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Greetings, looking for assistance in the best solution's for my wife 4 years after her stroke having very heavy incontinence issues. She's currently using "all night" pads, which last 2 to 3 hours before I have to strip the bed.


Also uses "Always" heavy 'briefs' but with her balance issues struggles to put them on. I help but she's wanting something she can do.


Anything for HEAVY leakage that's easy to put on, and doesn't look like she's tied a sleeping bag around her waist?


Or other devices for all night and during the day?


Thanks!

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I own a boutique home healthcare agency in Boca Raton, FL so diapers and incontinence are a big part of what we deal with. I have recommended the Purewick external catheter to many of my female clients with great results. I believe you can buy it OTC and I am not sure if Medicaid will cover the cost, but allows women to sleep through the night dry, happy, and safe.

Check out their website, https://www.purewickathome.com/

I hope that helps,
BRAD
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Judyb1098 Jan 2023
I just want to tell you I really feel you were not advertising. I would like to thank you for the advice in the rite direction! I had read your post linked to the website and now MY Mother has had such great sleep even with her daily naps! and yes the Advantage insurance plan from Social Security Paid for it ALL!
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While I was caring for my dad I tried a brand of adult diaper called “Tranquility” that was the most absorbent I’d tried. Worked well for overnight.
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KPWCSC Jan 2023
We now only use Tranquility brand Overnight pull-up briefs and I totally agree. VA began providing them for my husband after they could no longer get Depends during the Pandemic. I was disappointed at first to have to switch from Depends, but after using Tranquility a few times I was totally sold.
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I get my Mom the overnight Poise Pads for inside the brief. She is bedridden so she has to use the briefs with pads. I went up a size in the brief because there was extra absorbency in doing so.
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BluSky1 Jan 2023
Thanks I'll check those out. Didn't see them in the store so I'll ask google.
Thanks
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For my wife with Alzheimer’s, I start with a pair of panties, then insert a Poise pad for males and on top of that, a male Depends. I then take her to the bathroom every 2-3 hours and change the Poise as needed. I set my alarm for 3am and change as needed. Not perfect but handles most of it. With Alzheimer’s, and perhaps, with strokes as well, nerve sensations from that region do not travel up to the brain the way they should so the person does not detect that they are wet. I also have a pad on the bed, on the couch, on the chair where she sits at the table, and on the car seat. You can get very nice pads for dogs that work well in this situation. My more difficult problem is fecal incontinence. every week or so there is an accident which is only discovered when I go to change the pad. Clean up is more involved and sometimes I just have to put her in the shower. I always change the pad before we go to the doctors or to visit relatives. . And I carry pads with me at all times. you’ve probably done so but be sure the doctor has checked her urine for any problems with the kidneys.
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There are many heavy duty products available if you search the web for adult incontinence, some sites will even send samples. Rather than a pull up style you need to try briefs that have tabs (think baby diapers).... something like these:

https://shop.tena.ca/super-briefs/6740167501,en_CA,pd.html#start=16

There are also booster pads that can be placed inside a regular pull up or brief, these are not the same as regular incontinence pads as they allow excess fluid to pass through into the brief.

https://www.agingcare.com/products/1223/incontinence-products
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BluSky1 Jan 2023
Thank you for the info and links. The diaper looking 'brief' with tabs or tape on each side is most likely what we'll try.
Thank you.
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For the bed, there are Chuks in blue and peach color. The peach are bigger and thicker. Saves you stripping the bed. Also there are washable protectors too.
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My husband became impossible to keep clean after his stroke. I hear your pain. Finally we resorted to a suprapubic catheter. That's where the catheter is inserted through the lower abdomen so there's no discomfort for the patient. I change his catheter myself and it is easy and quick. This has been such a blessing - so easy, so clean, and so comfortable for him. If your wife has a neurogenic bladder, your urologist can put one in place. It is totally reversible if you don't like it, but I'm betting you will love it as much as I do. Catheters have their own problems, of course, but so does sleeping in a puddle of pee every night and you need your rest, too, so you can take care of her in the daytime.
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The chucks are great for the bed. We get them delivered to us and I believe Medicare pays for that and the briefs or diapers whichever you prefer.
In the nursing homes they use the diapers. We also put a waterproof mattress pad to protect against the occasional leak.
Ive been through this with both my parents ❤️
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How about getting her a specialist for women: Urogynecologist.

Google "Urogynecologists in agate co"
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I would recommend Carewell wings underpads for the bed. They come in a variety of absorbance (i.e. blue -heavy; green-maximum). They have been invaluable to my family as my stepdad is having a difficult time with incontinence. Additionally, a purewick is available for females (its a non-invasive catheter which is used in both hospital and home settings and can be managed by the individual or family). Hope this helps!
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