Monday, October 11, 2010

Disposable Diapers to Manage Bedwetting With Older Children and Teenagers

Bedwetting is a common problem that many children and teenagers deal with on a nightly basis. There are a number of products out there that parents can use to help the youngster stay dry at night and eliminate the need for laudering wet bedding and clothing. Most parents might not be aware of the full range of nighttime garments available to manage this issue and the purpose of this article is to talk about the different brands of diapers that are available for older children and teenagers with bedwetting problems. In addition these brands are also suitable for adults that wet the bed. First off I'd like to get a bit of terminology out of the way. One of the most popular styles of incontinence garments marketed for heavy forms of incontinence are “disposable briefs” more commonly known as “adult diapers.” “Adult diapers”, just like the name sounds, have the same fit and design as baby diapers such as Pampers, Luvs, and Huggies - they have tapes for fastening the garments, elastic leg gathers to prevent leaks, a waterproof outer layer made of plastic or non woven cloth, and many have elastic waistbands which are also designed to prevent leaks. The only difference is that they are designed to fit older children, teenagers, and adults.


One of the most popular brands of garments for older bedwetters, and the ones that many parents use, are “Goodnites” . These are an underwear style of garment that pulls on instead of being taped on like a disposable brief. “Goodnites” were introduced in the marketplace 20 years ago. It was thought that because the garments looked like regular underwear it would be less embarrassing for an older child or teenager to wear to bed, as opposed to wearing a diaper. While these garments do work for some children and teenagers, other children and teenagers have had problems with leaking through the products, thereby soaking their bed. In a situation such as this , a parent may want to consider purchasing disposable briefs. In general, disposable briefs tend to be the most effective type of garments available to manage heavy forms of incontinence such as bedwetting. If your child or teen loses large volumes of urine at night and/or wets multiple times during the night, disposable briefs are an option to consider for managing the youngster's bedwetting. The next few sections talk about several brands of disposable briefs suitable for managing bedwetting and where to purchase them.


The first brand I'd like to talk about is ConfiDry 24/7(https://www.dry247.com). This brief was recently redesigned by the company for greater protection. According to the website: They have sizes in small, medium, and large. The small fits a waist size of 21'' to 31'' in. which should fit children ages 7 and older. They have sample packs of two for $10.00. If you get a pack and you like the brief you can also purchase the briefs from XP Medical(http://www.xpmedical.com). They sell the diapers for a cheaper price than what you'll pay buying them directly from Dry247. It appears that this brief is particularly well suited for managing bedwetting as the website has this to say regarding the product: "Designed for heavy incontinence & maximum protection, ConfiDry 24/7®'s 3-D Core Absorbancy System enables a capacity of up to 2-3 liters. This unique system makes this brief suitable for continuous and undisturbed full nights rest. The dependable leak control system, keeps skin, clothing and bedding dry for 12 hours or more." I think it would be a good idea to buy a sample pack to see how well the product works.


The second brand I'd like to mention is Molicare. They make the Molicare Super Briefs and the Molicare Super Plus Briefs. According to the National Incontinence website as well as the HDIS website, the Molicare Super Plus is the most absorbent brief of the two. They have sizes in small, medium, and large. XP Medical has sample packs of 2 Super Briefs and 2 Super Plus briefs for $6.95. Other places that sell the Molicare briefs are National Incontinence(http://www.nationalincontinence.com), HDIS(http://www.hdis.com), Amazon, as well as other online places.


Another popular brand of disposable briefs are the Abena Abri - Form brand. Abena make disposable briefs with both an outer plastic layer and a cloth like outer layer. Some people prefer the disposable diapers with the plastic outer covering whereas others like the cloth like outer cover better. The briefs with the plastic outer cover are the Abri-Form X-Plus disposable brief. The briefs with the cloth like cover are the Abri-Form Air Plus premium brief. The Abena X-Plus disposable briefs are available in two sizes – medium and large. The medium fits waist sizes between 28'' and 44''. This size should fit larger children as well as teenagers. There are a numer of places that sell these briefs – National Incontinence,New Freedom Solutions, Parent Giving, Care Giver Partnership, XP Medical, NorthShore Care Supply, Dignity Medical Supplies, HDIS, Amazon, as well as others.


A fourth brand of disposable briefs are made by a company called Unique Wellness. They make two briefs – the Superio Signature brief and the original Wellness Brief. Both are good briefs, but the Superio Signature is the one that is supposed to be the most absorbent for nighttime use. They have sample packs of each brief for free. The waist ranges for these briefs are medium which fits waist sizes 24'' to 36'', large which fits waist ranges 36'' to 46'', and extra large which fits waist sizes 46'' to 67''. The link for Unique Wellness is http://wellnessbriefs.com. Other companies that sell the original Wellness Brief are Parent Giving( http://www.parentgiving.com), North Shore Care (http://www.northshorecare.com/wellness-briefs.html), Magic Medical (http://www.adultdiapers.org/unwebr.html), and Amazon.


A brand that was just recently introduced is called Absorbency Plus which is made and sold by XP Medical(http://www.xpmedical.com/absorbency_plus.html). The Level 4 briefs are the most absorbent briefs and more effective for heavier forms of incontinence such as bedwetting. The smallest size they have is medium which fits waists from 26'' to 38'',which as mentioned earlier should fit older children and teenagers. The brief was just recently redesigned. Among other improvements, the brief now has refastenable tape tabs. They have a sample pack of 3 for $6.95 as well as packs of 8 for $13.95 in size medium for the Level 4 briefs.


The Eurobrief is also highly rated for incontinence problems like bedwetting. The smallest size they have is medium which fits waists from 27'' to 43''. The link for their company is (http://www.mediprime.com). Other companies that sell the Eurobrief are North Shore Care(http://www.northshorecare.com/eurobriefs.html),Dignity Medical Supplies(http://www.adultdiaper.org/eurobrief-overnight-adult-diapers.html), and Save Rite Medical (http://www.saveritemedical.com).


Tranquility All-Through-The-Night Disposable Briefs are another popular brand of disposable briefs for bedwetting. There are many stores that sell this product including The Bedwetting Store http://bedwettingstore.com/tranquility-atn-disposable-briefs.html , National Incontinence(run by the same people as the Bedwetting Store) http://www.nationalincontinence.com , North Shore Care (http://www.northshorecare.com/atn1.html) , Parent Giving (http://www.parentgiving.com/shop/tranquility-atn-all-through-the-night-adult-diapers-948/p/) , Amazon, as well as other online places.


The next brand I'd like to talk about is the Tena Brand. Tena makes several briefs for overnight incontinence - the Tena Slip Maxi, Tena Classic Plus Briefs, Tena Youth Briefs, and the Tena Super Brief. The Tena Slip Maxi has a plastic outer layer and is sold by XP Medical. http://www.xpmedical.com/tena.html The Tena Super Brief are sold by a number of places – North Shore Care, Vitality Medical, HDIS, Amazon, as well as many other places online. The Tena Youth Brief are also sold by a number of places as well - National Incontinence, Vitality Medical, Amazon, and other places. The smallest size they have in the Super Brief is a medium which fits waist sizes 34'' to 47''. These briefs may fit a large teenager. The Tena Slip Maxi sizes likely to fit older children and teenagers are the small sizes(22'' to 31'') and medium sizes(28'' to 43''). Many people prefer briefs with a plastic outer covering as opposed to a cloth like outer layer. This is a personal preference and you should check with the retailer you're considering purchasing your diapers from to see if they have sample packs available that way you can find out what brand(or brands) of briefs work best for you - some people use more than one brand of disposable briefs. Also, some companies, such as HDIS, have subscription plans where you can have it set up so diapers are delivered automatically so you can avoid running out. This is something you may want to consider also.


Right now I'd like to mention the Secure X-Plus brief made by Secure Personal Care. The X-Plus brief is described as “The Flagship product of our X-Plus Incontinence Care Products Line.” The smallest size this brief comes in is a medium which runs 32'' to 44''. They have sample packs of two for $6.99. The link for this product is http://www.securepersonalcare.com/briefs-xplus-adult-diaper-c-1_2.html.


Finally I'd like to mention a new brief called the "Abena Abriform Junior." This was just recently introduced by Abena. According to a customer service rep I spoke with this brief was specifically designed to manage bedwetting. Some places that sell this brief are Allegro Medical, Amazon (through a company called Incontinence products plus), Caregiver Partnership, as well as other places. I've included a link below with a description of the brief. https://www.facebook.com/abenanorthamerica/photos/a.764640080290736.1073741828.764192640335480/881566478598095/?type=3&theater


The brands listed above are specifically recommended for heavy incontinence. People with nighttime incontinence tend to lose larger volumes of urine at night and that is why it's advisable to purchase a product specifically designed to handle larger voids. Hopefully, this list will be helpful to those parents who may want to explore other possibilities for managing their youngster's bedwetting.

Friday, August 6, 2010

Older Children,Bedwetting,Diapers,and Discretion:Dealing With Babysitters,Nannies,and Other Caregivers

One of the key concerns of older children that wear diapers for bed-wetting is how to maintain discretion. For many children that wet the bed parents going out for the evening is a situation that elicits a considerable amount of anxiety. This article addresses this issue.

As mentioned in my article "Older Children,Bed-Wetting,and Self Diapering" older children should be responsible for putting on their own protection unless the child has some cognitive and/or physical impairment that prevents or makes it difficult for him or her to do so. If this is the case this should be brought up to the babysitter beforehand.

With this in mind there is really no reason to involve the babysitter. The only scenario I can see where this might be necessary is if the child has to wear diapers and plastic pants to bed. There could be situations in which the parent or parents have not finished laundering the diapers and plastic pants. As a result the babysitter might notice plastic pants hanging up to dry or have to take diapers out of the dryer when they're done to give to the child before he goes to bed. Or the diapers and plastic pants might be laundered but the parents might have forgotten or not have time to put them in the child's room and the babysitter has to give them to the child. Depending on the relationship you have with the babysitter and their maturity level this may not be a problem. Usually a parent's intuition should be a fairly reliable guide to how well the person taking care of the child will respond to this issue. If the parents feel that the babysitter is responsible and level headed they might have no qualms about involving them in dealing with the protective garments.

That being said, another thing to consider is the child's relationship to the babysitter. The child might not feel comfortable with them knowing they have to wear diapers and plastic pants for bed-wetting. If this is the case or the parents don't feel the babysitter will react to the fact that the child has to wear night diapers in a mature,respectful fashion then the parents need to make sure the garments are ready for the child prior to the babysitter coming over. As discussed in previous articles there are instances where bed-wetters wear both reusable and disposable diapers. If this is so the child can wear disposable diapers when the parents might be out for the evening and use the cloth diapers and plastic pants on other nights. This way the babysitter doesn't have to know about the bed-wetting and diaper use. As far as the child's relationship to the babysitter is concerned another factor involved in how close the child feels to the babysitter is the sex of both the child and the caretaker. Girls tend to be more mature than boys and as a result are usually more responsible. Also the girl's maternal instincts come into play which means in general girls tend to be more nurturing and sympathetic. When you combine the traits of responsibility with being nurturing it's very likely that a girl babysitter might be more sympathetic and understanding about the fact that the child needs to wear diapers to bed. As far as the sex of the child and how this relates to how comfortable the child feels with the babysitter knowing about the bed-wetting and diaper use,this has to be taken on a case by case basis. For example, some boys feel more comfortable discussing certain issues with a female. Likewise the boy might feel more at ease discussing other types of problems with a male. The same can be said for girls. Bed-Wetting and the use of diapers to manage it is also a case where the child might only feel comfortable discussing it with a certain sex. The parents have to make a judgment based on the child's personality and that of the babysitter.

At this point I would like to talk about nannies. Many parents use nannies and au pairs to take care of their children. Since the nannies live with the family and are responsible for doing chores around the house such as laundry it is impossible for them not to be aware of the child having a bed-wetting problem and being involved with taking care of the wet items. Since there are a large number of children that wet the bed I'm sure this is not a big deal. However if the child has to wear pin-on diapers and plastic pants and since older children are more self-conscious about wearing these styles of diapers, this might need to be addressed with the agency beforehand. I would talk to them and say that you have an older child that needs to wear pin-on cloth diapers and plastic pants because they wet the bed. I would mention that they might feel self-conscious about the nanny dealing with these garments and ask them if they have suggestions on how to broach this subject with the caretaker or if the agency can talk to them beforehand about it. Since taking care of children requires a person who is highly responsible and mature I would think that the individual would be able to handle this in a gracious manner. In addition it's in the nanny's best interest nanny to have a reputation of being judicious and responsible so they get good references in order to get hired again. Again the child might feel somewhat anxious about this and the parent should let them know that you're taking their feelings into consideration and that you'll make sure that the person responsible for taking care of them will handle this in a caring manner.

If the child is staying with relatives the parents need to make a judgment call as far as how they think the relatives will respond to the child or teen's problem. If they feel they will be understanding about the bed-wetting and diaper use the parents can disclose this to them. If however they think they will not respond in a positive manner the parents need to come up with a plan to help the bed-wetter keep the problem private. Perhaps the child can wear disposable diapers and dispose of them in a garbage bag. The youngster can double bag to make sure that there's no telltale odor. The child can put them in a a garbage bag,spray some Lysol or other disinfectant in the bag,tie the bag up,then put that bag in another garbage bag. You should find out if the child will be sharing a room before hand so you can devise a plan to keep the issue private. Hopefully the parents will have a close enough relationship where they can discuss this issue beforehand. Unfortunately not all people are understanding about this problem and if the parents of the child feel they might not be supportive then it might be best to follow the suggestions mentioned earlier. Incontinence and parenting forums are a good place to get suggestions about these types of issues. Incontinence Resource Center has a forum where you can ask questions about incontinence and incontinence products. Many people suffering from bed-wetting and other forms of incontinence have dealt with these types of concerns and should be able to provide suggestions about how to be discreet about the bed-wetting and diaper use. It might be a good idea to post a question on the forum of the Incontinence Resource Center and see if they have additional ideas about this matter. Their web address is www.incontinencesupport.info

At this point I'd like to talk about boarding school. If the child or teen is going away to a boarding school and is dealing with bed-wetting the parents need to talk about this with the school beforehand. I would tell them that you have a child who needs special accommodations due to a medical problem and ask them who you would talk to about that. I suspect they have a specific individual(perhaps the school nurse) that handles these matters. When you talk to the person responsible for dealing with this subject you should ask them if the school is set up to wash diapers and plastic pants(if the child or teen uses these types of diapers) or should the youngster wear disposable diapers instead. Another thing to ask is if the school can make arrangements for the youth to either share a room with a student with similar issues. If not what sort of steps can be taken to enable the youngster to be discreet about the problem. Given the fact that many children,teenagers,and adolescents wet the bed I'm sure they're used to dealing with this. Again I would check out various parenting and incontinence forums to see what advice they might have regarding this.

The last thing I'd like to talk about is camp. For many youngsters summer camp can be a real fun experience,however it can be nerve wracking for a child or teen that wets the bed. Again the same advice applies. This is a fairly common situation and most camps should be well versed in how to handle it. There are camps that deal specifically with youths with bed-wetting and other incontinence issues. One of these camps is called Camp Brandon for Boys. Here is their contact information: 14 Jerry Drive, Plattsburgh NY 12901. Their phone number is (518) 570-5184. I couldn't find a web address for them. Another camp for children with bed-wetting issues is Camp Kirk in Canada. Their web address is www.campkirk.com. There is a resource that lists camps for youth with special needs called CampResource.com. which is an online summer camp directory. Both Camp Kirk and Camp Brandon were listed on their website. Their web address is www.campresource.com. If you do a Google search you might be able to come up with other camps of a similar nature or if you contact CampResource.com they might have suggestions about resources to contact that may have camps not listed on their site.

Bed-Wetting and the use of diapers to manage it doesn't have to be a stressful experience. With appropriate preparation it can be dealt with in a way that allows the child to maintain their dignity. It's important for the youngster have a strong support system. This will go a long way in helping him or her feel less self-conscious about this problem.

Bedwetting and Maintaining Appropriate Hygiene

When one talks about bed-wetting and what type of garments to manage it,there is an undue emphasis on the image of the garments. The key evidence of this is how the products are marketed. For example disposable diapers for older children,adolescents,teenagers,and adults are called "disposable briefs". As mentioned in a previous article these garments have the same design,fit,and style as baby diapers. The reason they call them disposable briefs is because if f they called these garments diapers no one would buy them. Another way that the stigma surrounding incontinence garments(particularly diapers) drives what products will be made,sold,and marketed is the prevalence in the market for products that are underwear like in design and appearance. For adults these garments are known as "protective underwear" and for older children,adolescents,and teenagers they're called "pull-ups" and "Goodnites" I have mentioned in a prior article that although these seem to be the most popular forms of protection, garments such as diapers actually appear to be the most effective form of protection to manage heavy incontinence such as bed-wetting. In general,bed-wetters lose a large volume of urine at night and in some cases they can wet more than once at night. With this in mind,it would be prudent for parents of bed-wetters to consider using diapers to deal with the bed-wetting.

There is debate among people about whether or not parents should require their older child,adolescent,or teenager to wear diapers to bed. I have addressed this issue in previous articles. Most people feel that the choice of what type of protective garments to wear to bed should be left up to the individual,or they feel that if the person that wets the bed chooses not to wear protective garments at night(whether diapers or other forms of protection), that's okay as long as he or she takes care of the wet clothing and bedding. I feel that there is a central issue that doesn't seem to be addressed in this context and I believe that our attitudes in this area need to be reexamined. I also feel that this issue doesn't seem to be considered in general by most people or if it is considered it takes a back seat in the decision making process about what type of items to wear for bed-wetting. The issue I'm talking about is hygiene. From what I can tell,most people would rather wear a garment that is less stigmatizing or none at all. However,as I discuss in this article this emphasis on image versus effective protection is misguided and could have detrimental effects. This article talks about the negative effects that urine can have on the skin and why it's necessary to maintain appropriate hygiene when you're incontinent. To that end, it's a good idea to wear the most effective type of protection for bed-wetting if that means diapers,then diapers should be worn. It's much more prudent to wear a garment that provides adequate protection(and therefore offers suitable skin care and comfort) then to wear something that leaves the person and bedding wet thereby increasing the risk for skin problems.

There are a number of articles that discuss the importance of skin care when you're incontinent. National Incontinence,a company that sells incontinence products and is run by a nurse who specializes in incontinence, has an article on their website which mentions several problems that could result from exposure to urine:1.)Maceration which means becoming soaked or "waterlogged". National Incontinence has this to say regarding maceration- "This added fragility puts the skin at greater risk for damage caused by friction,shear,and pressure." 2.)Incontinence dermatitis also known as perineal dermatitis or diaper rash is the second problem that this article talks about. The article describes perineal dermatitis this way- "Perineal dermatitis involves the irritation and breakdown of the skin as a result of over-exposure to moisture and chemicals in urine and feces." 3.)Bacterial infection-resulting from exposure to urine. This can be particularly detrimental for elderly patients because their skin tends to be more dry. Because of this dryness cracks can appear in the skin and the bacteria can be absorbed in these cracks 4.)Exposure to caustic agents-Ammonia is one of the caustic agents found in urine and this can irritate the skin and can contribute to the growth of microorganisms. 5.)Fungal infection- To quote the article- "The damp,warm skin environment generally associated with incontinence is ideal for the proliferation of pathogenic fungi." Some of the steps they mention to reduce the likelihood of skin problems resulting from incontinence are the following: 1.)Prevent excessive skin wetness 2.)Maintain the skin at its natural pH range(between 4 and 7) 3.)Minimize direct contact with urine and feces and 4.)Cleanse gently to avoid friction One of the articles the National Incontinence website references is "Skin Protection for those Dealing with Incontinence." Some of the things they say in the article are the following: "Health care professionals agree that prompt,proper,consistent perineal care is essential in dealing with incontinence" and "The best prevention against skin damage caused by incontinence is to keep the skin dry" Two of the steps they mention-minimizing direct contact with urine and preventing excessive skin wetness, go directly against the prevailing thinking on this issue espoused by many people who believe that it's okay if a youngster chooses not to wear protection to bed. A large number of people feel that as long as the youngster takes a shower in the morning,it's okay if he or she doesn't wear diapers to bed,but the points brought up in this article on the National Incontinence website suggests that not wearing the most effective protection to bed(and not just the form of protection that is most socially acceptable) or wearing none at all is contraindicated. Other medical professionals also emphasize the importance of proper skin care when incontinent. Lying all night in wet bedding and clothing for several hours a night does not "prevent excessive skin wetness" or "minimize direct contact with urine and feces" as the article on skin care from National Incontinence suggests.

As I point out below,many bed-wetters feel that garments such as pin-on diapers covered with plastic pants and disposable tape tab briefs offer more effective protection than underwear and pull up style products for the management of heavy incontinence such as bed-wetting. I'm not suggesting that pin-on diapers covered with plastic pants and disposable tape on diapers are the best choice for everybody that wets the bed. I'm also not suggesting that reusable or disposable pull-ups don't work for some people that wet the bed. In general,though,as I mentioned at the beginning of this article,bed-wetters lose a large volume of urine during the night and with some people the pull-ups aren't absorbent enough. As I have also brought up at the start of this article, some bed-wetters wet multiple times during the night and might require more than one pull-up. Individuals like these lose a large volume of urine throughout the night and the fact that they go through several pull-ups per night can be very expensive. In a situation such as this, instead of using a less absorbent product (which causes the person to get up several times during the night to change one's self,thereby preventing him or her from getting a full nights sleep) it would be best for the individual to wear a garment that provides better protection. This can be especially important if the bed-wetting persists into adulthood. At this point I'd like to digress for a moment and talk about this delicate issue. There are a couple of reasons why you need to carefully consider what type of product to wear to bed if you're an adult with a bed-wetting problem. Both of these reasons pertain to relationships and out of consideration for the person sharing the bed with you,certain precautions should be taken. First and foremost you don't want to pee on your partner!(I hope that didn't sound impertinent-I meant this in a completely lighthearted way. I feel it's good to have some sense of humor about these types of things) Second, you don't want to disturb him or her by having to get up several times during the night to change yourself if you wear a product that isn't absorbent enough. With these points in mind I thought I'd discuss other options. There seems to be certain advantages with garments such as pin-on cloth diapers and disposable briefs for the management of bed-wetting and it might be good for some bed-wetters to wear these to bed instead. What I'm suggesting is that a person should consider using pin-on diapers and plastic pants or disposable briefs if they have tried the pull-ups and find that they don't offer effective protection. There are also cases of people who use both pin-on diapers and disposable tape on diapers. Some people find that the pin-on diapers and plastic pants are too hot to wear in summertime and only wear them during the cooler months of the year. During the summer months they switch to disposable tape tab briefs.

The bottom line is that a person should use the most effective method to manage their bed-wetting. If a person finds the pin-on diapers and plastic pants or disposable tape on diapers are more absorbent than underwear like products(thereby providing them better protection,comfort,and security),they should switch to these products,after all, it's important for the bed-wetter to maintain appropriate skin hygiene.

Some people suffering from incontinence have said that wearing diapers has caused them skin problems. While it is certainly true that wearing diapers can cause some skin problems,it must be stressed that this most likely occurs if the person does not adhere to a regimen designed to promote and maintain healthy skin while using these garments. This has been pointed out repeatedly by many medical professionals when using incontinence garments. In addition,many pediatricians and parenting articles talk about the precautions that parents must take to make sure their infants don't get rashes and other skin problems from wearing diapers. It's also possible that the person might have sensitive skin that makes them susceptible to developing skin problems from wearing diapers,but this can most likely be minimized by talking to either a urologist to help them decide on an appropriate product to wear,or by talking to a customer service representative from the company they purchase incontinence products from. They should be able to recommend a garment that will help in this regard,or recommend certain skin care products that are especially designed for people with sensitive skin. Other medical professional who deal with incontinence and what steps to take to manage are wound,ostomy,and continence nurse,also known as a wocn nurses. They can suggest measures you can take to deal with skin problems resulting from incontinence. You might want to check with your local hospital or primary care physician to see if they can put you in contact with a wocn nurse. In addition your pharmacist might have suggestions on skin care products designed to prevent any problems that may result from wearing diapers.

A common problem that parents experience with their babies is diaper rash. This can also happen as well with other age groups who use diapers to deal with incontinence. Products to deal with this issue are found in food stores, stores such as Walmart and Target,and pharmacies such as Rite Aid, CVS,Walgreens,and similar stores. These products include diaper rash ointment such as Desitin, A&D ointment, Balmex,and other brands, baby wipes, powder, and related products. You can find these items in the infant section in the stores just mentioned. I think it would be a good idea to look into buying some of these products in order to prevent your youngster from developing any skin problems that might result from wearing diapers for the bed-wetting. In addition places such as HDIS(Home Delivery Incontinence Supplies), Continence Connection,and National Incontinence sell skin care products for incontinence.

Finally,if the person does not use diapers for the bed-wetting,they're just exposing more areas of the skin to detrimental effects. At this point I'd like to get back to the suggestion by most people that a bed-wetter will not suffer negative health effects if they don't wear diapers to bed as long as they take a shower in the morning. In my opinion this is a case of locking the barn after the horse is out. It is true that it would be advisable for a person to take a shower in the morning if they choose not to wear diapers to bed,if only to clean one's self and to eliminate the tell tale odors of urine before changing into the clothes the person is going to wear for the day. However, as pointed out earlier,the person's skin is still exposed to urine for several hours per night,thereby increasing the risks that some type of skin problems could occur. In this case,wearing diapers to bed is a preventative measure designed to minimize the risks of developing skin problems down the road. Another thing that should be kept in mind is the following possibility. During the winter time there is the potential for catching a chill if the person lies all night in wet sheets and clothing. By catching a chill the person is at risk for catching a cold if the person's immune system is weak for whatever reason. This is a point that doesn't seem to be considered by people who tend to downplay the negative effects of lying all night in a wet bed and although this risk might be negligible,it is something that shouldn't necessarily be discounted. Furthermore,wearing diapers to bed would cut down on the time needed to get ready in the morning-instead of having to take a shower in the morning,all the person has to do is clean around the diaper area. Using diapers to manage the bed-wetting would also cut down on the amount of laundry one has to take care of,allowing the person opportunities to take care of other things. In today's day and age when people are trying to compress more and more activities into a shorter time period, time is a precious commodity and anything that might help in this regard should be considered.

I hope this article gets people to reconsider their thinking in this area. Although there is a tremendous amount of stigma surrounding using diapers,in the end it makes more sense to use whatever means are necessary to mange this problem in a way that both makes the person suffering from bed-wetting more comfortable and provides better hygiene.

Saturday, April 25, 2009

Information Regarding Pin-On Diapers for Older Children and Teenagers With Bedwetting Problems

Within the past 20 years or so cloth diapers have become more popular with parents. One of the reasons for this is the perceived environmental impact of using cloth. Another reason that cloth is popular is that many people feel that cloth is better for a baby's skin. There are many online companies that sell cloth diapers for babies, but what many parents might not realize is that they also make cloth diapers to fit older children, teenagers, and adults with bedwetting problems. This article talks about my favorite cloth diapering method for bedwetting – pin-on style cloth diapers covered with a pair of plastic pants(what the old timers call “rubber pants”). While many people consider this style old fashioned and many parents might recoil at the thought of using safety pins, pin-on diapers are very good for managing bedwetting. This article talks about the use of pin-on style diapers to handle an older child or teenager's bedwetting, including the different brands of pin-on diapers as well as online stores that sell these diapers. The information in this article is also appropriate for adults that wet the bed.


To start with – most parents are probably asking the following question: why in the world would I ever want to use safety pins when there are diapers with other types of fasteners such as Velcro and snaps? That is a valid question and this article talks about some of the advantages of pin-on style diapers. First off, even though there are a lot of older children, teenagers, and adults that wet the bed, the cloth diaper market for this segment is somewhat limited – there are a few companies that make cloth diapers that fit older children, teens, and adults but not nearly as many as those that sell cloth diapers for babies. Consequently, the styles available are somewhat limited. As far as diapers with Velcro fasteners, diapers with Velcro can wear out after a while – the Velcro tends to lose its ability to stick after a number of washings. As far as snap on diapers are concerned, the snaps on snap on diapers can break. Before the advent of these styles of diapers, pin-on diapers were the only game in town. They are considered the workhorse of the cloth diaper world, and even though they are not as popular as they once were, many parents still use them for their babies and there are also incontinent adults who wear them.


One of the advantages of using pin-on diapers is that there is a large degree of flexibility in terms of getting an appropriate fit as well as layering the diapers in order to get the best protection. For instance, with pin-on diapers you can add more layers in the diaper to increase the level of absorbency. Another advantage of pin-on diapers is that they have very good wicking ability. Wicking refers to how well liquid is dispersed throughout the diaper. A diaper with good wicking ability offers better protection and makes the person wearing the diaper feel dry and comfortable. Third, pin-on diapers tend to be very durable and last for years. The reason some parents are reluctant to safety pins as a diaper fastener, is due to the fact that babies frequently squirm around when being diapered, thus making it difficult to use pins – in situations such as that, parents have sometimes stuck themselves, the baby, or both with the safety pin. My recommendation of the use of safety pin style diapers is strictly for older children and teenagers so this is not an issue.


As mentioned, with pin-on diapers you can add layers to the diapers to make them more absorbent. Many companies that sell pin-on diapers have inserts you can place in the diaper to increase its absorbency. You can also buy infant size cloth diapers from places such as Walmart. Walmart sells Gerber brand flat style and prefold diapers which you can use to layer the diapers. There's a certain amount of trial and error associated with this. The older child or teenager will have to determine the appropriate amount of liners to place in the diaper – although thick diapers are good for heavy wetters, if the diapers are too thick they can be uncomfortable to wear because the diapers will bunch up between the legs. This in turn can cause chafing.


As far as diapering is concerned there are two folds which are easy to do. The “angel wing” fold and the “newspaper fold”. Kelly's Closet has an illustrated tutorial on how to do both of those folds. The link for this tutorial is http://www.kellyscloset.com/Prefold-and-Flat-Diapers_c_601.html. An older child or teenager should be able to handle these folds by themselves. It's very important that an older youngster be responsible for diapering themselves, unless they have some physical and/or cognitive disability that prevents him or her from putting on and changing their diapers. I would copy the folding instructions from the website for the child or teenager and have them look at it so they can familiarize themselves with how to fold and fasten the diapers.


Cloth diapers, unlike disposable diapers, do not have a waterproof outer layer, therefore the diaper must be covered with a pair of waterproof pants. Plastic pants(also known as “rubber pants” even though this is a misnomer – generally this is a term used by the old timers) are the most popular type of waterproof pants. Plastic pants are also known as “vinyl pants”, vinyl being a type of plastic. Plastic pants come in two styles – snap-on which are generally used by people who are non-ambulatory, i.e. people who can't walk, and pull-on styles. The pull-on styles are usually cheaper, and are the most commonly used form of waterproof pants. For more information about plastic pants for older children and teenagers please see my post from April 25, 2009 entitled "Brands of Plastic Pants for Older Children and Teenagers With Bedwetting Problems."


Adultclothdiaper.com(also known as All Together Enterprises), Angel Fluff Diaper Company, and Changing Times Diaper Company, all sell pin-on style cloth diapers for older children, teenagers, and adults with bedwetting problems. Angel Fluff and Adultclothdiaper.com have both gauze and birdseye diapers. The gauze diapers have a loser weave which is supposed to be more comfortable to wear during the warmer times of the year such as spring and summer. If expenses permit, you might want to consider purchasing a few of each to see which style works best for you. Here are the links to each of the companies mentioned in this paragraph as well as the various sections of the websites that are relevant to pin-on diapers:


Adultclothdiaper.com:


http://www.adultclothdiaper.com/PRODUCTS_2/Youth-Prefold-diapers/Youth-Prefold-Birdseye-Small_2.html


http://www.adultclothdiaper.com/PRODUCTS_2/Youth-Prefold-diapers/Youth-Prefold-Birdseye-Small_4.html


http://www.adultclothdiaper.com/PRODUCTS_2/CLOTH-DIAPERS_2/Nighttime-Adult-Prefold-Diapers.html


http://www.adultclothdiaper.com/PRODUCTS_2/CLOTH-DIAPERS_2/Adult-Flat-Diapers-Gauze-Purity.html


Angel Fluff Diaper Company:


http://www.angelfluff.com/nfGAUZEprefolded.htm


http://www.angelfluff.com/adultclothdiapers.htm


http://www.angelfluff.com/nfGauzeFlat.htm


http://www.angelfluff.com/nfBirdseyeFlat.htm


Changing Times Diaper Company:


https://www.changingtimesdiaperco.com/PFD-WT.html


https://www.changingtimesdiaperco.com/PFD-ADULT.html


I hope this article is useful to those parents who may be having a difficult time finding a suitable product for their bedweting child or teenager.

Brands of Plastic Pants for Older Children and Teenagers With Bedwetting Problems

As mentioned in my post “Information Regarding Pin-On Diapers for Older Children and Teenagers With Bedwetting Problems”, cloth diapers, unlike disposable diapers, do not have a waterproof outer layer. As a result, you need to cover the diapers with a pair of waterproof pants. The most popular form of waterproof pants are plastic pants. Plastic pants are made out of vinyl but are generally called plastic pants because vinyl is a type of plastic. Plastic pants are also called “rubber pants” by many people, particularly by old timers. Before the advent of plastic pants in the fifties, rubber pants were the most widely used form of waterproof pants to put over babies diapers. After a while, rubber pants were no longer used for baby pants and over time “rubber pants” became a generic term for waterproof pants. Nowadays when people use the term “rubber pants” they mean plastic pants. I'd like to talk about a couple of brands of plastic pants to use for cloth diapers.


One of the most popular brands of plastic pants are the Gary brand. The Gary company makes a very good plastic pant which is sold by several companies under different names. The pant is made of 7 gauge vinyl (gauge being the thickness of the vinyl)It is a very thick plastic pant, which is good because thicker pants are durable and will last longer, and it has vinyl covered elastic which is very effective for preventing leaks. The places that sell this pant are Adultclothdiaper company(also known as All Togther Enterprises) under the name “Leakmaster Deluxe”(http://www.adultclothdiaper.com/PRODUCTS_2/Heavy-Weight/Leakmaster-Deluxe-Vinyl-Pants.html), Angel Fluff Diaper Company under the name “Ultimate Whisper”(http://www.angelfluff.com/Ultimate-Whisper-Plastic-Pant.htm), and Changing Times Diaper Company under the name InControl Comfort(https://www.changingtimesdiaperco.com/GVP-7COMHW.html).


Another plastic pant made by Gary is the Euroflex pant. This pant is made from Urethane which is a plastic type material. This pant is a made from a clear plastic which is very durable. This pant is sold by L.L. Medico. The link for this pant is http://www.llmedico.com/product/12/gary-pull-on-euroflex-urethane-pants/. Finally, Angel Fluff Diaper Company sell an 8 gauge frosted clear vinyl pant with vinyl covered elastic in the waist and legs. This pant is designed with what they call a "high rise" which adds 2 inches to the height of the pant. This means that the back is higher enabling it to provide better protection. This pant is not one they have in stock - you have to custom order it which takes an extra three weeks but it's well worth the wait in my opinion. The smallest size they have is an extra small which fits waist sizes from 20 to 32 inches and is $19.95. This plastic pant provides excellent coverage over pin-on style cloth diapers. http://www.angelfluff.com>


I hope this list helps those parents who may be having a difficult time finding plastic pants to fit their older child or teenager with bedwetting problems.

Thursday, January 29, 2009

How to Manage Bed-Wetting in College

Starting college is a very exciting time for many people-meeting new friends and taking interesting courses are just some of the things that make this time special for many people. However for those individuals with a bed-wetting problem this time can be anxiety provoking,although with the right amount of preparation it doesn't have to be.

There are plenty of cases of college students with bed-wetting problems and like any other problem in life it can be managed. Before attending college the student should ask to speak with the department that handles accommodations for students with medical conditions. If you don't feel comfortable divulging to them that you wet the bed you can ask to speak to the school nurse and he or she might be able to give you advice about how to approach the school about the bed-wetting. Nurses are used to dealing with all sorts of medical conditions,particularly incontinence so you shouldn't feel embarrassed about discussing this problem with her. From what I understand it's possible to share a dorm with individuals suffering from the same medical problem. If this isn't an option you might consider getting a private dorm or if financially feasible you could rent a one bedroom apartment.


As far as discretion is concerned this can be somewhat tricky but there are ways to work around this issue.. In a situation such as college the ease with which one can exercise discretion with a problem such as bed-wetting depends to a large extent on what type of protection a person uses. If a person uses cloth diapers and plastic pants and if the person uses public laundry facilities it can be very difficult being discreet. If however,the person goes to school in the same state and goes home every weekend the individual can bring a diaper pail to school and just bring home the wet diapers and plastic pants home and wash them there. If it's not feasible to use cloth diapers and plastic pants the student will have to use disposables. Again I would talk to the nurse about this and ask her if she has any suggestions about how to manage this problem.

If this isn't an option and the person has to use public laundry facilities he or she can schedule to wash them when the laundry room is less crowded. You might be able to bring a basin to school and wash the plastic pants in the dorm. You can also post questions on various incontinence forums and ask people what they've done in a similar situation. As mentioned there are plenty of cases of people wetting the bed in college and they might have some useful tips on how to be discreet about this problem.

I hope this article helps those bed-wetters anxious about attending college. Just remember that this is a common problem among college students and many adults too. Just because you wet the bed doesn't mean that college can't be a wonderful time. With the right preparation you can have peace of mind and get through college with flying colors.

Older Children,Bed-Wetting,and Self Diapering

In my readings on nocturnal enuresis I have come across the following situation and I decided to devote a whole article to this topic. I don't know how prevalent it is but I felt it needed to be addressed. This issue concerns me and that is why I felt it needed to be covered in more depth. On some incontinence forums I have read about some parents and babysitters diapering older children with bed-wetting problems. Some of these children are 9 or older. As we all know bed-wetting can be very stressful and in my opinion this stress can be exacerbated by parents not letting their child put on their own protection. By no means am I a childcare expert but my intuition tells me that above the age of 3 or 4 a child should be taught how to put on their own diapers.

Years ago I had a friend who had to babysit a 6 year old. She was telling me that she had to diaper the child before he went to bed. Due to his age I assumed he was potty trained and that the reason he wore diapers was because of a bed-wetting problem. She told me that he went running through the house naked and screaming and refused to let her put the diapers on him,which I can't say as I blame him.

I do believe that an older child,adolescent,or teenager should wear diapers to bed if all attempts to cure it have failed and if other garments such as pull-ups and "Goodnites" don't offer adequate protection but I also feel that the youngster should be responsible for putting on their own protection unless they have some cognitive and/or physical disability that makes it either difficult for them to do so or prevents them from doing so. Diapering an older child has the potential to drastically effect a child's psychological health for years to come.

There are certain tasks that can be accomplished by youngsters who aren't cognitively or physically impaired including tying one's shoes,putting on one's clothes,etc. Diapering one's self in my opinion would fit into this category also.

At this point I'd like to talk about disposable diapers. If the parents are concerned that the child might not fasten the diapers correctly thereby causing the diapers to leak the parents can show the child how to fasten the diapers correctly. One way of doing this is to lay the diaper on the bed,have the child sit in the diaper,and tell them how to fold and fasten the diapers properly. I wouldn't think the child would have much difficulty doing this. However,if the child is having any problems with fastening the diaper,the parents can talk them through this. After the child is done putting the diapers on, the parent can have him or her stand up to see if the diaper is put on correctly and if not they can have the child make any adjustments that are necessary,such as refastening the tapes,putting on the diapers again if it looks like they don't fit correctly(which could cause leaks),etc. I would do this when the child is young because the older the child gets the more embarrassed the child will feel. This is a very sensitive area for children. Many bed-wetting children feel self-conscious and embarrassed about wearing diapers to bed(although as I have pointed out many times they shouldn't be) and having their parents diapering them will make them feel even more self-conscious and embarrassed. Also bed-wetting makes many children feel helpless and by parents diapering the child it reinforces the feeling of helplessness. That is why children should be taught to be independent in this are as soon as possible.

As far as pin-on diapers are concerned some parents are afraid that the youngster might stick themselves with the pins. This is certainly a valid concern but if appropriate precautions are taken this shouldn't be an issue. I was talking to someone in customer service for a company that sells pin-on cloth diapers and plastic pants for older children and adults with bed-wetting problems to get her take on the situation and she told me that at the age of 7 or below the parents might need to fasten the diapers,above the age of 7 it would depend on the child's development. I believe the same steps taken with disposable diapers can also be taken with pin-on diapers. Again the parents should lay the diapers on the bed,have the child sit in them,and teach them the correct way to fasten the diapers. I can't emphasize this enough-children need to be taught at a young age how to be independent in this area. As I mentioned at the beginning of this article, my feeling is that beyond the age of 4, a child should be responsible for putting on their own diapers. Some children develop at a faster rate than others and some children might be savvy enough to put their own diapers on when they're 3. If the parents feel that the child might be capable of handling this task when they're this old the parents should let them. At this age they might need some supervision, but once the parents feel that the child has mastered this skill and can fasten the diapers correctly, the parents should let the child manage this task themselves. Like I said earlier children can be very sensitive about this issue and having a parent diapering them beyond the age that's appropriate will make the child feel like they're being babied by their parents. This in turn will make them feel embarrassed and self-conscious and will make them resistant to wear the diapers to bed.

Another idea I have as far as teaching youngster how to be self-sufficient in this area is the following. I don't know how feasible this idea is and I admit it's somewhat unusual but like the saying goes in many situations it's good to think outside the box. In many community colleges they use dummies to demonstrate certain medical techniques to nursing students. The parents could talk to the head of the nursing department at their local community college and see if they could borrow a dummy and then use the dummy to teach the child the correct way of fastening the diapers. If the head of the nursing department asks you why you want to borrow the dummy you can explain that you have a child who wears diapers for a bed-wetting problem and you want to use the dummy to teach them how to correctly fasten the diapers. If you are not able to borrow the dummy you can ask them if they have any suggestions about what to do in this situation. I suspect that purchasing something like this from a medical supply store would be expensive so the nurse at the community college might have ideas about alternative approaches to the situation. In addition you might want to call your local medical/hospital supply store and see if they have any ideas. about how to deal with this matter. As I mentioned earlier this is a very delicate situation that has the potential to do irreparable psychological harm to a child.

I wonder if some parents do this because on some level they might miss the closeness of the parent/infant relationship and this is a way to recreate this. Some parents either consciously or sub consciously want to keep their child at a certain level of development because the parents don't want to let go emotionally. It must be stressed that this is just speculation,and I'm not saying this is necessarily the case with all parents who put on their older child's diapers but the fact that this could be a factor with some people should be considered and if this the case it should be addressed with a mental health professional in order to prevent causing emotional harm to the child.

Unfortunately another reason some parents might diaper their older child that wets the bed is to humiliate them. Many parents try shaming their kids into stopping bed-wetting and this is one tactic that parents might use. I've read about one case where the parents diapered their child in front of the whole family in an attempt to get him to stop wetting the bed. There are many other things I've heard parents do to try to shame their children into stopping bed-wetting but out of sensitivity to my readers I won't mention them. Suffice it to say these practices are despicable and a form of child abuse. In terms of diapering older children that wet the bed it seems that the situations described above are atypical but even though this is the case,both my friend's experience and the situations I've read about on various incontinence forums concerned me and prompted me to write this article.

I hope people realize that this article is not meant as a criticism of anyone's parenting skills. It's meant to help people realize that children are very sensitive regarding these sorts of issues. Children need their privacy and independence in these areas and by not respecting this it makes them feel undignified. I hope this helps people look at this issue in a new light. As always I feel dialogue on these matters is very important and I welcome any constructive thoughts on this matter..