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Special consideration must be given when managing incontinence in larger people, experts say.

As the bariatric population in long-term care continues to grow, companies are making sure providers know about new incontinence options.

Cutting Edge Healthcare, a Los Angeles-based shared services management platform, announced in August it had launched a new company, Dignex LLC, that would sell a redesigned bariatric product in sizes 2XL, 3XL and 4XL.

“[M]arket options for bariatric patients were insufficient in terms of coverage, absorptive capacity, overall retention and sizing,” said Board Chairman Meyer Greenbaum. 

He added that the bariatric population has an expected compound annual growth rate of 7% for the next 15 years.

Obese residents with incontinence have increased care needs, said Michelle Christiansen, vice president of clinical sales at Medline Personal Care Division. This includes a greater risk for developing pressure injuries.

“It is essential that facilities have available incontinence supplies that are appropriately sized for larger individuals,” she said. This means residents “remain comfortable and dry while also maintaining their dignity. Super absorbent products also reduce fatigue.” 

She encouraged providers to do a thorough assessment that includes whether a brief or pull-up is needed, and to be accurate on sizing.

“Before you start looking for an XL or 2XL, 3XL, 4XL or 5XL brief, we first need to have those hip and waist measurements,” she said.

As a need for larger resident products grows, Essity has worked to reflect the demand, said its national clinical director, Tony Forsberg, RN.

“For example, our larger briefs are not simply larger around the waist, but have a longer rise in the front and back, providing more ample coverage,” he said. “The stretch sizes allow freedom of movement and minimize binding in the thigh area, a common concern for larger persons.”