Understanding Incontinence and Choosing the Right Product
Incontinence is a common condition, but it doesn't have to control your life. The foundation of effective management is using the right product and applying it correctly. An improper fit can lead to leaks, skin breakdown, and discomfort. Before learning the application technique, it's crucial to select the right type and size of adult diaper, also known as adult briefs or incontinence underwear.
Types of Adult Incontinence Products
- Adult Briefs (Diapers with Tabs): These offer the highest level of absorbency and are ideal for heavy to severe incontinence and overnight use. The tabs allow for a highly adjustable and secure fit, making them a good choice for individuals with limited mobility who may require assistance from a caregiver.
- Pull-Up Underwear: These look and feel more like regular underwear. They are suitable for moderate incontinence and are designed for active, mobile individuals who can manage their own changing. They offer convenience and discretion but may provide less absorbency than tab-style briefs.
- Pads and Liners: These are inserted into regular underwear to manage light incontinence or drips. They are the most discreet option but are not suitable for heavy leakage.
Finding the Right Size
Using the wrong size is the most common cause of leaks. A diaper that is too large will have gaps at the leg openings, while one that is too small will be uncomfortable and may not have enough absorbent material. To find the correct size, use a soft measuring tape to measure the widest part of the hips and the waist. Use the larger of these two measurements and compare it to the sizing chart provided by the product manufacturer.
How to Put On an Adult Diaper: Step-by-Step Instructions
Proper application technique varies depending on whether the individual is standing, lying down, or applying the diaper themselves. Always start with clean, dry skin. Applying a barrier cream can help prevent skin irritation.
Method 1: Applying on a Person Who is Standing (with Caregiver Assistance)
This method is best for individuals who have some mobility and can support their own weight.
- Preparation: Unfold the new, clean brief lengthwise and give it a gentle tug to activate the inner leg cuffs, which act as a barrier against leaks. Fold the brief in half lengthwise, so it looks like a boat.
- Positioning: Ask the person to stand with their feet shoulder-width apart, holding onto a stable surface if needed. Position the brief from behind, between their legs. The side with the adhesive tabs is the back.
- Securing the Back Panel: Fan out the back panel so it is flat and smooth against their backside. Ensure the top edge is aligned with their waistline.
- Securing the Front Panel: Pull the front panel up between their legs and fan it out smoothly across their lower abdomen.
- Fastening the Tabs:
- First, secure the bottom tabs. Pull them upward at an angle to ensure a snug fit around the leg openings. This is critical for leak prevention.
- Next, secure the top tabs. Pull them straight across or slightly downward to secure the brief around the waist.
- Final Check: Run your fingers around the leg cuffs to ensure they are not tucked in and are properly positioned in the groin crease. Check that the fit is snug but not too tight—you should be able to fit two fingers comfortably under the waistband.
Method 2: Applying on a Person Who is Lying Down
This is the standard method for individuals who are bed-bound or have significant mobility challenges.
- Preparation: Wash your hands and put on disposable gloves. Lower the side rail of the bed if applicable. Unfold and prepare the clean brief as described above.
- Positioning the Person: Gently roll the person onto their side, facing away from you. If they were wearing a used brief, unfasten the tabs and tuck it underneath them.
- Placing the Clean Brief: Place the new, unfolded brief on the bed behind them. The side with the tabs should be at the back. Ensure the top is aligned with their waist.
- Rolling and Centering: Gently roll the person back onto their back, and then onto their other side (towards you). Pull the clean brief through from behind them. Remove the old brief and dispose of it properly.
- Securing the Brief: Roll the person back onto their back. The brief should now be centered underneath them. Pull the front panel up and smooth it out. Fasten the bottom tabs, angling them upwards for a secure leg seal. Then, fasten the top tabs straight across for a snug waist fit.
- Final Adjustments: Check the leg cuffs and waistband for a proper fit, ensuring there are no gaps or uncomfortable bunching.
Choosing Between Briefs and Pull-Ups
Making the right product choice is just as important as the application. Here’s a comparison to help you decide.
| Feature | Adult Briefs (with Tabs) | Pull-Up Underwear |
|---|---|---|
| Best For | Heavy to severe incontinence, overnight use, low mobility | Light to moderate incontinence, active users |
| Fit | Highly adjustable for a custom, secure fit | Less adjustable, fits like regular underwear |
| Changing | Can be changed while standing or lying down | Easier for self-changers, requires removing pants |
| Absorbency | Generally higher absorbency levels available | Moderate absorbency, less suitable for overnight |
| Discretion | Can be bulkier under clothing | More discreet, less noticeable |
Common Mistakes to Avoid
- Incorrect Size: As mentioned, this is the #1 cause of leaks. Always measure before buying.
- Leaving Leg Cuffs Tucked In: The inner leak guards must be pulled out and resting in the leg crease.
- Fastening Too Tightly or Too Loosely: A tight fit can cause skin chafing, while a loose fit will cause leaks.
- Reusing Diapers: Never reuse a disposable diaper. Change it as soon as it becomes soiled to prevent skin infections and odor.
- Not Using Barrier Cream: Protecting the skin is paramount. A good quality barrier cream protects against moisture-associated skin damage.
Conclusion: Dignity Through Proper Care
Mastering how to put on an adult diaper correctly is a simple skill that makes a world of difference. It enhances comfort, protects skin integrity, prevents embarrassing leaks, and ultimately restores a sense of dignity and freedom for the wearer. Whether you are a caregiver or someone managing your own incontinence, taking a few extra moments to ensure a proper fit is one of the most important things you can do. For more information on managing incontinence, consider resources from the National Association for Continence. By combining the right product with the right technique, you can effectively and confidently manage incontinence.
