Name of the Procedure:

Adult-sized disposable incontinence product, protective brief/diaper, above extra-large (HCPCS Code: T4543)

Summary

This procedure involves the provision of adult-sized disposable incontinence briefs or diapers for managing urinary or fecal incontinence in patients who require sizes above extra-large.

Purpose

• Medical Conditions: This product addresses urinary and/or fecal incontinence.
• Goals: To manage incontinence, maintain hygiene, and improve the quality of life by preventing skin irritation and infection.

Indications

• Urinary or fecal incontinence.
• Patients who require incontinence management.
• Patients with limited mobility or cognitive impairment affecting toileting ability.

Preparation

• Patient Instructions: No specific preparation required.
• Diagnostic Tests: Assessment by a healthcare provider to determine the need for the product.

Procedure Description

• Step-by-Step:
  1. Select the correct size above extra-large.
  2. Open the brief/diaper and unfold it.
  3. Position the patient comfortably (standing, sitting, or lying down).
  4. Place the brief/diaper between the legs and adjust for a snug fit.
  5. Secure the tabs or fasteners for proper fit and function.
• Tools: Disposable protective briefs/diapers.
• Anesthesia/Sedation: Not applicable.

Duration

The application of the brief/diaper typically takes a few minutes.

Setting

Can be performed in various settings including:

• Hospital
• Outpatient clinic
• Long-term care facility
• Home care setting

Personnel

• Caregivers
• Nurses
• Healthcare providers involved in patient care and hygiene

Risks and Complications

• Common Risks: Skin irritation, rashes, or pressure sores if not changed regularly.
• Rare Risks: Allergic reactions to materials used in the diaper.
• Management: Regular monitoring and proper skin care practices.

Benefits

• Expected Benefits: Improved hygiene, reduced risk of skin infections, enhanced comfort, and dignity. Benefits can be realized immediately upon proper use.
• Timeframe: Continuous as long as the product is used appropriately.

Recovery

• Post-Procedure Care: Regular changing of the brief/diaper, skin inspection, and care.
• Recovery Time: Ongoing; as the product is for continuous management of incontinence.
• Follow-Up: Regular healthcare provider assessments to ensure appropriate product use and skin health.

Alternatives

• Other Options: Reusable cloth incontinence briefs, catheterization, bladder training, medication.
• Pros and Cons: Reusable products are environmentally friendly but require laundering; catheters may reduce change frequency but carry infection risks; bladder training and medication may not be suitable or effective for all patients.

Patient Experience

• During Procedure: Minimal discomfort; patients may feel relieved by having a solution to incontinence.
• After Procedure: Greater comfort, enhanced mobility, and confidence in social settings. Pain management is generally not required, but skin care products may be used for added comfort.