Diapering a Patient Sequence by Angelic.health
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- čas přidán 11. 09. 2024
- Angelic Health Educational Videos
Having to clean and diaper an adult is perhaps the most unconformable task of caring for a loved one. Yet with preparation you can make this easier and preserve the patient’s dignity.
It is unlikely the patient is very mobile, so use safe body mechanics to avoid injury. It is safest and easiest to care for patients who are using a hospital bed.
You will need the following handy.
Disposable medical gloves
A clean adult diaper
A plastic trash or grocery bag
Pre-moistened wipes or skin cleaner and disposable cloths
Barrier cream
Wash and dry your hands thoroughly and put on a pair of disposable medical gloves.
If the patient's bed is adjustable, raise the entire bed to a comfortable height (usually slightly lower than your hips). Lower the head of the bed flat or as far down as the patient can tolerate.
With the patient lying on their back, unfasten the tape or straps of the adult diaper and then tuck the side farthest from you under the person's hip.
With one hand on the patient's hip and the other on the shoulder, roll the patient away from you onto their side. Be sure to have the side rails up on the far side to avoid rolling patient out of bed. If another person is available have them hold the patient in place while you clean them.
Pull the adult diaper toward you and out from under the patient. To contain the mess, roll the used diaper inward as you remove it.
Place the soiled adult diaper into a plastic trash bag for disposal.
Using pre-moistened wipes, or skin cleanser and disposable cloths, clean the person's diaper area, front and back, as thoroughly as possible. Avoid pressing or rubbing the skin too hard. You might need to roll the patient onto their back or other side to thoroughly clean areas you cannot reach. Place used wipes or cloths in the plastic trash bag.
While you are cleaning the patient, check the skin for pressure sores, which are also known as bedsores or pressure ulcers. It is important to check the skin daily for any early signs that a pressure sore has begun. If you see any, please report it to your RN Case Manager.
Apply barrier cream to the patient's perineum to moisturize and protect the skin.
Allow the patient's skin to dry completely, then roll up one side of the new adult diaper and tuck it under the patient’s side. Flatten and position the rest of the diaper on the bed.
Roll the person back toward you and onto the diaper and then pull out the rolled-up side of the diaper. Smooth any wrinkles and fasten the adult diaper as directed.
Remove your disposable medical gloves, pulling from the wrist and turning inside out and place them in the plastic trash bag before tying it closed.
Put up siderail, return the bed to the desired height and raise the head of the bed to make the patient comfortable. Cover them with the sheet and blanket for their desired level of warmth.
Use hand sanitizer, or wash and dry your hands thoroughly.
Remove your gloves if they get soiled during the cleaning and discard in trash bag. Wash your hands and put clean gloves on to continue.
![[EN] 02 Seni - All in one diapers application on a lying down person](/img/n.gif)
Nice video, if only it were that easy in the real 🌎.
Dwllll
I agree
You can say that again
😂😂😂 with a real patient
Great video however I choose to never say diaper as I wash up my Mother I’m caring for. I had to politely ask a nurse to please say briefs instead as it makes my mother feel like a child and stirs up emotions of her not being able to take care of herself. I try my all to bring dignity in what I do to care for my mother. Not judging others who refer to them as diapers I just don’t with my mother and if I’m to care for others, I won’t.
i agree, i’m in nursing school and this is exactly what our teachers tell us to say instead!
@@lintaniazi
So glad to hear that’s what’s being taught now. The best to you in nursing school! 😊
I say "undergarment" instead of diaper.
you are totally correct about preserving the dignity of the person who needs help...I am very upset that this video uses that term....it is Not ok....I hope others see this and stop using that word. Bless you.
Good point. Thanks.
Absolutely much harder with a true resident 🙂
Right!!
Indeed, esp. when they are so frail to move even
Absolutely
Exactly
I laughed while looking at this. If it were only that easy. :)
Exactly
Yup
😂😭 💯✔💖
epecially with a dementia patient who's fighting you every step of the way and has no idea what's going on.
@@Gamebreaker08 I was about to say the exact same thing 😩 Especially when you do it by yourself and trying to dodge the swings and kicks and keep them protected and try to change them 😅
I wish you would show the method of rolling the paitent twords you for paitents that have no motor control at all. I had 8 years off practice doing this with my life late husband by myself and I would have caused injury to him if I would have rolled him away from me as well as to myself with the rolling away from me because he outweighted me by a good 37 lbs.
This is definitely harder when they weigh so much more than you and cannot move their selves
I have the same patient she weight so much and so hard to roll her left and right and she have dementia
Me too same condition
Ma'am I have taught Nursing for more than 20 years, and have been a nurse for more than 30 years, and adults to not wear DIAPERS! This is a dignity issue, they wear briefs, incontinent briefs, or incontinent garments, or Depends. These people deserve respect, babies wear diapers. Also, why call it a "mess," just call it what it is, BM or urine.
Nurse Bostick your point is well taken. I am practicing saying brief instead. I do wish you would acknowledge that this is good content, in spite of saying the d-word. For this family care giver, this demo is a god send.
Very often when I say to the patient “I’m going to change your brief” they look at me like they don’t know what I’m talking about. Then I tell them I’m going to change their diaper, then they understand. I was thought to say brief, but in the real world people think of briefs as underwear (fruit of the loom etc….)
But they are diapers , atleast the ones I use. But I just call them underwear to pt .
Why are we so emotional about the words used instead of appreciating the content and knowledge.
99% of the world can easily co-relate the use of diapers ( adults as well as with children) rather than sticking with so-called medical jargon for dignity purposes.
I have a patient who prefers it to be called a diaper. To each their own. Can't please everyone, all the time.
They should be referred to as incontinent briefs, also you should always wash your hands first, before using hand sanitizer (C-Diff can be transmitted this way)
Excellent demonstration. Great and useful video. Thanks 👍
Where's the bed protector she cleaned the patient on the sheet
Not easy when you gotta 250+ client who can’t really move
Please please please call it a brief...not a diaper! Do you want to wear a "diaper"?
Respect!
Thank you so much, I am learning a lot as a new carer
Thank you! This video was great for quick and simple instructions! Straight to the point👍
Thanks for the video, great help. For me, with no practice it was easier to hear diaper. Of course I wouldn't use that in front of the patient. They didn't do either. Just for training.
This is very helpful. Thank you for demonstrating.
Thank you for this video ❤
Yeah nice video but in real life its not that easy especially if you get a heavy client 🙄 and they can’t move their legs that much
This video is very helpful, l appreciate it.
Since when did we stop calling them briefs? Calling it a diaper is so disrespectful!
It is good way to put pads but there is no body mechanics
Very nice 👍
Thank you
Thank you so much! This helped a lot
Favor why elder get diaper in what diagnosed to there health,thanks
she did it wrong while it clean, Its should be up to down( clean to soil area)
No matter how hard I try, I cannot roll or move my mom. She becomes dead weight. She is no more than 100 pounds.
I work out, and can lift pretty heavy weight. But, I cannot lift her.
Same here!!
Sigh my pt like to fight when turning . Pushing back lol
Very useful
thanks you so much
Just spray them down with power wash 🤣 kidding
Thanks
אני לובש בעצמי טיטול ולא נרתע מהשם. הרי ברור לכול אלה שלובשים מה שמים להם. גם לי אמרתי לאחות שהיא יכולה להגיד טיטול אני לא נפגע
I stand up when changing my diapers..and if anyone ask's TENA Fitted Briefs are the best!!
@ʟɪᴛᴛʟᴇ .ᴀɴɢᴇʟ yes..i was born incontinent i wear fitted briefs all the time!
🙂🙂
I need to poo
I'm not changing u 😅😅😅
Thank you