All old people wear diapers
Diapers in hospital
About 10% are affected by some form of incontinence. Most people find it uncomfortable to imagine themselves being swaddled in the hospital or having to use the bedpan for elimination. Not only older people are dependent on diapers because of incontinence, many younger adults cannot get up to the toilet in the hospital because they are immobile after an operation, for example.
Help with going to the toilet is just as normal for caregivers as changing diapers in the hospital. Incontinence articles come in a variety of shapes and designs and are used almost as frequently as plasters.
Read everything you need to know about "incontinence in hospitals" in our article. Find out how the toilet is guaranteed, what you should pay attention to when you are admitted to the hospital with diapers and what alternatives there are to the conventional "diaper".
Retirement - a taboo subject with many faces
The elimination of Metabolic end products and various substances is a natural process of the human organism.
Urine is produced in the kidneys in a complex process and is released through the ureters, bladder and urethra. The daily amount of urine varies between 1 and 1.5 liters in adults. Metabolic end products such as urea and uric acid are excreted in the urine, but also excess water. Urine also contains electrolytes, creatinine, vitamins and hormones. Stool is formed in the small and large intestines and consists of indigestible food and water.
In addition, stool contains secreted cells from the digestive tract, bilirubin and bacteria. The amount of bowel movements and the frequency of excretion varies from person to person. Urinary and stool excretions are not only important for health, but also contribute to well-being. For most people, the subject of “excretion” is taboo.
At least 4 in 10 people have some form of incontinence. This means that they cannot pass urine or stool in a controlled manner. The causes can be varied. Most people suffer from urinary incontinence. This usually occurs in old age, but it can also affect younger people. Urine is produced in the kidneys and ultimately collected in the bladder. This can collect up to 1 liter of liquid because the Sphincters tense in the pelvic floor. Once a certain level has been reached in the bladder, the pressure rises. There are receptors in the bladder wall that record this pressure and pass it on to the brain. Only when the brain sends inhibitory signals does the tension in the sphincter relax and the bladder empty.
Urinary incontinence occurs when individual elements of this complex system no longer function properly or people need help with going to the toilet. Likewise, drug side effects can lead to uncontrolled urination. Depending on the type of illness, one speaks of Stress, urge, reflex, overflow or functional incontinence.
Stress incontinence occurs mainly in women after pregnancy or during the menopause; in men, obesity is the most common cause. Stress incontinence leads to leakage of urine after sneezing, coughing or when lifting heavy loads. The cause is a weakening of the pelvic floor muscles, which then no longer adequately closes the urethra.
At a Urge incontinence Affected people feel a constant need to urinate, even if the bladder is not filled. It comes to "trickling" because inflammation, an enlarged prostate or neurological diseases overstimulate the bladder.
Reflex incontinence occurs when nerve pathways between the bladder and the brain are broken. This is the case, among other things, with injuries to the spinal cord, but also with neurological diseases.
Overflow incontinence arises when the urethra is enlarged, for example by an prostate is narrowed and the bladder can no longer empty completely. The urine residue then emerges involuntarily.
As functional incontinence Any form of incontinence is called that otherwise continent people no longer use the toilet to deal with their excretions. This is the case, for example, with cognitive impairments such as dementia. However, medically prescribed immobility after an operation or during pregnancy can also be causes. Uncontrolled urination due to medication, which can be observed especially after anesthesia or with diuretics, is also included.
But fecal incontinence also affects one or the other patient who is admitted to the hospital. The bowel evacuation works in a similar way to the urination via pressure receptors and muscle relaxation. People who are unable to empty their stool willingly also suffer from urinary incontinence. Fecal incontinence can be caused by muscular, neurological or sensory disorders.
Muscular disorders occur in the context of a weakening of the storage muscles. This can be caused by damage, decreased tissue elasticity or chronic constipation.
At neurological disorders no or insufficient impulses reach the brain via the fill level from the intestine. Many neurological diseases result in intestinal incontinence.
Sensory disorders impair the perception of the mucous membrane in the anal canal. These occur primarily in connection with hemorrhoids, intestinal prolapse or after intestinal surgery and cause intestinal incontinence.
Incontinence care options
Most people who are hospitalized wrapped up live in fear of bed-wetting in the hospital. However, this fear is unfounded, because the supply of various incontinence articles is guaranteed at all times in the hospital.
Which aids are best for each patient depends on various factors:
- Type of incontinence
- Amount of uncontrolled excretion
- Time of incontinence (during the day, only at night)
- Mobility of the person concerned
- cognitive constitution
- Skin condition of the patient
In principle, a distinction can be made between absorbent and dissipative aids as well as toilet aids:
- Incontinence pants
- Incontinence pads
- Commode chairs
- Urine bottles
Hospital Incontinence - What You Should Know
Whether you are hospitalized wrapped up or not allowed to get up to go to the bathroom after an operation in the hospital, you can count on receiving professional support.
Don't underestimate the time!
If you plan to stay in hospital, it makes sense to equip the bag with your own incontinence articles, as it can take some time before you can leave the emergency room or the patient check-in. You will be given diapers in the hospital as soon as you can move into your room. For this time to be bridged, it is good if you can fall back on your own incontinence articles.
Bed-wetting in the hospital
If you need diapers or support in the hospital, it is advisable to inform the hospital staff about this during the admissions interview. The caregiver in charge will discreetly equip the care cabinet in your bathroom with the appropriate material or support you with the removal in due course.
And if you have to ...?
If you need help with elimination, you can always contact the nursing staff at the hospital. They will assist you on the way to the toilet, empty a urine bottle, change your full diaper in the hospital, provide a bedpan in the hospital or change you in the sick bed. The nurses are trained - so don't be afraid to confide in them.
Or is it your own material?
It is possible to take your own supplies with you to the hospital if you are known to have incontinence. Especially when it comes to special items, it can be helpful to have them in stock. This may make you feel a little safer and more comfortable, even if you have to go to the hospital with incontinence.
Incontinence in the hospital primarily affects people of old age or with serious previous illnesses. However, even younger patients can depend on support in excretion because of bed rest. For many people this is associated with shame.
But even a full diaper in the hospital is part of everyday life for staff. It will take you to the hospital in case of incontinence Respect and dignity to treat. The discreet support when going to the toilet or the professional handling of bed-wetting in the hospital is a matter of course for the nursing staff.
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