Diapering a Patient Sequence by Angelic.health
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- Опубліковано 28 січ 2025
- 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.
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.
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 😅
Nice video, if only it were that easy in the real 🌎.
Dwllll
I agree
You can say that again
😂😂😂 with a real patient
It's not easy at first, but with practice and time it gets better. I went through it with my dad, and he was completely paralyzed.
Absolutely much harder with a true resident 🙂
Right!!
Indeed, esp. when they are so frail to move even
Absolutely
Exactly
Yes, they make it look easy. It's not so easy when the patient is overweight & partially paralyz ed.
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.
I'm taking care of my mother in law ..so it was difficult for me to put the diaper...I'm glad I came across this vedio...it is helpful...thank you for the tutorial....❤❤❤
Patient care/CNA’s are some of the hardest working people on the planet!!! They are definitely angels on earth this video was very helpful!!😇
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
@@FoodandWorkoutmy same situation too and I’m new
I'm new at this and my patient is a 235lb 6'5" tall man. There will be no one there with me to help me.
Very true
Excellent demonstration. Great and useful video. Thanks 👍
Excellent Demonstration Great and useful video
Excellent Demonstration Great and useful video
Excellent Demonstration Great and useful video
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.
Thank you! This video was great for quick and simple instructions! Straight to the point👍
Thank you so much, I am learning a lot as a new carer
This is very helpful. Thank you for demonstrating.
This video is very helpful, l appreciate it.
Please please please call it a brief...not a diaper! Do you want to wear a "diaper"?
I didn't know...😮
Thank you for this video ❤
Respect!
Where's the bed protector she cleaned the patient on the sheet
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.
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
actually looking for help for myself, how do you wait til your dry if you're always leaking? I don't have money for all these supplies and can not do laundry every day, don't even have correct products because I use what was donated. allergic to plastic. glad Canada has M>A>I>D> because this is basically my only choice now
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)
Yes it is soooo hard especially when the person is resisting to move and weigh so heavy
thank you to the patient who volunteer in this video 🙏
Not easy when you gotta 250+ client who can’t really move
Is there such thing as a Scoliosis nappies?
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!!
I'm having the same issue with my patients, did you find a solution?
Honestly its much harder if the patient got dimentia,im a care giver and every time i change his diaper he always bite me or punching me or worst slap me.
Thank you❤
Yea im a new cna on the floor by myself today for the first time. And I struggled. I feel defeated
It is good way to put pads but there is no body mechanics
Thank you so much! This helped a lot
They forgot to mention the vomiting and dry heaving by the person doing the deed.
Klau ini, dibuka popoknya ke arah tdekat caregiver-nya y.
this is the wrong way to change an adult brief, you don't tuck the side furthest from you, you have to actually turn them onto their side and then roll the brief towards them, roll them back and then to the other side and remove the brief, the way shown in this video cause skin tears/shearing injuries when pulling the brief out from under them
Favor why elder get diaper in what diagnosed to there health,thanks
Thank you
Very nice 👍
My problem is that the front part is always too tight so I end up dragging it to not be so tight !! Am I putting the back part too high ? I don’t understand
I think the back is to high, I just did the same mistake todag
@@Wilma-bd3qm ok I’ll try to put it a bit lower thanks :)
No way to live. If I even get close to needing diapers I have a rifle and know how to use it. I am 82 and just had prostate surgery 7 months ago. So far everything is good, but I had to have a catheter for a few months before the surgery, never again. It's one infection after another. There is just being alive and there is quality life. When the quality runs out it is time to leave this world. The doctors will do everything possible to keep you breathing as long as possible because they are making big bucks from your misery. Not for me. This country will not allow assisted suicide because there is a fortune to be made keeping people alive even if they are just a vegetable. It really is cruel and unusual punishment by the people who are supposed to care for us.
I seen this same comment on another post 🧐
Why you'll just be going out the Same way you came in(wearing diapers) You do know that's how you started this life?!
Did you know that the soul inside you is a trust from God and you cannot kill yourself because God will punish you for killing yourself? We cannot bear the torment of the Hereafter on the Day of Judgment while we are here to worship God alone and to be patient and endure.
Its harder when they're confused 😂
Sigh my pt like to fight when turning . Pushing back lol
Since when did we stop calling them briefs? Calling it a diaper is so disrespectful!
It’s way harder than what you watch on UA-cam
thanks you so much
she did it wrong while it clean, Its should be up to down( clean to soil area)
Good having in god😢
Very useful
Beds too low
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!
Thanks
А вы сможете прийти к нам домой и снять ролик так же
🙂🙂
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 need to poo
I'm not changing u 😅😅😅
Just spray them down with power wash 🤣 kidding
Thank you