What are the Stages of Incontinence
When people who have been ambulatory in everyday life, for any reason, find themselves unable to get out of bed to perform normal body functions are now confined to a supine position in bed, the management of urine and bowel function becomes an issue.
The Stages of incontinence follow:
- Mentally and physically able to cooperate with the care givers but are confined to bed for bowel function.
- Mentally and physically able to cooperate with timing to perform the bowel function on a known schedule.
- Mentally capable to cooperate but unable to have physical control or awareness when bowel function will occur.
- Mentally and physically unable to coordinate bowel function on any timing schedule.
- Totally unable to assist the care giver in any way when bowel function occurs.
- Physically roll and change positions frequently without regard to any ongoing bowel function.
- Near death with dehydration when bowel function ceases to occur or be a problem.
Our project is to design a method to deal with each stage of incontinence.
The Caregivers Instructions show how the mattress is prepared for use with the contents of the Incontinent Kit. Click here for more information.
When the Catchment Insert is in place and ready for the bedridden person to have a bowel movement and urination, the next step is to prepare for a toilet tissue wipe and the final clean up using the Barrier Cream Wipes. Each tissue is used to wipe the bottom and place the used tissue into the catchment bag. The platform is easily lifted out by grasping the front of the platform and folding it over pulling it up and out toward the foot of the bed. It contains all of the excrement and tissues. Dispose of it totally in the disposal container. Simply slip the next catchment insert into place under the person for the next use. Remove the latex gloves and perform hygienic washing of the hands.
The whole process is completed, from the onset of the bowel movement to disposal in less than ten minutes. It is a quick and easy way to care for an adult bedridden person with hygienic results for the care receiver and the recipient. It is cost effective in time and expense and takes fewer than the 32 steps prescribed for in a nursing home when changing a diaper.
Care Products that are available to accompany the Incontinent Kit linens and catchment inserts include:
- Sage Products: Barrier Cream Cloths for personal comfort and cleaning. One step Cleans+Treats+Protects the body from IND .
- Kroger Cleaning Towels: All Purpose Personal Washcloths 7X12in. Hypoallergenic.
- Overnight waterproof disposable Bed Mats: GoodNites
- Timed Graph: Used to determine when bowel function will occur.
- Latex Gloves
(These products are part of the Incontinent Kit we supply.)
To use the aperture in the bed with the platform catchment insert in place over the opening, the person must return to the supine or on the back position to relieve themselves. If this is not possible then the person must wear a diaper.
The instructions for caregivers states the process for changing pads, sheets and all linens. It also answers what to do with a large immovable person when linens need to be changed.
In every instance it is important to stress the need for privacy for the person and caregiver when procedures are in process.
Privacy is provided for the incontinent person at all times.
If somewhat able to assist can be done by shifting the person to one side of the bed or if possible to roll to one side while new linens and or under pads are removed and replaced with fresh ones. The movement from one side permits one half of linens to be slid under and then shifting back to the other side for complete removal. Replacement with fresh linens of pads is done with the same movements.
A large and immovable person presents a challenge that the care provider and the person in bed must work together to arrive at a method of movement or complete removal of the person from the bed while linens and insert are exchanged.
A person who cannot remain on the back or who tosses and turns may only work with the system when trained to assume a correct position over the aperture during the moment when a bowel movement is eminent. The use of the Timed Graph to determine when a bowel movement will occur is essential for success with this type person.
As explained in the stages of incontinence, some persons may of necessity end up not using the inserts catchment system and may need to be returned to wearing diapers. This may occur rarely when the care giver and the care receiver cannot work together to use the Incontinent Kit.