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I went to visit my mother today & noticed she had a diaper which Velcro’s over each hip AND a pull up. Should I be concerned of double diapering so they don’t change her as often or is this a special trick I am unaware of?


Any lazy tasks I should be on the look out for? Moms been there for a week & we’ve had a few hiccups.


Any experience or tips to look for I would appreciate it!!

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Mh1983, I’m in a NH. There are no lazy tasks or tricks. The aides and nurses work their butts off taking care of residents. And there are residents with dementia who aren’t a picnic to take care of and some family members are difficult as well.
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Lazy tasks? You've got a lot of nerve. Let me tell you something about CNA work. It is hard WORK. There's nothing lazy about it. I'm going to do you a favor here and explain to you why you'll often find a Pull-up over a diaper or sometimes even over a person's clothes.
This is done to make it harder for the incontinent person with dementia get into their diaper and access the contents.
It is not a "lazy task". It is a trick CNA's and caregivers (including myself for almost 25 years) use with our demented incontinent clients that saves us from having to scrape sh*t off of walls, floors, wheelchairs, and from under fingernails. Thank-you.
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mh1983 Jan 2022
I mean zero harm or disrespect to my question. I see fully the amount of work CNAs and nurses go through and it saddens me that healthcare and teachers are so under appreciated in society. I’ve also seen and heard horror stories of facilities and am worried sick about my mother. As my post had asked if this was a trick I was unaware and I wanted to be educated. I am trying my hardest to have the benefit of the doubt with my mothers care but we have been through so much horrible mistakes the past 2 months my guard and nerves are up with worry. No need to be so defensive my question was not directed to you it was to an open forum where I am seeking advice, info & education as I journey through my mothers horrible season and seasons to come.
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Alva said some good things. You want to be on the good side of the aides. They are the ones who care for your LO and it will never be the way that you cared for them. I put my Moms clothes in sets so she would match. Had to include her bra on that hanger because my RN daughter told me aides dress from the top down. I had them in the same drawer as her socks...too late her top was already on. But she needed that bra to keep skin off of skin or Mom broke out. Easier to prevent than to cure.

The double diaper? I would say Mom takes off her diaper so they put a pull up on over it. Can't see how a pull up would help with leaks when the other one is plastic on the outside? Maybe it does?

Always ask. Mom is not going to get one on one care. Aides have more than one resident. Mornings are the worst. Getting residents up, toileted and dressed so they can be ready for breakfast. They need to bath these people sometime during the day. They may also have other duties than just caring for residents. I found my Mom always clean and cared for. I have found aides sitting and talking to her. Oh her hair. She wore it short and brushed back. It was parted on the wrong side. Combed straight down. I ended up carrying a brush and small bottle of hair spray and doing her hair when I got there.

My brother said I was my own worst enemy and he was right. But I figured Mom had Dementia and she could look nice and her clothes match. I had to realize that she was being cared for, fed and warm. The Nurses and aides were caring, my Mom was fairly easy.
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BurntCaregiver Dec 2021
The Pull-up on the outside is to help stop a the demented, incontinent elder from getting into their diaper.
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Could be just to keep her from overflowing her diaper?

There is always so much to do and always not enough staff to do it. I'd be surprised if there weren't some hiccups.

Good luck.
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mh1983 Jan 2022
Yes I agree…not enough staff which is not their fault. It’s the season the work is sadly in!
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Do know going in that in the REAL world there are a few things that DO make a difference for your elder. One of them is a good solid and caring relationship between the family and the caregivers. Your appreciation of caregivers will go a long way to getting the best of care for your elder. I am not saying that is as it should be, but I am saying that in the real world of human limitations it is how it IS often enough. Caregivers are often not well paid. In these our times they are often exhausted. But they DO talk together and you can often hear "Did you meet his daugthter; she is so kind and so caring."
Then there is this. Family that visits is gold. The staff is AWARE you care and are there. You see life as it is because you are there, so you are already ahead of this game.
Now to know also, if you have dealt with adult incontinence supplies yourself you are aware that things go unpredictable. There are diuretics and the hour they are given. Can mean a flood coming in the early hours, less later. And there is often upholsterery in the common areas, rugs on floors, etc. So this may be a matter of leak prevention above anything else.
I would ask, myself. And I would ask gently. I would say "I sure do know the problems with leakage, but I was wondering if you can explain to me your extra precautions in Mom's case".
Take the occ. box of candy, box of donuts, fruit plate. I shows appreciation. Will make you loved and appreciated instead of dreaded.
Was a nurse all my life. Know more than I wish I did. It would be lovely if everyone was good and willing all on their own. But I remember saying I would read tarot for anyone who wanted it (just for fun) at end of shift if we all got our work done, and my rounds showed happy snugged in patients. Worked like a charm. It's the bees with honey thing. And it's worth a try as the first line of defense. With everything in life it comes down to the hills we will be willing to die on. Takes a lot of thought.
It is dreadfully hard to give our elders over to the care of others. I was sooooo thankful for the Assisted Living folks who cared for my brother. I saw their kindness every day. It matter greatly to the administration that those they hired saw this as a blessing and a privilege to care for others. That's rare. I hope you lucked out into such a place also, hope you'll update us on adjustment.
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notgoodenough Dec 2021
You're so right about bringing in a little something for the nurses/aides.

When my husband was getting monthly IVIG infusions, 4 days in a row each month for 3 years, I always made sure I sent a little something in for the staff; some home baked cookies, brownies, a loaf of bread. Just a little something to say thank you. There were times there would be over a dozen people in the infusion center and only 2 nurses to take care of everything. I would watch them run back and forth from bay to bay clearing lines, getting patients something to eat or drink, bring blankets and pillows, disconnecting and re-connecting lines for patients to be able to go to the bathroom, etc. And that was "just" an infusion center. I know it's far more complicated in a facility, be it a care facility or a hospital.

I hope the OP takes your words to heart and treats her mom's care team as partners rather than just employees. It will make things so much easier for everyone involved, most especially mom.
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