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Results for “Incontinence Pads”

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At least 217 records · Page 12Linked to original sources
PubMed1996

Contact dermatitis associated with the use of Always sanitary napkins.

OBJECTIVE: To report a clinical association between vulvar irritation or contact dermatitis and the use of Always sanitary napkins. DESIGN: Case series. SETTING: A gynecology practice in Montreal. PATIENTS: Women presenting between September 1991 and September 1994 with itching or burning of areas that would be in contact with a sanitary napkin (mons pubis, external surfaces of the vulva and perineum) beginning at least 1 day after the use of the napkins was started and less than 5 days after the use was stopped. RESULTS: Twenty-eight women experienced vulvar itching and burning, often associated with eruptions resembling contact dermatitis, of the vulvar and perineal surfaces after using Always sanitary napkins. Twenty-six reported that symptoms disappeared after they stopped using that brand of sanitary napkin. Seven women who later used the same brand again reported a recurrence of the vulvar irritation. CONCLUSION: The findings of this case series reveal Always sanitary napkins as a potentially important cause of recurrent vulvitis. Physician awareness of the association will enable effective advice and relief for a large number of women suffering "chronic vaginitis".

Adult↗
PubMed2003

The influence of pad test loss on management of women with urodynamic stress incontinence.

Members of the International Continence Society (UK section) were randomised to receive a scenario comprising clinical and urodynamic data of a woman with urodynamic stress incontinence, including a one-hour pad loss of either 42 g (large loss) or 7 g (small loss). Members were asked to indicate their initial management choice from a list of four options. Three hundred and fifteen of 440 (72%) members responded. Gynaecologists and urologists were significantly more likely to choose surgical treatment for patients with a large pad loss (24% vs 8%; difference 15.8%, 95% CI 2.9-28.7), despite published data demonstrating the poor reproducibility and reliability of the pad test.

Clinical Competence↗
PubMed1993

Management of urinary bladder function in Danish hospitals, nursing homes and home care.

The purpose of this study was to determine the prevalence of the various devices used for bladder function management in Denmark and to assess the scope for the use of alternatives to the indwelling urethral catheter. Data were collected on 1581 hospital patients, 1341 nursing home residents and 743 patients receiving home care. The sample populations were characterized by age, sex and independence in the activities of daily living. The prevalence of indwelling catheters in the three groups of patients was 13.2%, 4.9% and 3.9%, respectively. The equivalent figures for condom drainage systems were 1.5%, 0.8% and 1.2%, and for napkins 10.1%, 52.1% and 34.1%. Comparison of the results from this survey with earlier data indicates that over the period 1980-1991 (during which efforts have been made in Denmark to restrict indwelling bladder catheterization and encourage the use of alternative devices) there has been a reduction in the prevalence of indwelling catheters in hospital medical wards from 13.7% to 6.6%. Examination of the reasons for catheterization revealed that the proportions of patients catheterized because of incontinence were 14% in hospitals, 31% in nursing homes and 33% in home care. There is clearly a need to continue the educational efforts to inform staff of the infection risks and complications associated with indwelling catheters and persuade them of the advantages of the alternative techniques for care of the incontinent patient.

Activities of Daily Living↗
PubMed2002

Antenatal screening for postpartum urinary incontinence in nulliparous women: a pilot study.

UNLABELLED: Antenatal screening for postpartum urinary incontinence in nulliparous women: a pilot study. OBJECTIVE: To examine the utility of joint mobility scoring (JMS) as a screening test for postpartum urinary incontinence. STUDY DESIGN: A prospective cohort study in a teaching hospital involving 150 nulliparous women. JMS was calculated. The incidence of incontinence and pad use was recorded. Univariate and multiple logistic regression analyses were used to identify factors independently associated with incontinence. RESULTS: Hundred and three women completed the study. 43.7% of subjects were incontinent antenatally and 4.9% remained incontinent at the study end. JMS was normally distributed and similar in continent and incontinent women. Elbow hyperextension (>180 degrees ) was associated with postnatal incontinence (odds ratio 10.6; 95% CI 1.24, 90.8). Elbow hyperextension had a sensitivity of 80%, specificity of 75%, positive predictive value of 14%, and negative predictive value of 99% for postnatal incontinence. CONCLUSION: Joint hypermobility score is not a useful screening test. Elbow hyperextension is associated with an increased likelihood of postnatal urinary incontinence. It is unclear whether this test has clinical utility outside a research setting.

Adult↗
PubMed2004

Extended diaper wearing: effects on continence in and out of the diaper.

Diaper use is widespread and possibly even increasing across diverse populations in the United States, ranging from infants to very old adults. We found no reports of an experimental analysis of the effect of wearing diapers on the frequency of urinary accidents and the attainment of continence skills (e.g., urinating in the toilet). In this study, we used a withdrawal design to evaluate the effect of wearing diapers on daily urinary accidents and successful voids for an adult who had been diagnosed with mental retardation. Results indicated that wearing diapers increased the rate of accidents and decreased the rate of successful voids. Clinical implications of these results are discussed.

Adult↗
PubMed1996

Taxing patients.

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Humans↗
PubMedDate not supplied

Designer gear.

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Bedding and Linens↗
PubMedDate not supplied

Are washable absorbents effective at containing urinary incontinence?

This article describes a pilot study to evaluate washable (or reusable) absorbent garments for adults with moderate to heavy urinary incontinence. The article will describe: The study process; How the individual products performed and how the washable and disposable products compared; How nurses can enable their patients to use washable products appropriately.

Adult↗
PubMed1993

[Dementia, daily activities and micturition of the elderly living in a nursing home].

This report shows the relation between daily activities, dementia and urinary disturbance. The subjects consisted of 44 males and 110 females with an average age of 80 years (ranged from 57 to 102). We evaluated the daily activities, underlying diseases, state of urination and the intelligence by the scale of Hasegawa. The persons with diapers had a higher degree of dementia than those who could go to the lavatory. As the degree of dementia aggravated, the incidence of urinary incontinence significantly increased. Urodynamic studies were performed on 49 persons who had urinary disturbance. There were 25 persons with normal vesical function, 16 with overactive vesical function, and 8 with underactive vesical function. Since all of the incontinent persons without dementia had abnormal vesical function, pharmacologic therapy was expected to be effective for them to improve incontinence. Half of the incontinent persons with dementia had normal vesical function. Mental and physical disabilities seemed to be the main factors causing incontinence in these persons. The multidisciplinary approach including medication, behavior treatment and awareness of the nursing staff is important and effective to reduce urinary incontinence.

Activities of Daily Living↗
PubMed1993

[Cost-effectiveness of disposable diapers versus catheters in dependent patients].

Disposable diapers for incontinent elderly patients are expensive. Cost-effectiveness analysis in this prospective study showed that diapers reduced prevalence of urinary tract infections and of infected pressure sores. The saving resulting from this reduction in morbidity lowers the cost of diapers by 40% per month. This advantage, and especially improvement in the patients' health, hygiene and quality of life, justify the use of disposable diapers. Catheters were used mostly in patients in a vegetative state, while diapers were used in the preceding stages.

Aged↗