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Diapers and Nursing Homes - Must Read

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  • 1. ==== ====For Great Quality Diapers Products and Tips Check Out This Sitewww.quality-diapers.com==== ====This is an article that everyone needs to read. The facts are these, that sometimes a nursing homewill actually teach and train a new resident or patient to be incontinent. How does this happen?How can something like this happen in this day and age? I will type here how this happens with anexample of a forty-five year old female patient who entered a nursing home for short term care fortherapy.Here is the story:At the hospital, the patient was not incontinent, never had accidents and was able to sleep and livewithout wearing diapers, just like in the regular world. Then the hospital transferred the patient intoa good nursing home so that she could get short-term therapy for an injury to her left leg. Shewould need the therapy, physical therapy in order to learn to walk again. She now had the use ofonly one leg.Immediately when she got to the nursing home, the nurse, who would be caring for her, asked ifshe wanted to wear a diaper. The patient hesitated answering because she thought that questionwas odd. After all, she did not need a diaper, nor did she want to wear a diaper. The nurseproceeded to say things like, well, in case you have an accident. The patient was basically, politelytalked into wearing a diaper while at the nursing home, even though it was against her betterjudgment to begin wearing diapers at her age since she did not need diapers.As in all nursing homes and hospitals, when patients are wearing diapers, they are told to go intheir diapers. After all, that is what a diaper is for, correct? So this patient, at times, would just goin the diapers, using herself to have a bowel movement, since she was wearing the diaper. What itamounted to was that it was easier to dump in the diaper than it was to get a nurse to come tohelp her out of bed, then help her to the bathroom. The patient became increasingly afraid offalling and was made o think that diaper would stop falls and the diaper would also stop the patientfrom calling the nurse to help her to the bathroom. After all, make the nurse happy because she isthe one who will be around most, for emergencies and all.But from the beginning with this particular nurse who talked the patient into wearing a diaper, thepatient and probably many other patients were put in diapers for the convenience of the nursinghome, not for the convenience of patients. The patient did in her diaper one day and the nursebecame a little upset about what happened, and then the nurse convinced the patient that she hadan accident. When indeed, the patient had no accident, but instead the patient dumped in thediaper BECAUSE she was wearing a diaper and because when the patients rang for help, theyhad to wait and wait for someone to come and help them. Family members witnessed how long ittook a nurse to come there one day, just to change the diaper. So the nursing home gave so manymixed messages to the patients that the patients eventually became confused as to why the heck
  • 2. they were in diapers to begin with.So, many times, nursing home patients are automatically put in diapers for convenience. Thehomes make the patients lose their dignity -- they do not need diapers yet they are emotionallyforced to wear diapers. This is a large, important issue that city officials need to look into. Andwhen looking into it they need to realize that patients are reluctant to disagree with the nurses thatgive them daily care. So if a nurse even hints that a patient should wear diapers, guess what?That patient will be wearing diapers before you know it.First, the diaper was put on for the sole convenience of the nursing home, and the patients weretalked into wearing diapers IN CASE THEY HAVE AN accident. So patients complied by saying,okay, put me in a diaper. But what some patients did not realize was that by wearing diapers, thatgave the staff more permission to not come quickly when the bell is rung because the staff knowsthe patient in in a diaper and they will not have to clean sheets if there is an accident. In otherwords, accidents are approved of, rather than having a patient in no diaper and rather than havinga patient need to be escorted back and forth to the bathroom which TAKES more time for nursesto do, they encourage the patients to wear diapers.By wearing diapers, ambulatory patients who just need assistance going to the bathroom, areencouraged to be LESS independent. They are now encouraged to stay in bed more simplybecause they are wearing diapers. The less bathroom trips , the more bed time, and the lessbathroom trips, the less walking a patient does. After a week or so, the patients wonder why theyare not as strong as they were when they were in the hospitals and no one makes the connectionthat the diaper is actually making them weaker and weaker because they are out of bed that manytimes LESS. As each day in the diaper passes, the patient becomes less independent and moredependent on staff to change diapers.This whole procedure is wrong. There are SOME patients that need diapers due to medicalreasons , but for the most part, many patients are simply talked into wearing diapers forconvenience. It is insinuated that if they are wearing a diaper they will not have sheets accidentsand it is insinuated and implied that the staff will be happier with the patient if the patient iswearing a diaper. Happy staff equals happy patient, correct? Incorrect. Just because the staff ishappy that they have so many less trips to the bathroom, that does not mean the patients arehappier. The patients are taught and trained to be incontinent and they are taught and trained tobe happy that they are wearing diapers JUST IN CASE.What happened to your relatives in the nursing homes? Were they put in diapers for convenience?Are they still wearing diapers? Do they seem less independent now that they are wearing diapers?I am not speaking about regular patients who NEED, who medically need to be in diapers becausethey are incontinent, I am speaking of patients who have not been and who are not incontinent,and these patients are politely convinced, persuaded by staff to be in diapers. And all the while thestaff is politely insisting they wear diapers JUST IN CASE, the nurse says, if you want to , it is yourchoice. It is your choice if you want a diaper. She states that to the patient and keeps stating INCASE you have an accident. Basically , she is instilling the idea in a patient that she will have anaccident and it is better for the patient to have a diaper. The patient agrees just to please a staffmember.
  • 3. Yet the moment a patient agrees to please these staff members, that is the moment that thepatient becomes less independent. And is not the purpose of rehab to have the patient MOREindependent? So the nursing home is giving the patient a mixed message. The first message isthat you are there for short-term therapy, and yet, you need to wear a diaper JUST IN CASE.What about your relatives? If you relative is there for short-term therapy and your relative is NOTin medical need of diapers, then should your relative be in diapers? Probably not. IF there is nomedical need for the diaper, why is the patient wearing a diaper? Other reasons, yes, Virginia, thestaff wants patients in diapers to prevent falls.Why are there more falls with patients who do not wear diapers? There are more falls becausewhen the bell rings, when a patient rings a bell for a nurse to come to aid someone to accompanysomeone to the restroom, the patient has to wait and wait and wait, and so frustratingly, somepatients, decide to get up on their own and walk to the restroom instead of waiting so long for anurse to come. So patients learn that they will wait and wait and wait, so they better have a diaperon. That is the implied message and that is the reality of the situation.Patients wait. Those patients that are wearing diapers can eventually dump in the diaper ratherthan have wet or soaked sheets or poop in sheets. So patients are taught, systematically taughtthat they need diapers even though it is their choice, it is their decision; these places make it sothat the patient really has no choice in the matter. What their real choices are is these:They can wear wait and wait and wait and wait when they need to have a bowel movement orurination. And wait and wait and then have an accident on the sheets, on their clothing, all overthem ORThey can wait and wait and wait and wait after they ring the bell and then they can try to get to therestroom on their own since they are waiting so long, and then risk a fall or actually fall ORThey can opt to wear a diaper and if they are waiting too long, they can just dump in the diaper.If you were a patient and you knew you were there temporarily which choice would you take?Would you risk falling when you might be in there for the reason that you need help walking? Orwould you risk pooping or urinating all over your clothes or sheets and then having the nurseextremely upset with you? OR would you say, okay I will have a diaper on JUST IN CASE? This iswhat patients and staff do. The staff , SOME staff, train the patients to become incontinent just forconvenience of staff because there is no time for them to help patients to the bathroom.Remember with some patients, the staff might have to do some lifting, and with other patients itmight take a long time to walk a patient to the rest room and the staff does NOT have the time.These nursing facilities who follow these policies of telling patients to wear diapers JUST IN CASEare doing harm to patients. They are teaching patients to become less independent, while themain goal for most short-term therapy patients is to become MORE independent not less
  • 4. independent.If you ever are a patient that has this situation, TELL them you do not want to wear a diaper. Andthen document how long it takes for the staff to come to your aid after you ring the help bell forassistance to go to the bathroom. Document each time so that you are not made to wait and waitand wait and wait and then mess your sheets. When they let you wait and wait, they are merelytraining you to wear diapers and training you to become like a baby and become more dependenton them to change your diaper.Here is advice for patients who are able to go to the restroom by themselves, just tell the staff thatyou do not medically need diapers and that when they come to your aid when they should come toyour aid, there will be no accidents. AND best of all , if there is an accident, the staff will handlethat and not let you wait and wait and wait and wait while you lay in your accident.The ONLY time that patients should be in diapers for convenience is when patients are travelingoutdoors and or making short or long trips by ambulance, ambulette or access-a-ride. In thesecases, it makes sense for patients to use diapers. The reason? When you are outdoors therestrooms are usually so far away and some are not wheelchair accessible. And you just neverknow if there will be a bathroom anywhere. So, it is important to use diapers only for travelingbecause if you are outside and have an accident on your clothing, you will be outdoors in wetclothing, and especially in winter, you are putting yourself at risk for illness by staying in wet, orsoiled clothing for the length of your trip outdoors. However, once indoors at the nursing homefacility, and once indoors at your residence, if you do not medically need diapers, you should notbe wearing diapers at all.Just because a human has an accident because they were waiting too long for help, that is not areason why people need to wear diapers inside of nursing homes. Lets help make things betternot worse for our relatives and for patients inside of these nursing homes.Each and every LESS bathroom trip makes your patient less independent and makes them moredependent on you, on staff and when they get home they will be in a condition worse than theywere when they arrived at the nursing home for healing.What are your thoughts on this. I would like to hear from patients who were convinced by staff towear diapers when they did not medically need to wear diapers. Did staff do this to you too?Please leave a comment or send a confidential email . Your connection is important. With unity,we can change the system. All patients, residents and families need to unite in getting better andquicker service inside of nursing homes so that people are not made to wear diapers when they donot medically need to wear diapers.Yes, of course, if your medical condition is that you medically need to wear diapers then youshould. No one is telling you to go against doctors orders. All I am saying is that you should NOTbe in diapers for the sole convenience of the staff. And hundreds if not thousands of patients areput in diapers on a daily basis for the sole convenience of the staff.Disclaimer: This article is written by a writer, observer, researcher, and author. I am not advocatingwalking around in the nursing home if you need help. I am advocating that patients do not weardiapers if they do not medically need to wear diapers. I am advocating that patients not be talked
  • 5. into wearing diapers for the sole convenience of the staff or in their own words, JUST IN CASE!No patient needs to wear a diaper JUST IN CASE when that patient never was and is notincontinent. It is ridiculous to wear a diaper JUST IN CASE!It is in wearing diapers JUST IN CASE that makes patients less independent and more dependentand it basically teaches and trains patients to poop in their pants and to urinate in their pants whenthey do not medically need to do that. Let us give these patients back their dignity, and instead, letus run to help them , run to escort them to the restroom instead of letting them wait and wait andwait and wait. That makes more sense. Any patients who medically need to wear diapers shouldwear diapers. Any patients who have doctors orders to wear diapers for MEDICAL reasons,should wear diapers. That is all that I am saying. Please respond with your comments.Did you hear about the woman who was found naturally-glued to her boyfriends toilet. They claimthat she had been there for more than two years and that her skin grew around the toilet bowlmaking her permanently attached to the bowl. Why in the world did this woman sit there for twoyears? Here is a suggestion. Perhaps she had previously been in a nursing home. In somenursing homes, the practice is to let them sit on the bowl forever practically. Patients wait as timepasses by, until someone has time to help them back to their beds. And patients know this. That iswhy so many residents and patients are literally afraid to enter into nursing homes and physicalrehabilitation and care centers. They are afraid of losing their dignity. They know that they will beasked to either sit on the bowl forever without help of getting up OR they will lose their dignity byhaving to wear diapers when they do not medically have to wear diapers.Here is the news story, yes NEWS story of the toilet-bowl caper . This is probably what badnursing homes and bad rehabilitation and care centers are doing to our human beings. They aremaking people so afraid to go to nursing homes , that people say they would rather die than go toa nursing home, and some would sit at their homes glued to toilet bowls because of the fear thatthe nursing homes have put into them.I need your input here. I need to hear from you. And you need to share your experience so thateveryone else knows what is really happening inside of those nursing homes. The goals of staff ,the personal nursing staff that ushers people to bathrooms are conflicting goals with havingpatients become more independent.Please, I beg you to respond and let us hear your thoughts on this matter. Your input is greatlyappreciated.I updated this article on May 20, 2008.Melinda Thomas is an author who has read and studied psychology for many years. And hasattended courses in one of the largest cities in America. Melinda would like to hear from you onthis and other topics. Will you please take just a few minutes to respond if you can relate to thisarticle? Are you a staff member who has convinced a patient to wear diapers even though thepatient does not need diapers? I need all family members and patients to respond. Thank you.
  • 6. Article Source:http://EzineArticles.com/?expert=Melinda_Thomas==== ====For Great Quality Diapers Products and Tips Check Out This Sitewww.quality-diapers.com==== ====