and we would clean him up in the morning. Since he lost use of his left arm he was unable to stay dry overnight. We would change him at night before bed then in the morning. We used the best diaper we could find for overnight but he inevitably began to have sores on his bottom. This really depressed him because of the pain involved with those skin break downs.
The only way we knew to keep him dry was to get up several times throughout the night and place the urinal for him when he called out to us. This took a great toll on us. Whomever spent the night ended up groggy the next morning for work! After a year of feeling like we were doing nightly newborn feedings, I finally came across the male condom catheter and it has totally changed things for the better. Medicare and his secondary cover the cost of the supplies (urine bag, catheters, and wrap around his leg to keep it in place). Listen, you can have the best diaper but it will still get wet which means the skin will sit in urine. This is also the most comfortable dry way to sleep when you suffer from incontinence. Every caregiver of adult males should be alerted to this!!! I felt like we won the lottery when we saw how well they work. I wish our PCP had told us about this the moment my dad broke his hip. I read comments of the wet sheets and linens, and chucks and diapers that are purchased because of overnight leaks (we spent out of pocket for all of these items too!) If I knew about these condom catheters the moment my dad broke his hip we would all have been much better off. Please look into this as an option for overnight-and yes you can use this during the day as well!!!
God bless!
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Reply to HoustonPat
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To prevent skin breakdown, best practices means turning every 2 hours
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Reply to MACinCT
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Your post piqued my curiosity and I've been doing a little bit of reading about this. I think that skin breakdown relies on timely care no matter which method is used, one plus is that patients are less apt to be left stewing in an unchanged diaper because wetness is more easily noticed (or less easily ignored). I still think that this has to result in more soiled linens, men are almost certainly going to get the top sheet and blanket wet, and unless the person is completely immobile whatever gown they are wearing is apt to get tucked between the legs or beneath the backside.
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Reply to cwillie
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SistersCare Sep 2, 2019
Thank you!
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I would not use any "absorbent pad" in place of a brief. That is tucked up around the person. I can see using it under with no brief at all. There is less bunching between the legs and less folding of the product that can cause skin irritation. But the pad placed under someone will not contain the way a brief would.
I had no problems with skin issues when caring for my Husband but he was changed every 2 hours. This did two things, I was able to check skin and he was also being re-positioned when he was in the process of being changed.
I did use absorbent re-usable pads under him in case he would leak through. These pads were large enough to use as a draw sheet if needed although I did have a draw sheet as well. Both could be changed easily if they both got wet or soiled. I think it was at the very end when I was able to use a condom catheter on him that I did not put a brief on him.
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Reply to Grandma1954
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SistersCare Sep 2, 2019
Thank you! We thought this technique was strange but has been used by a reputable hospital near by.
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Thank you!
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Reply to SistersCare
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I'll bump you up to see if anyone has first hand experience with this SistersCare. I have read on the forum that some hospitals are giving up incontinence briefs and just using absorbent pads, supposedly it makes clean up easier. I'm really not understanding the logic behind the idea, it seems to me that would mean bedding and clothing would almost always need changing, especially if there is fecal incontinence.
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