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What are the best and most comfortable ladies protective underwear products any one has found to be helpful? They’re much improved from the past but want to make a good choice when I try to introduce her to using them. 85, mild dementia and always in denial!

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Always discreet boutique and depends silhouette are both good products that come in pretty colours. The pads are good too, they range from very slim and lightweight to sturdy overnight styles, and since women are used to the idea of pads they might be an easier first step to negotiate.
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Many here suggest removing her regular panties and replacing them with protective, absorbent undergarments.
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Tip: Don’t call them adult diapers! We all them special panties.

Also, make sure the floor on the way to the bathroom is easy to clean. Someone mentioned putting down a gray tarp for his wife - think outside the box. At some stage, you might consider getting a bedside commode to keep in her room. And, peapod or other absorbent pads for the bed/chairs. Depending on how often the leaks happen and how comfortable you are doing laundry, you can get fabric or disposable ones.
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We used Tena protective underwear and Pea Pod Mats every where. Including on the floor. sofas, bed, chairs.
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anonymous808816 Jul 2019
Ditto! Works great!!!
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One thing I have heard does work for their refusing to wear them is for you to remove all her regular panties and replace them with depends.  They are now made much more form fitting, not baggie.  One caretaker told me she actually put on a pair to show her lo that she uses them to.  No issues after that.  Hope this helps.
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We use depends and always discreet. We order from Amazon but recently found a great deal from our local overstock discount store. 30% off. Woohoo! We started using them here and there and eventually just boxed up panties so they weren’t available. We call them her pads. Just what she called them, although they are complete pull up(diapers)
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Mom uses Prevail Per-Fit that she gets from hpfy.com (Health Products for You) store. They have many brands from which to choose. Mom still complains that the crotch is too thick and uncomfortable. This is the case for any brand she has tried. You can order samples of different brands for her to try from hpfy.com.

I bought her some of those panties with the permanent pad sewn in that are washable, but the padding apparently was not thick enough and a big mess resulted. I also now put a bed pad that is quilted on one side and a waterproof material on the other side under her fitted sheet.

Recently I have been making sure she gets up from her recliner every two hours or so to go to the bathroom. That way she walks and moves around and also uses the restroom. Win/win!
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We all seem to have hit on similar solutions. Agree with removing regular panties but have found it helpful to put a couple of new Always Discreet Boutique "panties" in the drawer for times she forgets the large package beside the toilet. Minimizes her bottomless wandering looking for her panties!
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For mom, we started with Depends, but found generic brands to be just as good and more cost friendly! We settled on Berkley Jensen sold at BJ's. Tena found at several stores (CVS, Walgreens, Target, Amazon and many other online stores)are good too.
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I would call them throw away underwear, and it worked for my Mom. Don't call them diapers! I would put them on her when we would go out in the world.
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My mom has been incontinent for years but it has simply gotten worse now where she often doesn't even feel the need to pee so making it to the bathroom...well doesn't happen... She has used several brands over the years but after her stroke my brother picked up Depends (the Cadillac brand in her mind she couldn't afford bu what did he know) and she loved them! It took care of all of her issues at the time with the disposable underwear. I purchase them by the case (sometimes multiple cases) at Costco where they are without question less expensive and always stock up when they have coupons ($8 off typically). Then she started needing more protection at night so I get the extra long, heavy Poise pads for that and she puts those inside the Depends (score the bottom of the pad so it soaks through to underwear. They also make a Nighttime Depends which while more expensive works well for overnight too, the brand seems to feel comfortable for her and fits at the leg opening so they don't leak as easily. I do think much of it is hit or miss though because each body is different so it's like any underwear comfort is individual. Amazon is another good place to shop for the different choices, they deliver and while not as good as Costco (that I've found) you aren't committed to as big a package and they have options.

I would strongly suggest you never call them "diapers", even pull-ups may or may not sit well with her, I always refer to them as "your underwear" or just Depends but my mom has been using them a long time, I would find a way to refer to them in a way that deciphers them from what she's wearing perhaps but sounds "normal" so panties or underwear maybe even protection might all be options. It might be a matter of both getting her to warm up to options as well as realize just how much of a pain this problem is becoming. I'm reminded of how my mom prepped me for my first period, lol, she gave me all the various options and supplies (at the time there weren't a ton, one of those belts that held pads or tampons I think) and told me how to use them well in advance as it turned out of the expected moment so when I woke up one morning I knew right where my stash was in my closet. Maybe you do something similar with mom, give her some samples and options she can try when she decides it's time. Then on the other end find a way to make sure it isn't just easy for her to not do something about it by taking away the laundry and putting clean sheets on the bed immediately or while she's not in the room, leave it long enough for her to need to ask you to do it or casually mention how nice it would be if she would try one of the standard remedies so you didn't have to do this every day. Maybe you could appeal to her pocketbook by comparing the energy and products used as well as the wear and tear on clothing and bedding to using disposable underwear. I also make it as discrete and easy as possible for mom, she has one of those small metal garbage cans with a top you step on to open lined with the small lemon scent garbage bags from Walmart (cheap like .98 cents for a roll) so she can just ties the bag up every couple days for the trash can and take one from the bottom to put over the can insert herself. It keeps the smell at bay (which she seems to be loosing unfortunately) and she feels like she is covering up the whole situation from everyone else, taking care of it herself. She has also had various bed pads but the best set up we have now found is I got 3 "water proof" sheets and 3 extra large pads which have a little gully around the outside and non-slip nodules on the back side, nice cotton on the front side. I have a full "waterproof" mattress cover around the mattress, a sheet a pad on top of that, then another waterproof sheet, sheet, pad and a third set all on the bed so when she has an accident all she has to do is peel off the top sheet/pad layer and she has a clean dry fresh one underneath, no need to make the bed again.
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Teri4077 Jul 2019
Ditto Costco for Depends. Amazon has been slow with Depends for us, which is surprising. Amazon is rarely slow. I haven't tried Amazon for Depends lately, however, so that may have changed. Amazon is much faster now with everything. I like Costco's price, although was recently told that Dollar General has better prices for a generic. Will try it soon. I love Costco's delivery options.
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A couple thoughts. You did not mention if there are other issues like UTIs, or if you discussed this with her doctor. Where is she usually when she has to make the dash? She may not be emptying her bladder when she goes, causing a quicker and more frequent fill. Have you tried kegal exercises to strengthen the muscles surrounding the bladder? When she does go on the commode, after she finishes, have her sit there and count to thirty to see if any leftover is released. A special probiotics for women's unrinary issues may be a fix. Google probiotics for "women's incontinence "or just "elder incontinence" and you will see all kinds of remedies and probiotics pop up. The adult underwear have come a long way in their slim feminine designs as mentioned by a few. Hardly can tell the difference between panties and protective panties. Buy several different kinds, let her make the decision. You also tell her you are wearing them because you need to. Like when you were a little girl, and she instructed you, be the same, patient, caring, try to make it a fun fashion event.
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Depends looks and feels comfortable. I tried it on and would use it myself.

Also got Akord adult diaper pail from Amazon which really makes the process odorless - but you have the ongoing expense of the bags. I got tired and kinda grossed out by putting each pull-up in old grocery bags and throwing them on the garbage.
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Mom uses Poise pads purchased at Costco but we also use the panties. We buy the Amazon basics brand because they are as good as any other we’ve used for mom, Depends etc, and much less expensive. The selling point is she will feel cleaner with them as she won’t have to worry about accidents and always needing to change her clothes if she doesn’t make it to the toliet in time. Don’t call them diapers. They are panties. We buy the baby wipes to clean after changing at Costco. We have to worry about UTIs so very careful there. Good luck!
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Once you have the product do not give her an option. Remove all her other underwear and replace it with the disposable product.
Also do not not forget under pads for furniture. Disposable is easy but there are good quality washable products.
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Brand names are less important than what fits and what she is willing to wear. My mom liked the smaller pads, I think Poise is one brand. In addition to that, I strongly advise you or any caregivers to put her on a toileting schedule like every 1-2 hours whether she asks or not. Some people can't tell they need to go until the bladder is at the bursting point. Don't wait that long.
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Just buy a couple of boxes and put them within her reach. Be sure of her weight when choosing them. Some really feel like underwear. Suggest she just try them.
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Poise & tena extra large pads are great, my mum has urine & bowel incontenance. It can all get very costly $600 year if using them every day, if you live in Australia like we do, you can get them free if you get her to have 2 appointments with incontenance nurse (gov funded). Also sometimes Ural might help (helps me) it cuts down the urgency to go, I'd get her tested for a uti first the dr can refer her to incontenance nurse. Much better having her looked at by dr & going that route she will probably take the news better from them that she could wear pads. My mum hates the special panties & I don't blame her....I tried them on so I could understand how she felt and nooooo it was horrible and I felt awful and no dignity, for her it's pads all the way. Aging is bad enough with Hearing aides, dentures, cpap machine, Walker.... I suggest u also try wearing them for a day & you will understand what I'm saying & you can both have a laugh at the situation (it'll make it easier).
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Mom (currently 95 in MC year 3) really isn't incontinent, but she sometimes has difficulty getting pants down/off in time. We went with Always Discreet, and did not discuss it with her at all (she would DENY needing anything!) We just removed all underwear and I put them in various places (dresser drawer, end table drawer, small storage unit in bath) so she has access wherever she happens to look.

Although they may be cheaper elsewhere, I order them through WM (do not have Prime, and will not, so they always delay my orders.) The Maximum, Large, 56 Count were about $38/box (averages to about $0.68 each) and they ship quickly without signing up for an expensive program like Prime!
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I care for my mother in law 82 years with same problem. For the last two years has been working with her and is seeing lot of improvement. Issues is she is healthy and eats well. So tracing her is not an issue. For immediate we have in pull-ups. She is also on Detroit LA once a day
for long term we teach her the excerise. More important all science points to sleep and gut bacteria for issues like bladder control. Lake of right sleep does not give the body to produce the anti diuretic hormone to stop urine production. Read about sleep and gut bacteria. This goes for you too. Vitamin b and D and good sleep right type of sleep not with sleeping medication will change all.
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If it's just leakage, you might try the brand "Icon - pee-proof underwear", they claim it holds up to 8 teaspoons of liquid. Good luck!
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My mom, who has Vascular Dementia and lives in a SNF, used to use long pads that were fairly bulky but that she really depended on since she suffers with IBS and often has accidents. When I began to see those diaper things that the facility provides in her room, I bought a package of Always Discreet Boutique panties and she loved them! They are pretty and are the style and fit she was used to wearing. That's the only brand we've tried and I buy them at Wal-Mart.
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This is a husband answering this from much experience. My wife is (80) with advanced Alzheimer’s. We have tried most, if not all, over the past few years. In my opinion, the absolute best pull-up disposable panties have been the Sam’s Members Mark brand. They are both extremely strong, very absorbent and probably the least expensive on the market. The secret to being comfortable for your mother is to get the right size. Too large will be bulky and uncomfortable for her. Slightly small will fit nicely and remind her of her normal panties. The best pads I have found are also the Members Mark brand, and they will hold a large amount of fluid and still feel dry to the touch.
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Lymie61 Jul 2019
This is a very good tip about the fit. Logic says get them on the large side if the person falls in between but BigjimM is absolutely right in my experience anyway, the smaller fit just feels better to mom, more like regular underwear which also makes perfect sense when you think about it from the wearers comfort perspective rather than the "collection" perspective and you can't put the cart before the horse!
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Mother loves to refer to hers as diapers, so I guess every individual, is well, individual.

I know people worry so about the cost, but the COST of washing, cleaning, cleaning, cleaning--It's hard to put a price tag on something like this. Plus the overflow on furniture and car seats--my car STILL smells of pee and she had a minor leak a few months ago. I saturated that seat with "urine be gone' and let it sit for hours, the steam cleaned off and on for hours. Stiil, on a hot day--gotta air out the car.

I'm more upset that mother just takes her off and drops them in an very small open trash can along with the poise pads and then lets them ferment until SATURDAY b/c that's the day my niece 'cleans' for her. The smell in an overheated apartment is unbelievable. I know the make adult sized "diaper genies' but these also need to go out 3-4 times a week and she wouldn't use one.

I'm of board for ANY care for the next 4 months. Doing chemo and her place is off limits due to feral birds living there--also my doc felt it simply wasn't healthy to be around the filth. YEAH. Not for the cancer, but for the break!!
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gdaughter Jul 2019
Feel for you with the carseats...try using some nature's miracle or simple solution...but I fear if it got into the padding you will need to replace the seat cushioning to get rid of it. Also have found baking soda set out (you can put it in a muffin cup liner in the cup holder and then pray you don't make a mess and the cops pull you over LOL)
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I began with trying out the type that is like a huge baby diaper with the pull tabs--NOT!  My mom hated them.  I then went with the pull-ups and took away her panties because if she had access to them, she would think that she could "hold it" until she could make it to the restroom, and I wound up having to take along clothing for her to change in to, and it would embarrass her, so I just take her a bag of pull-ups and make sure that she has a spare bag in the room, and I take a spare along in the car.  I never travel in town, out of town, or anywhere without the paperwork (POA and guardianship) on me, and I never am unprepared with a bag of pull-ups in the car.  You will learn over time.  It is like taking/packing for a baby.  Better get a big car because you will need one for the bench stroller, and everything else that comes along with a several year commitment!  Also, you can try a bedside commode at her bedside in case of diarrhea.
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PeeWee57 Jul 2019
I tried those pull tab things, and I agree - they were awful to put on. But I hung onto them just in case, and wouldn't you know, they came in very handy when I had to clean Mom up after a loose BM in her bed. They worked wonderfully when she was sick.

I have one of those travel bags, too - with pants, wipes and gloves, along with her little wallet with her ID and Medicare card, as well as the legal paperwork. It's in a handy place where I can grab it at a moment's notice.
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Another thing you can do is purchase rubberized flannel from a fabric store. It's cheaper than purchasing the precut sizes. Place it between her sheet and the mattress pad on her bed. I have also cut to size to protect her recliner and couch / love seat in her sitting room. I place a sheet or chair cover over the top of it so it's not as noticeable. Because it's flannel there's no coolness or "crinkle " noise to water protection, you can put them in the washer and dryer, and it's saved me hours of work cleaning up the actual furniture, also keeps it from smells lingering in the home because it can be washed asap with everything else. I keep a few sets for everything on hand and switch them out at least weekly if not sooner than that if needed. I also have it on the passenger seat of my car, only took 1 accident for me to do it, keep a spare set in there too with a garbage bag, beats spending a whole day cleaning your upholstery in the vehicle. You manage and evolve, many things you did when you had an infant you will be doing/using now in reverse. Put all meds on top shelf so she doesn't get confused and try to self medicate. Ended up putting child lock on the cabinet where she couldn't get to it to release the mechanism. She'll say she needs an advil, will forget she took 1, try to take more 30 mins later, hence the preventative medicine cabinet child lock. Almost took migraine meds by mistake once, thought it was tylenol even though script bottle had my name on it, that was my big wakeup call to move it all up top. Yes she got pissy, I can do it myself, told her I had to keep track for her nurses and drs, settled her down, oh they told you that, ok thats fine then ( her hospice nurse is awsome, told her oh yes, we need to know it and she has to tell me every week) made MIL happy. Kind of have to plan ahead and think of toddlers and terrible twos in reverse.
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If your mom has Medicaid she should be able to get the briefs paid for with a prescription.
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I use the Assurance brand from WalMart. Nice and stretchy, reasonably priced (Mom, who is 87, is all about going cheap, and this is about as cheap as it gets), and I can get them online with 2-day delivery. Good for daytime, but she still leaks a small amount in her wheelchair, so I've lined the seat with a Prevail disposable bed pad.

At naptime and nighttime I put a Tena extra-large incontinence pad inside the pants, and that works great! I've also lined her bed with one of the Prevail pads to cut down on laundry if she pees more than usual.

I got terrycloth leakproof sheets for her bed, too, from Amazon. They're wonderful! Very soft and comfortable, and they haven't leaked yet after two years of use.

Ma spends most of her time at her little desk, reading her audiobooks, so when she really started having bowel incontinence, I got a bedside commode and stationed it next to the desk so she can get there quickly (well, as quickly as she can, anyway). If you have to do this yourself, forget those expensive commode liners. I buy black "t-shirt" bags (like grocery bags, only black, so you can't see the contents through the plastic) and I line the bucket with two bags, but after use, I only pull out the first bag. The second one is insurance.

Good luck! By the way, we've always referred to her pull-ups as her "pants." That's what she called her cloth underwear, so I stuck with that. And when it was time to give up the cloth pants, I simply cleaned out her drawer and threw them away, making the transition a fait accompli. Sometimes you have to do that - discussion often only makes it worse.
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I just turned 84 and have been using Depends for the last 5 years.
You might suggest that she start at night, at bedtime. She should have no qualms about that.
Then use one If going out of the house. It offers a feeling of security.
She can then ‘use as needed.’ Many times I forget whether I have one on on not.

I hope she has also conferred with a doctor. There are a number of medications that may help and a number of strategies that may help.

i hope this helps
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You could suggest that much younger women are glad that they wore a feminine pad for those occassional times when they sneezed (oh - oh). My late mother was a VERY SMART lady when she suggested that I wear one for those near misses/accidents 10 years ago! Never looked back! Better to be safe than quite embarrassed! Age 62 when began... And I've thought ahead and purchased protection from bowel issues because, after all, who really wants it dripping down their legs said "no one ever." I find Poise to be fine for small bladder leaks and they even come in extra absorbencies. Women's diapers can be found in most brands.
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