Ask the treatment expert ... about incontinence briefs

Share this article:
Rosalyn Jordan, RN, BSN, MSc, CWOCN, WCC
Rosalyn Jordan, RN, BSN, MSc, CWOCN, WCC

Should incontinence briefs be used in the long-term care setting?

There is no absolute “yes” or “no” answer. The decision to use incontinence briefs should be based on the resident's history, physical and assessment. Facility policies should be specific regarding the use of adult briefs and developed individually for each resident.

The care plan should include instructions and guidance regarding the use of incontinence briefs. The use of adult briefs should be discussed with family members and documented.

First, determine the level of continence prior to the current illness. An understanding of the type and severity of incontinence is necessary in order to provide rehabilitation services such as scheduled toileting programs or bowel/bladder retraining activities. 

Several studies have pointed out that many individuals who were not incontinent prior to a hospitalization are discharged with a continence issue. The skilled nursing facility should be able to rehabilitate these residents to reach their prior level of function.

There can be health-related complications with incontinence briefs. These include an increased risk of pressure ulcers, incontinence-associated dermatitis and urinary tract infections. Psychosocial conditions, such as self–esteem and quality of life, should also be evaluated.

The provider must first consider the dignity of the resident. Appropriate use may enhance the individual's quality of life if used to prevent incontinent episodes during social situations such as activities and meals, or to enable participation during therapy sessions. Of course, when the resident is assisted to bed for a significant period of time after activities, briefs should be replaced with incontinence pads to prevent skin complications.


Share this article:

More in News

Bulk of Medicaid to be managed care in two years: Avalere

Bulk of Medicaid to be managed care in ...

More than three-quarters of Medicaid beneficiaries will be enrolled in a managed care plan as of 2016, according to an Avalere Health analysis released Thursday. The numbers reveal that managed ...

Nursing home asked for employee's personal information too often, jury rules

The human resources department of a Maine nursing home did not properly protect a former employee's personal identification information, a jury recently ruled.

Test could confirm sepsis within an hour

Nursing home residents might benefit from a new way of diagnosing and treating sepsis made possible by discoveries out of the University of British Columbia.