Use of two incontinence pads over night

[180darts]

Dad is currently in hospital and has no mobility. He has been told they won't get him up at nightif he needs the loo and has to wee in a pad. They've been doubling up the pads overnight.

They put him to bed at 9pm but don't get him up some mornings until 10.30 which means he's been in wet pads for over 12 hours, this can't be right can it? I've looked at the continence guidelines but it doesn't say anything about double pads and any way dad is not incontinent, he just needs help to get to the loo.

That's disgraceful - you should complain, particularly as he's not incontinent!

Is he able to manage a urine bottle?

They shouldn't be doubling them, we weren't allowed to when I worked as a carer and that's for people in bed for 12hrs. Wouldn't say that length of time is unusual but as to whether it's allowed or best practice... especially if he's not incontinent he should have access to a commode or toilet, or even uridom (goes over penis and wee goes into bag so like a catheter but external and removable, like a condom basically!)

We weren't allowed to double up pads, or refuse to toilet someone when i was a carer. Its classed as neglect!!!

Get in contact with PALS op. That isn't acceptable.

That’s absolutely not acceptable!

Thank you - I will contact pals

I suspect this is ward culture and is very probably happening to not just your DDad. Definitely report to PALS.

If he's a vulnerable adult I would actually suggest that this is a potential safeguarding concern and you should discuss it either with the safeguarding lead for the hospital or with your local authority safeguarding team (social services). No one should have to be left in their own mess, extremely undignified.

Thank you

Double padding is against guidelines because quite simply it's stupid. The top pad has a waterproof back so nothing is going to get down to the bottom pad. The top pad also means the bottom can't fit snug so a gap is created making the pads ineffective because there's now a leak. As pp said it's indicative of poor culture. They need to get a pad for him that's got a higher absorbancy to collect anything before it can be changed but if he's continent and wanting to go they need to assist him to the loo.

I would ask to speak to the ward manager in the first instance. Neither the double padding or refusal to get people up during the night for toileting should be happening.

What happened darts?