Name of the Procedure:

• Common Name(s): Disposable Underpad
• Technical Term: HCPCS T4542 - Incontinence Product, Disposable Underpad, Small Size, Each

Summary

Disposable underpads, also known as "chux," are absorbent pads used to protect various surfaces, such as mattresses, chairs, and bedding, from urinary incontinence. They are designed to absorb liquid and contain it within a waterproof backing to prevent leakage.

Purpose

The primary purpose of disposable underpads is to manage incontinence by providing a protective barrier that absorbs urine. This helps maintain cleanliness and hygiene, prevent skin irritation, and protect furniture and bedding.

Indications

• For Patients With:
  • Urinary incontinence
  • Fecal incontinence
  • Bedridden individuals
  • Post-surgical patients with temporary incontinence
• Appropriate Patient Factors:
  • Limited mobility
  • Skin sensitive to moisture

Preparation

No specific preparation is required for the usage of disposable underpads. However, maintaining general hygiene and ensuring that the skin is clean and dry before application can enhance their effectiveness.

Procedure Description

1. Unwrapping the Underpad: Remove the disposable underpad from its packaging.
2. Placing the Underpad: Spread the underpad, absorbent side up, onto the desired surface, such as a bed or chair.
3. Tucking and Securing: Ensure that the underpad is centered and smoothen any wrinkles. If required, tuck the edges underneath the mattress or cushions to keep it in place.
4. Usage: The underpad will collect and absorb any accidental urination or fecal matter.
5. Disposal: Once soiled, fold the underpad inward to contain the waste, and discard it in an appropriate waste receptacle.

Duration

The underpad remains in place for as long as necessary. Frequency of changing depends on the level of incontinence and the saturation of the pad.

Setting

Disposable underpads can be used in various settings, including:

• Home care
• Hospitals
• Nursing homes
• Outpatient clinics

Personnel

• Typically used by caregivers, nurses, or family members.
• No specialized medical personnel are required.

Risks and Complications

• Common Risks: Skin irritation or rashes if the underpad is not changed frequently.
• Rare Risks: Infection from prolonged moisture contact if left unchanged for extended periods.

Benefits

• Protection: Safeguards furniture and bedding from moisture damage.
• Comfort: Maintains a dry and hygienic environment.
• Convenience: Easy to use and dispose of, improving overall patient and caregiver experience.

Recovery

• No recovery required as this is not an invasive procedure.
• Ensure regular monitoring and timely changing of underpads to maintain hygiene.
• Keep skin clean and dry to prevent irritation.

Alternatives

• Washable Underpads: Reusable but require laundering, saving long-term costs but needing more maintenance.
• Catheters or Pessaries: More invasive options offering longer-term solutions.
• Incontinence Briefs or Diapers: Wearable options that may provide more mobility.

Patient Experience

• During Usage: Patients should feel a sense of comfort knowing that leaks are contained.
• After Usage: No pain associated; feeling of improved hygiene and reduced anxiety about incontinence-related accidents.
• Comfort Measures: Regular changing and monitoring to avoid any skin discomfort or irritation.