Name of the Procedure:

Adult Sized Disposable Incontinence Product, Protective Underwear/Pull-On, Extra Large Size (T4528) Common Names: Incontinence Pull-Ups, Adult Diapers, Protective Underwear

Summary

Adult-sized disposable incontinence products, specifically protective underwear or pull-ons, are used to manage urinary and fecal incontinence. Designed to resemble regular underwear, these pull-ons provide a discreet and effective solution for those who experience involuntary leakage.

Purpose

Incontinence products help manage and contain urinary or bowel incontinence to:

• Maintain skin integrity and prevent irritation or ulcers.
• Enhance patient comfort and discretion.

• Allow individuals to maintain a more independent lifestyle.

  Indications

• Urinary incontinence: Involuntary leakage of urine.
• Fecal incontinence: Involuntary leakage of stool.
• Patients with limited mobility or cognitive impairments.
• Post-operative patients with temporary incontinence.

Preparation

Preparation is minimum; however, certain steps ensure maximum effectiveness:

• Maintain personal hygiene before wearing the product.
• Apply any prescribed skin barrier creams to prevent irritation.
• Ensure the correct size is used to secure a snug fit.

Procedure Description

1. Inspect the product for any defects.
2. Position yourself while standing or lying down.
3. Step into the pull-on underwear, ensuring each leg fits through the designated holes.
4. Pull the waistband up to rest comfortably around the waist.
5. Adjust as needed for comfort and a secure fit.

Tools and Equipment:

• Disposable protective underwear/pull-ons (size extra large).

Duration

The product is worn continuously until it needs to be replaced, typically 4-6 hours depending on fluid intake and incontinence severity.

Setting

Incontinence management is typically performed in any setting where the patient resides or visits:

• Home.
• Assisted living facilities.
• Hospitals.

• Outpatient clinics.

  Personnel

• Typically, the patient or a caregiver, including family members, home health aides, or nursing staff.

Risks and Complications

• Skin irritation or rashes from prolonged use.
• Allergic reactions to material.
• Leakage if the product is not fitted correctly.
• Infection, if not changed regularly.

Benefits

• Immediate containment of urine or feces, providing comfort.
• Enhanced mobility and discretion.
• Reduced risk of skin irritation and infection.
• Improved quality of life and self-esteem.

Recovery

No significant recovery process is needed. Maintain diligent hygiene practices:

• Regularly change the product as needed.
• Clean the skin with mild soap and water during changes.
• Use recommended ointments or treatments for any skin irritation.

Alternatives

• Cloth incontinence products (washable and reusable).
• Adult briefs with tabs (for easier change, especially in bed-bound patients).
• Internal devices (e.g., catheters for urinary incontinence).

Pros:

• Cloth products are reusable and cost-effective over time.
• Internal devices might be more appropriate for severe incontinence.

Cons:

• Cloth products require laundering and can be less discreet.
• Internal devices carry higher risks of infection.

Patient Experience

Patients should feel a level of security and normalcy while wearing the product. They might experience:

• Comfort due to soft lining and design.
• Initial awareness or self-consciousness that typically diminishes with use.
• Relief from the anxiety of potential leakage.

Effective pain management and skin care are critical to ensure the patient remains comfortable and free from irritation.