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Characteristics of different types of diapers for adults (care) and how to choose them

Adult diapers can be broadly classified into “rehabilitation pants” and “tape diapers”.

Rehabilitation pants are so-called pants-type diapers.
Since it is used like underwear, it is suitable for people who go to the toilet by themselves or who can go to the toilet with nursing care.
In recent years, it has become thinner, so the silhouette after wearing is more natural and comfortable to use.

Tape-on diapers, as the name suggests, are diapers that are fastened with tape.
Unlike rehabilitation pants, which are worn like underwear, these are easy to change while lying in bed, so they are often used as an excretion product for bedridden people.
It is also highly absorbent, and when used in combination with a urine pad, it can further reduce the burden of changing diapers.


Rehabilitation pants

Tape-fastened diapers

Rehabilitation pants and tape-fastened diapers: Who is each suitable for?

Who is suitable for rehabilitation pants?
Able to stand up and walk on their own
I can go to the toilet, but sometimes I can't make it in time
- Urge to urinate or defecate
・Anxiety about leaking after urination (such as stress urinary incontinence)
・Underwear and pads alone are not enough

Who is suitable for tape-fastened diapers?
- Bedridden or have difficulty sitting up
I can't go to the toilet
- Have nocturnal incontinence
・Change must be done by a caregiver
-Long-term absorption is required, etc.

Reducing the burden of assisting with excretion is important, but choosing the wrong device can lead to a decline in the individual's physical and excretory functions.
Make sure to prioritize the individual's ADL (activities of daily living) and QOL (quality of life), and keep the following points in mind when making your selection.

How to choose the right type and what to pay attention to

There are a wide variety of excretion products available, and many people may be unsure of which one to choose.
There are a few important points to keep in mind when choosing a product.

(1) Absorption amount
Even within the same manufacturer, there are “long-time use” and “thin type”, and in most cases, the thin type absorbs less.
Although there are differences depending on the type, most rehabilitation pants can absorb 3 to 5 times, and taped diapers can absorb 2 to 4 times.
Let's select it considering the amount of urine and the number of toilets of the person.

②Size
There are multiple sizes available, from S to LL, and the size varies depending on the manufacturer.
Be sure to check the waist and hip size indications and choose the size that suits you.
An incorrect size can cause leakage and discomfort.

③Breathability and quality
Wearing it for a long time can cause skin problems.
Choose products that are made from breathable materials and have a slightly acidic texture that is gentle on the skin, and if you notice any redness, treat it with a moisturizer.

4. Consider gender and usage scenarios
Some manufacturers also sell diapers that are specially designed to take into account the urination location and body shape of men and women.
You can also make your life more comfortable by using different products for different occasions, such as "for nighttime" and "for going out."

What causes diaper leaks and how to deal with them

Many people are troubled by the fact that even though they use diapers, their clothes still get wet.
The cause of this type of leakage is often due to poor selection or use of diapers.
You can prevent leaks by reviewing the following cases:

- The size is not correct
If the diaper is too big, it can cause gaps around the legs and allow urine to leak.
It is important to choose a diaper that fits your leg and waist size.
Also, if there are gaps when using tape-fastened diapers, it is effective to wear rehabilitation pants over them to secure them in place.
 
・Not wearing it correctly
It is important to prepare the diaper properly before use.
For example, for tape-fastened pants, "make sure the gathers at the leg openings are firm."
When it comes to rehabilitation pants, a little advance effort, such as putting both hands in and spreading them out to the sides several times, can have a big impact on the fit.

Insufficient absorption
If leakage occurs even though there are no problems with the size or fitting method, it may be due to insufficient absorption.
It may be effective to change to a thicker diaper or use a urine pad in combination.
Especially when using rehabilitation pants, we recommend using Velcro pads as they are less likely to slip off.
In addition, using pads also reduces the frequency with which diapers need to be changed, which helps reduce costs and the burden of caregiving.


Also, some people are unaware that they are urinating, so caregivers should check their condition frequently to prevent urinary incontinence.
In such cases, be mindful of the person's feelings and privacy and try to provide support that does not make them feel burdened.

By using a monitoring system to monitor the sleeping state and provide assistance when the child wakes up, it is possible to avoid disturbing the child's sleep and also to improve comfort by changing diapers at the optimal time.

For those concerned about the cost of diapers

・Diaper provision system
This is a system that provides a fixed amount of disposable diapers and incontinence pads each month to elderly people and people with disabilities who have been certified as requiring nursing care.
The method of payment varies by local government and may include payment in kind, a subsidy for purchase costs, or in the form of a subsidy voucher.
In many cases, conditions include the level of care required, income restrictions, and in-home care.

・Medical expenses deduction
If a person requiring care is prescribed diapers by a doctor, they may be able to claim the cost of diapers as a medical expense on their tax return.
A doctor's "Diaper Use Certificate" is required, but this can help reduce costs for those whose annual medical expenses exceed a certain amount.

Since the conditions and procedures for these systems vary from municipality to municipality, the smoothest process is to inquire at the nursing care and welfare department of your city, town or village, or at your local comprehensive support center.
To apply, you may need to submit a nursing care certification notice, proof of income, a doctor's certificate, etc.
Whether or not you can receive support varies on a case-by-case basis, so it's important to consult first.

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