Name of the Procedure:

Medical Term: Adult-sized disposable incontinence product, brief/diaper, small, each (T4521)
Common Names: Adult diaper, incontinence brief

Summary

This procedure involves the provision and use of a small-sized disposable brief or diaper designed for adults experiencing incontinence. These products are used to manage urinary and/or fecal incontinence and are worn like underwear to catch and contain leaks.

Purpose

Medical Conditions Addressed:

• Urinary incontinence
• Fecal incontinence
• Mobility issues leading to incontinence management challenges

Goals:

• Maintain hygiene
• Prevent skin irritation and infections
• Provide comfort and dignity
• Allow greater mobility and confidence

Indications

Symptoms:

• Frequent or uncontrolled urination
• Involuntary bowel movements
• Leaks or accidents

Patient Criteria:

• Adults with mild to severe incontinence
• Patients with limited mobility
• Individuals needing assistance with daily activities due to incontinence

Preparation

No special preparations are necessary. However, it is ideal to have:

• A supply of incontinence products readily available
• Proper hygiene supplies like wipes and barrier creams

Procedure Description

1. Assessment: Determine the correct size and absorbency level needed.
2. Preparation: Clean and dry the skin thoroughly before application.
3. Application:
   • Place the brief flat on a surface and unfold it.
   • Position the patient over the diaper.
   • Secure the front and back portions with adhesive tabs or hook-and-loop closures.
4. Final Checks: Ensure a snug fit to prevent leaks but ensure it’s not too tight to cause discomfort.

Tools/Equipment:

• Disposable incontinence brief (small size)
• Cleaning supplies (wipes, water, cleanser)
• Barrier cream if needed

Duration

Application and adjustment typically take 5-10 minutes.

Setting

This procedure can be performed in various settings, including:

• Home
• Nursing home
• Hospital
• Outpatient care facilities

Personnel

Primary caregivers can perform this task, including:

• Family members
• Certified Nursing Assistants (CNAs)
• Nurses

Risks and Complications

Common Risks:

• Skin irritation or rashes
• Allergic reactions to materials ##### Rare Complications:
• Pressure sores
• Infections

Benefits

• Improved hygiene and comfort
• Prevention of skin problems and infections
• Enhanced quality of life and independence

Recovery

Post-Procedure Care:

• Regularly change the product to maintain hygiene.
• Monitor skin for any signs of irritation. ##### Recovery Time: No recovery time since this is not a medical procedure; it’s a management product. ##### Follow-Up: Continuous use as per incontinence severity and healthcare provider’s recommendations.

Alternatives

Other Options:

• Reusable cloth incontinence briefs
• Catheters for urinary incontinence
• Medications to manage incontinence ##### Pros and Cons:
• Reusable cloth briefs reduce waste but require frequent washing.
• Catheters can reduce the need for briefs but carry their own risks of infections.

Patient Experience

During:

• Feeling of being protected and secure.
• Possible initial discomfort until properly adjusted. ##### After:
• Sense of normalcy and dignity.
• Confidence to engage in daily activities. ##### Pain Management: No pain is associated with wearing an incontinence brief. Comfort can be ensured with the correct fit and soft materials.