Night-time incontinence solutions

Sh1neAL1ght · 2024-12-10T10:45:37+00:00

DF (83) has Parkinson's and is struggling with night time incontinence. He gets up several times in the night and changes the padded underwear that he uses. DM lines up a set of padded pants with pads stuck in ready for him to use. The padded underwear, even with an extra stick on pad, is not absorbent enough. To complicate the issue, he has a huge hernia which means sizing is difficult. He would not manage to use slips or pull on paper pants himself- the pull ups are too stretchy and do not stay open for him to put his foot through. He wants to be independent. DM has contacted the continence service but they are not very helpful. I have said to try the Parkinson's nurse too. I've suggested cutting out the pad from a slip and stitching it into his cotton padded pants but that's obviously a lot of faff for DM and he would need 3/4 pairs a night. Does anyone have any "outside the box" solutions for this problem? Or know of some good products that would be better than what he already has.

Alwaystiredzzz · 10/12/2024 22:20

You can get more absorbent nappy style pads from tena that should last him the whole night without having to be changed. Look up tena slips.

IncessantNameChanger · 10/12/2024 22:11

You cab get waterproof pj bottoms that look like normal ones. Expensive and I guess you'd need 6 pairs for rotation in the wash.

Secondclassstamps · 10/12/2024 22:07

Secondclassstamps · 10/12/2024 21:52

If you haven’t already tried them, I’d recommend washable incontinence y-fronts. As a carer for many years to a family member with severe learning disabilities I found them very effective.

The gusset area contains a washable very absorbent pad. It’s not removable. The entire garment goes in the washing machine. We had them provided by the NHS continence service. They are a snug fit like “normal” y-fronts and pulled on and off in the same way. They absorb a surprising amount of urine without leaking. Estimated 500 mls. It’s unlikely your dad would wee more than a litre overnight meaning he’d just need one change between bedtime and morning.

These aren’t the ones we had but similar. I’ll attach the link to give you an idea what they’re like if you haven’t already seen them. Good luck and I hope you find a solution.

www.amazon.co.uk/Washable-Incontinence-Underwear-Reusable-Breathable/dp/B0BQBJ4886/ref=asc_df_B0BQBJ4886?mcid=26d7bd26252c3411be8c2444bae07ff3&tag=googshopuk-21&linkCode=df0&hvadid=718324826856&hvpos=&hvnetw=g&hvrand=9907164735065052955&hvpone=&hvptwo=&hvqmt=&hvdev=m&hvdvcmdl=&hvlocint=&hvlocphy=1007315&hvtargid=pla-2372001367399&psc=1&gad_source=1

PS to my earlier post. We had them supplied via the continence service but I’ve just checked the name of the manufacturer and it’s a UK company called P&S Healthcare. I hope it’s ok to name them here. I promise I’m not associated in any way with them other than we used their products successfully for many years.

www.pshealthcare.co.uk/mens/mens_night_time_briefs/195

Secondclassstamps · 10/12/2024 21:52

If you haven’t already tried them, I’d recommend washable incontinence y-fronts. As a carer for many years to a family member with severe learning disabilities I found them very effective.

The gusset area contains a washable very absorbent pad. It’s not removable. The entire garment goes in the washing machine. We had them provided by the NHS continence service. They are a snug fit like “normal” y-fronts and pulled on and off in the same way. They absorb a surprising amount of urine without leaking. Estimated 500 mls. It’s unlikely your dad would wee more than a litre overnight meaning he’d just need one change between bedtime and morning.

These aren’t the ones we had but similar. I’ll attach the link to give you an idea what they’re like if you haven’t already seen them. Good luck and I hope you find a solution.

www.amazon.co.uk/Washable-Incontinence-Underwear-Reusable-Breathable/dp/B0BQBJ4886/ref=asc_df_B0BQBJ4886?mcid=26d7bd26252c3411be8c2444bae07ff3&tag=googshopuk-21&linkCode=df0&hvadid=718324826856&hvpos=&hvnetw=g&hvrand=9907164735065052955&hvpone=&hvptwo=&hvqmt=&hvdev=m&hvdvcmdl=&hvlocint=&hvlocphy=1007315&hvtargid=pla-2372001367399&psc=1&gad_source=1

Original poster

Sh1neAL1ght · 10/12/2024 21:33

@Soontobe60
Yes- I put safety pins on my first demo pair to show my mum but then worried that they would dig in to my dad's skin and/or hernia so took them off and went for a few stitches.

Thank you, though! :)

OP posts:

Original poster

Sh1neAL1ght · 10/12/2024 21:31

@Mumof1andacat
Yes, he's got the washable ones but they are not absorbent enough for nighttime.
Unfortunately, he can't put the disposable ones on himself because the elastic is too springy and doesn't stay open enough to put his foot through.

Thank you, though

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Mumof1andacat · 10/12/2024 21:26

Mumof1andacat · 10/12/2024 21:23

What about more of a disposable incontinence style pants? Tena and attends make them they there is no pad to slip about or move

There are washable ones available on amazon

Soontobe60 · 10/12/2024 21:24

Would it be possible to use safety pins to hold the pads in place? That way she could prep a few pairs in no time rather than the faff of stitching them in place.

Mumof1andacat · 10/12/2024 21:23

What about more of a disposable incontinence style pants? Tena and attends make them they there is no pad to slip about or move

Original poster

Sh1neAL1ght · 10/12/2024 21:17

@ItsAllGoingToBeFine
Thank you. Yes, my mum has been putting stick on maxi style pads in the pants my dad changes into in the night but they are not big enough.

The pads you have linked look the perfect size but my dad wouldn't manage to put them in his pants himself and my mum can't get up with him in the night- she's already worn out. This is the trouble- I don't think there is a simple solution.

I mentioned before, I cut out the pad from a slip (nappy) and sewed it into a pair of my dads pants to hold it in place but my mum isn't convinced of this idea 😄 and is also probably horrified at the thought of having to sew pads in 4/5 pairs of pants everyday for the foreseeable future. I've only sewed a few over stitches- two front, two pack. I'd be happy to prep them if it worked. The pads you have linked are like the pad part of the slips and would be better than cutting slips up. It has to be something in his own pants as the elastic ones don't hold open on their own and he couldn't put slips on himself.

OP posts:

ItsAllGoingToBeFine · 10/12/2024 20:52

By stick on pads do you mean the large maxi pad style pads? If so have you tried the large pads that are just held on by pants (they are too big to have sticky backings).

The biggest ones can hold 3.5L if fluid and I suspect it is unlikely he is peeing more than that... www.ageukincontinence.co.uk/id-expert-form-maxi-size-3-large-shaped-pad-3000ml-pack-of-21.html

The only thing is they are best used with special pants, they will work with normal briefs but will be less secure.

foodtoorder · 10/12/2024 20:43

Also might be worth asking if a district nurse could assess him, it could be hard to advise unless seen physically.

foodtoorder · 10/12/2024 20:34

Also age uk and bladder and bowel uk have help and advice lines related to continence

Original poster

Sh1neAL1ght · 10/12/2024 20:28

@foodtoorder
Thank you do much. I will investigate!

OP posts:

foodtoorder · 10/12/2024 20:25

@Sh1neAL1ght sorry, just saw you said convene wouldn't work.
However please explore those services for advice and guidance, the do home visits too if they cover the area he lives in.

foodtoorder · 10/12/2024 20:23

@Sh1neAL1ght
Contact either vyne continence service or nightingale (quick google will find them) they have continence advisors available to speak to (no referral required) and can suggest and supply products to help manage.

Would a convene be better for night time?

Original poster

Sh1neAL1ght · 10/12/2024 20:17

@JollyHollyMe
Thank you.
My mum has gone through this process and did eventually get sent some padded cotton pants (it took a few goes to get the right size).
The problem is that the incontinence has got worse quite quickly and these don't do the trick anymore.

Sadly, I don't think there's a simple solution. I wish he didn't have the hernia. He didn't tell anyone he had it for years. When a consultant finally saw it he pulled more through to check it wouldn't get strangulated then said there was nothing that could be done. It makes going to the toilet difficult, finding clothes to fit difficult and using some aids impossible.

OP posts:

Original poster

Sh1neAL1ght · 10/12/2024 20:10

@Whohasnickedthesellotape
Thank you. His huge hernia means a conveen type thing wouldn't be suitable.
He's a very private man and so a prostrate investigation hasn't been done. I think with his age, his dementia and his Parkinson's that they wouldn't be able to do anything about it anyway.

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kaos2 · 10/12/2024 19:42

My BIL has MS and he has some sort of penis sheath thing that has a pipe that catches the wee outside the bed . I guess a bit like a catheter but doesn't go inside

JollyHollyMe · 10/12/2024 19:30

You dont need to buy anything
Insist on a continence nurse visit- they will give you a range of options to try and then send 3 months worth at a time

Whohasnickedthesellotape · 10/12/2024 19:09

Has he had his prostate checked as an enlarged prostate or a UTI might be why he's needing to pee several times a night?

Whohasnickedthesellotape · 10/12/2024 19:07

Conveen urinary night time catheter (put it on like a condom and it attaches to a collection bag) might work? Speak to the continence nurse for your area.

Original poster

Sh1neAL1ght · 10/12/2024 19:03

@PermanentTemporary
Thank you for investigating!
I've sent a link for this charity to my mum. I like that it has a helpline as I think talking to someone would be useful for my mum- she's given up on the NHS continence person.

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Original poster

Sh1neAL1ght · 10/12/2024 18:53

@Theoldwrinkley
Thank you. I forgot to say, he has dementia so has difficulty learning new things or remembering things- especially in the middle of the night.

I feel bad asking for solutions now as I dint think there is one!

I did actually cut the pad out of a slip (adult nappy) and attached it to a pair of his cotton, padded pants (they are trunk style) by sewing it with a bit of thread in each corner. I think it might work but my mum is doubtful and it would also mean preparing 4 pairs of ready sewn pants for each night. I could do that for her though. I'll see if she decides to try it.

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nervouslandlord · 10/12/2024 18:48

Dad used a Conveen successfully. It needed fitting by a carer tho because dad had advanced dementia and could do nothing for himself. The cycle is soiled bed linen and the smell is exhausting and awful.