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What are the indications for the use of diapers in the elderly / adults?
Diapers should be used, in the elderly, to absorb urinary or fecal flow, for example, in people with urinary incontinence problems or with serious mobility problems.
But it should be noted that the use of diapers has advantages and harms. Before choosing to use a diaper, the health condition of the elderly should be assessed.
What are the advantages of using diapers?
They contribute to the improvement of personal hygiene, with greater control over odor and even absorption of feces and urine. The elderly are more comfortable and protected throughout the day. Attention: diapers must be used in the appropriate size for each person.
Prevents dermatitis / diaper rash, allowing the skin of the elderly to be dry.
Comfort, throughout the day, especially when the elderly have a more hectic routine and / or need to go to consultations.
What are the disadvantages of using diapers in the elderly / adults?
Dermatitis: caused by incontinence are considered the main complication. What are the causes? The humidity and heat in the region in direct contact with the diaper, and feces and urine, irritate the skin of the elderly.
In case the use of the diaper in the elderly is really necessary, it is necessary to avoid prolonged contact of the wet diaper to avoid irritation, ulceration and discomfort in the area.
Urinary infection: which cause changes in the urinary tract due to the presence of bacteria in the urine itself. This problem can also be stimulated due to poor intimate hygiene or self-care for the elderly. It is in this context that the need arises not only to initiate the appropriate treatment, but also to prevent the dirty diaper from being in contact with the skin of the elderly for a long time.
How to put diapers on elderly / adults?
When changing a diaper, one must pay attention to:
- the respect,
- explain to the person what is being done.
- greater skin care, since people who have urinary incontinence are at risk of developing "diaper rash" / dermatitis.
The importance of choosing the most appropriate diaper, as well as its proper placement, are essential factors to control leaks and provide greater comfort to the assisted person. Below are the reasons that most generate leaks in geriatric diapers:
- misplaced diaper;
- small diaper;
- little absorbent diaper;
- person with periods of disorientation;
- few diaper changes during the day;
- higher fluid intake;
- some medications;
- some diseases.
Steps for changing the diaper:
Step 1 - Prepare the material before changing the diaper
- 2 pairs of procedure gloves;
- 1 plastic bag (for diaper disposal);
- disposable compresses or sponges;
- water container (preferably warm);
- emollient cream (for skin hydration and protection);
Step 2 - Removing the used diaper
To remove the diaper, wash your hands, put on gloves, peel off the velcro, turn the person on their side and remove the diaper.
Step 3 - Hygiene
After removing the diaper, remove excess feces with compresses and wash the skin with soap and water.
Remember that movements are always done from front to back to prevent urinary tract infections (particularly in women).
Step 4 - Discard the dirty diaper
After removing the dirty diaper, put it in a bag, remove the gloves and close the bag. This step is important to avoid bad odor.
Discard the gloves.
Wash your hands again.
Step 5 - Application of the cream
At the end of hygiene, emollient cream can be applied for hydration and skin protection.
Step 6 - Prepare the new diaper
After putting on other gloves, open the new diaper, stretch it well so that the inner flaps rise, and fold it so that it passes under the body.
Step 7 - Placing the new diaper
With the person on the side, we put the diaper in line with the trunk and waist. The person is turned around, the diaper is passed between the groins and the flaps are fixed on the front, check the figure:
Step 8 - Position the elderly
After the diaper change, be sure to always leave the elderly in the position that he / she considers most comfortable. Perform the decubitus change every two hours in case of bedridden and wheelchair users.
You should watch every 3 hours to see if you have urine or faeces. In addition to the comfort and care to prevent diaper rash, remember that the feeling that a dirty diaper causes is unpleasant and can lead to aggression and disorientation.