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VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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I told myself I would reach out to as many people as I could about MALE CONDOM CATHETERS. Let me preface this by saying we take care of our aging parents in home. My dad used to be able to use a urinal overnight to pee and we would clean him up in the morning. Since he lost use of his left arm he was unable to stay dry overnight. We would change him at night before bed then in the morning. We used the best diaper we could find for overnight but he inevitably began to have sores on his bottom. This really depressed him because of the pain involved with those skin break downs. The only way we knew to keep him dry was to get up several times throughout the night and place the urinal for him when he called out to us. This took a great toll on us. Whomever spent the night ended up groggy the next morning for work! After a year of feeling like we were doing nightly newborn feedings, I finally came across the male condom catheter and it has totally changed things for the better. Medicare and his secondary cover the cost of the supplies (urine bag, catheters, and wrap around his leg to keep it in place). Listen, you can have the best diaper but it will still get wet which means the skin will sit in urine. This is also the most comfortable dry way to sleep when you suffer from incontinence. We have been using these for at least 6 months now and have not had any UTI issues. Every caregiver of adult males should be alerted to this!!! I felt like we won the lottery when we saw how well they work. I wish our PCP had told us about this the moment my dad broke his hip. I read comments of the washing wet sheets and linens, and chucks and diapers that are purchased because of overnight leaks (we spent out of pocket for all of these items too!) If I knew about these condom catheters the moment my dad broke his hip we would all have been much better off. Please look into this as an option for overnight-and yes you can use this during the day as well!!! God bless!
In the situation you describe you’ve got two strikes against you.
First, the person is in a horizontal position and plain old gravity is working against the diaper - especially if the urine is release in a heavy stream. The padding just can’t absorb it fast enough before the urine runs downwards. Diapers specifically made for sleep are a little better at handling this as usually the backside of the diaper has more padding and it also extends higher up. But what if the person is a side sleeper? Urine leaking out the leg holes is a problem even under the best circumstances. And - if you’ll notice, diapers specifically made for men and day use, usually have the majority of the absorbing padding up front and then it gets less as it goes between the legs and up the back side.
Second - and there is no delicate way to put this - well, there is but the point may get muddled - but you are dealing with a mans anatomy. The “man part” shifts and points in different directions during sleep - and goodness knows which way the urine is headed. Plus - men tend to adjust, pat and sometimes just hang onto the family jewelry in their sleep, subconsciously and often purposely. This also messes up the trajectory. Lastly, there is the man problem of “morning”... I’ll leave that one there, but I hope you know what I mean. Putting extra absorbing pads in the diaper does help “pack” the little rascal into place but any manhandling is gonna sabotage that strategy.
Sooo... your best bet is to minimize the hazard by putting down chux pads to protect the bottom sheets. However - I found that I had to lay down several and even then they often ended up in a wad at the foot of the bed. Limited fluids after a certain hour helps - but gotta watch for dehydration.
So basicly - in my opinion, it’s over all a no win situation. You may loose the war but win a lot of battles along the way with little tricks of the trade that help. But no. There is no perfect solution. Not that I have found in my 26 years of dealing with this issue. While I’ve personally never tried one with my loved one, I imagine even catheters have issues too - UTIs being among the more serious.
There are inserts that can be put in that will absorb more. There are other brands that you can get through "medical supply" that may be more absorbent. How well would he do with a condom catheter? or depending on when he goes to bed is 1 more trip to the bathroom possible before he goes into a deep sleep? or a beside, hand held urinal might be all that he needs to get him through the night without leakage. Absorbent pads under him might also help if he does "spring a leak" ;) I have to say no matter what I did for my Husband he was ALWAYS wet.
One of the things that might be happening is when he goes from sitting to laying down when he gets in bed that re-positioning from up right to prone allows the bladder to empty more fully.
I think the brand I tried was Covidien. You can find them at medical supply places, sometimes for less than Amazon. I can only vouch for using them with a bm though. But they seem to do the job. I had good luck with Depends too, but again, only for the bm.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
The only way we knew to keep him dry was to get up several times throughout the night and place the urinal for him when he called out to us. This took a great toll on us. Whomever spent the night ended up groggy the next morning for work! After a year of feeling like we were doing nightly newborn feedings, I finally came across the male condom catheter and it has totally changed things for the better. Medicare and his secondary cover the cost of the supplies (urine bag, catheters, and wrap around his leg to keep it in place). Listen, you can have the best diaper but it will still get wet which means the skin will sit in urine. This is also the most comfortable dry way to sleep when you suffer from incontinence. We have been using these for at least 6 months now and have not had any UTI issues. Every caregiver of adult males should be alerted to this!!! I felt like we won the lottery when we saw how well they work. I wish our PCP had told us about this the moment my dad broke his hip. I read comments of the washing wet sheets and linens, and chucks and diapers that are purchased because of overnight leaks (we spent out of pocket for all of these items too!) If I knew about these condom catheters the moment my dad broke his hip we would all have been much better off. Please look into this as an option for overnight-and yes you can use this during the day as well!!!
God bless!
In the situation you describe you’ve got two strikes against you.
First, the person is in a horizontal position and plain old gravity is working against the diaper - especially if the
urine is release in a heavy stream. The padding just can’t absorb it fast enough before the urine runs downwards. Diapers specifically made for sleep are a little better at handling this as usually the backside of the diaper has more padding and it also extends higher up. But what if the person is a side sleeper? Urine leaking out the leg holes is a problem even under the best circumstances. And - if you’ll notice, diapers specifically made for men and day use, usually have the majority of the absorbing padding up front and then it gets less as it goes between the legs and up the back side.
Second - and there is no delicate way to put this - well, there is but the point may get muddled - but you are dealing with a mans anatomy. The “man part” shifts and points in different directions during sleep - and goodness knows which way the urine is headed. Plus - men tend to adjust, pat and sometimes just hang onto the family jewelry in their sleep, subconsciously and often purposely. This also messes up the trajectory. Lastly, there is the man problem of “morning”... I’ll leave that one there, but I hope you know what I mean. Putting extra absorbing pads in the diaper does help “pack” the little rascal into place but any manhandling is gonna sabotage that strategy.
Sooo... your best bet is to minimize the hazard by putting down chux pads to protect the bottom sheets. However - I found that I had to lay down several and even then they often ended up in a wad at the foot of the bed. Limited fluids after a certain hour helps - but gotta watch for dehydration.
So basicly - in my opinion, it’s over all a no win situation. You may loose the war but win a lot of battles along the way with little tricks of the trade that help. But no. There is no perfect solution. Not that I have found in my 26 years of dealing with this issue. While I’ve personally never tried one with my loved one, I imagine even catheters have issues too - UTIs being among the more serious.
https://www.comfortplusonline.com/10-best-adult-diapers-2019/#overnight
There are other brands that you can get through "medical supply" that may be more absorbent.
How well would he do with a condom catheter?
or
depending on when he goes to bed is 1 more trip to the bathroom possible before he goes into a deep sleep?
or
a beside, hand held urinal might be all that he needs to get him through the night without leakage.
Absorbent pads under him might also help if he does "spring a leak" ;)
I have to say no matter what I did for my Husband he was ALWAYS wet.
One of the things that might be happening is when he goes from sitting to laying down when he gets in bed that re-positioning from up right to prone allows the bladder to empty more fully.