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My 93 year old mom has dementia and has been bed ridden for ~3 weeks. Diaper wearing is needed but she constantly removes tape and somehow manages to dirty the bed etc etc etc. Not with pee but excrement. What can I do to make sure she can’t remove the diaper. I change her often in the day like 4-5 times it just seems like she poops when I’m not around to see her remove the diaper.

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I did not know this for a long time, but pullups are made to be torn on the side when taking off. Would have saved me a lot of messes if I had known that earlier.
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Maybe try the pull up diapers instead of the tab kind, and put pajama pants or sweatpants over them. They also make a type of onesie for adults like a baby wears that might be helpful as well.

My husband too was completely bedridden for the last 22 months of his life, and I had to hire an aide to come every morning to put him on the bedside commode so he could poop in that instead of his diaper. That worked so much better than trying to change him and clean him up in the bed. The aide would hold him up, while I cleaned him up, and then she would put him back in the bed. Best wishes.
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If you are using a Tab type not a pull up try putting it on BACKWARDS.
This will put the tape at the back and will be difficult for her to remove.
You could also try Duct Tape over the tabs provided this would be a bit stronger than the tape.
OR
You can try putting her in a "onsie" BUT you would also have more difficulty getting her changed.
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https://www.buckandbuck.com/womens-adaptive/womens-jumpsuits.html
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