changing diaper on adult with broken hip

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changing diaper on adult with broken hip - 1/16/2011 8:29:38 PM

defiantbadgirl

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Has anyone had any experience with how to do this without causing pain or making the injury worse?

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RE: changing diaper on adult with broken hip - 1/16/2011 8:55:30 PM

LPslittleclip

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im assuming the hip is not in a cast or splint. if so the best way is to place padding between the legs like a pillow and remove the fastenings at both sides. tuck the brief down between the legs and then have someone assist you in log rolling the person on the uninjured side remove the brief from patient cleaning as needed. place the new brief under the person tucking the edge of the brief as far under the person as possible. the gentle lower the person down. pull the brief from under the uninjured side till even and bring the brief up between the legs and fasten

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LadyPact

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RE: changing diaper on adult with broken hip - 1/21/2011 2:29:48 AM

MasterGovna

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LPslittleclip, has given good advice, but as a EMT i must suggest that you refrain from such acts for awhile. a broken hip can cause more problems depending on the severity off the break. and as for the pain factor. a broken hip and pelvis are almost the two most painful things to break.

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RE: changing diaper on adult with broken hip - 1/21/2011 4:08:01 PM

hausboy

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quote:

ORIGINAL: MasterGovna

LPslittleclip, has given good advice, but as a EMT i must suggest that you refrain from such acts for awhile. a broken hip can cause more problems depending on the severity off the break. and as for the pain factor. a broken hip and pelvis are almost the two most painful things to break.

I'm making an assumption about the OP here--the diaper is not for play but for incontinence... yes?

Frail adults, particularly those with hip fractures, often do wear adult diapers (most wore them prior to the injury) and many require them after the injury because transferring the patient to a toilet or bedpan can be impossible at worst--extremely challenging at best.

First--check with your rehab therapist--there are a number of different adult diapers out there, and they may be able to recommend one that is easier to remove/change as most now have side openings with velcro. This allows you to open from the unaffected side, and the diaper can be gently slid out towards the knees, however if the diaper is full, it will pose some additional challenges for you.

Your ortho and/or physical therapist can show you some tricks to diaper changes on these patients that minimize any movement to the pelvic region. If the diaper changes are extremely difficult or cuase significant movement/pain, your physician may want to consider other options.

OR...if you are asking for play purposes only, I would refrain from any unnecessary contact until the patient has completely healed.

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RE: changing diaper on adult with broken hip - 1/24/2011 3:24:33 PM

freyjasdottir

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Hausboy has the right idea, talk to the nursing staff and see what they recommend of if they can show (and explain) the process to you while you watch them work.

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