He's been in a coma for two weeks now. They pick up on very subtle cues.” Successfully predicting what a patient might respond well or poorly to can also give them a powerful sense of job satisfaction, Kitzinger adds. The doctor says he has brain damage. EXPLORE ALL PRODUCTS. So there are special pads and linens that we placed under their ass to help catch the poop. While in intensive care, Olson notes, nurses will likely check on patients at least once per hour. In addition, it is extremely important that patients with bowel incontinence change their diaper (or the caregiver does), immediately when it becomes soiled. Doctors and critical care nurses often don’t keep up with patients in these facilities, says Zachary Threlkeld, a Stanford University neurologist and consciousness researcher. Dear Friend. sometimes they'll have a rectal catheter as well to cover the poop. People can only do what they can do," Huiss adds. Favorite Answer. However out of the blue over the past 2 months I have developed a fetish/compulsive need to wear diapers (even though I don't need to wear them for medical reasons). You are already signed-up with us. If there’s space there, odds are you won’t stay dry long. Later steroids are stopped and TB drugs are given for 9-12 months. They also require physical therapy to prevent their muscles from atrophying and their joints from freezing up, regular shifts in bed to prevent pressure from degrading their skin and opening up sometimes untreatable sores, and at times oral suctioning to clean out built-up saliva they can’t swallow reflexively. He's been in a coma for two weeks now. Coma patients also need nurses to take care of all the bodily maintenance that alert people rarely consider. Turn the patient so you can place the brief along her bottom, then pass the front end of the brief up in between her legs, making sure you don't crimp, bend or otherwise catch the catheter tube in the brief in the groin area. Although basic care like moving a patient to avoid bedsores is fairly routine, differing circumstances can lead to substantially different needs. sometimes! Between moving them around to avoid bedsores (about once every two hours) and tasks like feeding and physiotherapy, nurses might end up providing 15 to 30 minutes of care to a patient per hourly check-in. They have bowel movements the same as a regular … Premium Questions. Treatments can prevent further physical and neurological damage, however. He has been in a diabetic coma for almost 7 days. Even if researchers are still exploring the best ways to treat the underlying cause of a coma, and learning more about the neurological mechanisms involved, they can usually deliver timely, effective, and appropriate care. Hello! gabo249 Feb 9, 2019. oh my god i … A careful history taking is essential especially in the pattern of voiding and urine leakage as it suggests the type of incontinence faced. Regarding wearing the diaper it could be mandatory for a patient to wear a diaper if they are under some kind of medication / X-ray etc, Why would a nurse do some thing ,which is not in her duty unless and other wise specified by her supirior doctors.. Toilet care can mean catheterization and periodic emptying of a bag, or changing diapers as soon as a patient experiences incontinence. Usually people who are in comas do not use bed pans as they cannot control their bowel movements. “You start questioning yourself, saying, ‘What am I doing? i went there i wasn't feeling well, the nurse ask me about my medical history and i told her it. “The most important thing is that there is not a secondary injury to the patient while you’re waiting for recovery,” Huiss says. 2 days ago she was taken to emergency/intensive care for high blood pressure caused hemorraghic stroke on half of brain, is now in a coma, with labored ... View answer, How long should a patient stay in an induced coma that has had status epilepticus seizures? Depend® offers a wide assortment of products for women and men to help you stay confident, with the protection you can trust. A few stay in hospitals long-term, perhaps because they remain in and out of acute states of distress, requiring constant interventions. I wanted the sheer bliss of merely having normal people’s problems for just awhile longer ― you know, worrying about my two teenage kids, working a full-time job, paying the bills and maintaining a house. i had somewhat of an issues at our urgent care center. [22] [23] In 2020, during the COVID19 Coronavirus Pandemic, the Civil Aviation Administration of China recommended that flight attendants wear disposable adult diapers to avoid using the lavatories, barring special circumstances, to avoid infection risks while working onboard aircraft. Attach the brief using the tabs provided for securing. Prolonged exposure to urine and feces can be damaging to the skin, causing tissue breakdown and promoting the formation of decubitus ulcers (bedsores). Feeding can be continuous or periodic, but often takes place via a tube. ... or changing diapers as soon as a patient experiences incontinence. There are a lot of ways to treat incontinence, so Dr. Ferrando typically recommends adult diapers only for older patients who have exhausted these options. This ignores the care and labor that goes into caring for patients in a long-term vegetative state, says Jenny Kitzinger, co-director of the Coma and Disorders of Consciousness Research Center in the UK. Especially because the longer a patient stays in a coma, the less likely they are to wake up. A bedridden patient becomes vulnerable to various health complications like painful bed sores, circulation and respiratory problems, depression and contractures, due to lack of activity for long periods. Remove the diaper after 12 weeks. Generally, epileptic people don't wear diapers. First, doctors ensure that the patient isn't in immediate danger of dying. Toilet care can mean catheterization and periodic emptying of a bag, or changing diapers as soon as a patient experiences incontinence. Here are some helpful tips about living in diapers: Find the brand that fits you around your thigh. Most long-term coma patients, however, eventually stabilize to the point that they can be released into alternative care. They give information about the cause of coma and its depth. Changing diapers properly is important as it helps keep the skin clean and free from infection and perineal dermatitis (a.k.a., diaper rash). This may require placing a tube in the patient's windpipe through the mouth, and hooking up the patient to a breathing machine, or ventilator. Traumatic Brain Injury (TBI) is a disruption in the normal function of the brain that can be caused by a blow, bump or jolt to the head, the head suddenly and violently hitting an object or when an object pierces the skull and enters brain tissue. Patients can also fall into a coma for any number of reasons, Huiss adds, from head trauma to metabolic shock to seizures. He has involuntary movement of his arms ... View answer, hi doc patients name is XXXXXXX XXXXXXX he got 2 attacks n a stroke 15 days bak n is in coma since thn now he opens his eyes once in a while sm hickup n coughs. Nurses are often tasked with everything from feeding to physical therapy to toilet care. All rights reserved. A substantial part of coma care, all of the experts interviewed agree, is helping families and friends cope with the prolonged grief of seeing a loved one comatose, and navigate the sometimes complex medical conditions that need to be made on their behalf. why is it that medical personal have issues with young adults from the age25-50 needing to wear diapers 24/7? So 90% of the time their poop is the consistency of gravy. But that sense of ownership and long-term connection can make the distress of seeing a patient muddle along with no sign of improvement despite one’s best efforts, and of interacting with stressed families, all the more acute. However, if the caregiver chooses, or the epileptic person has continuous wetting accidents, for a day or two (until the person can talk to the doctor), it is the caregiver's choice to use disposable diapers on the epileptic person. And even well-intentioned facilities can run into financial walls. Don’t let bladder leakage stop you from doing the things you love to do. Sign up for our newsletter to get the best of Tonic delivered to your inbox. If exces… Zaida’s coma measured an 8 out of 15 on the Glasgow Coma Scale, a method of assessing impairment of consciousness, and according to her medical records, this suggested a severe head injury. false. And we can appreciate all the effort doctors and nurses have to put in, physically and mentally, to caring for coma patients. Caring for an unresponsive patient can take its toll on medical personnel, Kitzinger says. AdolescentsParents find it easier to put their adolescent kids on diapers if they are still in the habit of bed-wetting. 2 likes. I was sooo tired but struggled to fall asleep and was thinking about a controlled self-indused coma … Yes , pupils are very important for coma or patients. Coma is not, as many lay people may assume, a singular mental state. This was literally some random question that popped into my head yesterday. But these depictions of comas—even when they're in the news—make the condition seem like a long nap, peaceful and uncomplicated, requiring minimal medical effort save maybe a feeding tube or breathing machine. This can be useful, as Olson notes: “They know when a coma patient is having a good day. What could I be doing better?’”. They require bathing, feeding, and toilet care, says Daiwai Olson, an intensive care nurse with more than 30 years of experience with comatose patients. They painted a picture of complex care, especially when a patient first enters a medical facility, which will likely surprise anyone with a media-based understanding of a coma. To determine how long you can stay in a diaper, stay in one until you leak. Studies have shown that most people with incontinence need to change their adult diaper between 5-8 times a day. Hope to have been helpful! The researchers also asked the doctors if they would let the patient wear pants or similar garments if the patient requested to do so. If there are other serious or life-threatening injuries to the rest of the body they will be dealt with in order of decreasing severity. Any health question asked on this site will be visible to the people who browse this site. However, these stable patients still need hours of assistance per day—being moved, exercised, cleaned, fed, and so on, which can take a toll on everyday people. What fantasy ideas do you have next then. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Unsurprisingly, nurses in long-term care facilities who respect and nurture the dignity of coma patients can form unique attachments to and knowledge of them. Attach the end of … But perhaps more importantly, if a patient who seems like they’re waking up suffers a setback, Olson says, it can be devastating for both their loved ones and their caregivers. “There will only be a certain number of nurses to patients, so it depends on what the load is. "Coma just means that you lose contact with the environment for a prolonged period of time,” says John Huiss of America’s National Institute of Neurological Disorders and Stroke. Doctors may need to be called in. Ideally, nurses in a long-term care facility will be able to provide as rigorous care as a patient received in the hospital. Bathing usually involves sponge baths. Coma patients can have radically different levels of consciousness and responsiveness, anywhere from typical wakeful awareness and complete, unrelenting eyes-closed non-responsiveness to external stimuli. Download Here Free HealthCareMagic App to Ask a Doctor, All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. MD. Coma patients also need nurses to take care of all the bodily maintenance that alert people rarely consider. But as we get better and better at helping people survive severe illnesses and trauma, we may find that more and more of us face the risk of seeing a loved one in this un- or minimally responsive state. Doctors receive ample training in how to detect the cause of a coma, says Christopher Cox, a critical care specialist at Duke University. Long-term comas are not incredibly common now. You should always speak with your doctor before you follow anything that you read on this website. It depends on the coma score of the patient. There is flexibility in that schedule, Olson says, because every patient is different. ... View answer. People on the ICU ward offten wear diapers due to TBI and COMA. As such, a medical team’s first task when a non-responsive patient comes into their care is figuring out what caused them to slip into that state and treating any issues that, if left unchecked, could cause even more severe brain damage. He has ... a diabetic coma? He now opens his eyes but no other movement from his body. There is no one treatment that can cause someone to come out of a coma. Doctors and nurses can’t just keep their attention on their patients and their own mental states, though. Some people also claim to have been abused in nursing homes where some coma patients end up, Huiss says. HOSPITAL staff at the epicentre of the coronavirus outbreak are wearing adult diapers because they don't have time to use the toilet in between treating patients, it has been reported. If a writer needs to stress the severity of an illness or briefly sideline a character for practical or narrative reasons, it can feel easy and logical to fall back on a prolonged state of un- or semi-consciousness. the nurse said ok and why do you have a bladder problem? The doctor says his ... View answer, My mother (86) is recovering from hemorrhage of brain stem that happened on 18-June-2012. If a patient’s type or level of consciousness does shift, it can create new complications for a nurse. Additionally, patients who still have the ability to move—and at times grow restless—may need more attention to make sure they don’t pull out their tubes or injure themselves. Likewise, many coma patients wind up in long-term care facilities or nursing homes. Initially Steroids with Anti Tubercular drugs are required. Coma patients also need nurses to take care of all the bodily maintenance that alert people rarely consider. they'll also have a gastric tube, going from mouth to stomach, so they can be fed without having to swallow food. well I am speaking as a nurse, who takes care of paralyzed and comatose patients.. They might administer seizure medications, treat an underlying illness, or place a pressure gauge directly into a patient’s brain to monitor swelling and manually relieve pressure as needed. Stay in your next diaper … Families can fall into utter conflict; Cox notes that he’s seen some nearly descend into fistfights in the hospital over contentious care decisions. Do coma patients wear diapers? By signing up to the VICE newsletter you agree to receive electronic communications from VICE that may sometimes include advertisements or sponsored content. So colonic irrigation machines are used in hospitals for immobilized patients. Diaper Face: Wear a Huggies over your head so food can't go in your mouth. Usha Ravi suggests steps to ensure proper nursing and caring for your loved one confined to the bed. My cousin who has type 1 diabetes , An amputee (due to gangrene ) doesn't take care of his health is also addicted to meth . I wanted ― needed ― to be given a leave of absence from my job as a caregiver. But this did not always catch it all. Do coma patients wear diapers . i want to know will he recover from... View answer, How long can a patient in XXXXXXX hospice care live? They will also, Huiss says, not lose sight of the humanity of their patients, making sure not only that they don’t develop bedsores or go hungry, but that they stay well clothed, comfortable, and treated like a person, not a meat sack to keep in stasis. Schedules and routines may need to change. Is brain biopsy required for a patient who is in coma? Periyakoil, a palliative care expert at Stanford University, adding that this is usually exacerbated if a patient slipped into a coma while already under one’s care—even if it was all but inevitable. (In fact, CT scans revealed an acute subdural hematoma , which is bleeding between the surface of the brain and the membrane covering the brain). Some families, whether for financial or emotional reasons, choose to take comatose loved ones home. The results showed that only 11 percent of the patients … There is no current agreement, Cox says, on the most effective ways to help families, save to be as compassionate, forthright, and clear as possible. In an effort to deepen pop understandings of comas and the care they entail, Tonic reached out to several doctors, nurses, and researchers who have extensive experience with patients in this state of consciousness. i also told nurse that i wear diapers because i have a bladder problem. Some patients wear adult diapers, which are pretty difficult to get situated correctly on someone that is unconscious. Patients who cannot move but are conscious to some degree may need extra stimulation that, as Huiss puts it, “makes their lives worthwhile.” And some doctors or families may also decide that a patient needs more stimulation throughout the day to try to bring them back to consciousness, to name just a few potential special considerations. It can be difficult to try to interpret bodily signs, such as an eye twitch, grimace, or shift in brain waves or heart rate, to figure out if what one is doing is helping or hurting a patient. By proceeding, I accept the Terms and Conditions, My cousin who has type 1 diabetes , An amputee (due to gangrene ) doesn't take care of his health is also addicted to meth . Comatose patients are made to wear diapers to prevent bed-wetting during this time, although they show no signs of any inconsistency once they come out of coma and regain consciousness. But some stay unresponsive for weeks, months, or years. And it can be hard not to wonder “whether what you are doing is futile, and doing more harm than good to the patient.”, “You always have that sense of sadness, of ‘why can’t I serve them better?’” says V.J. Right now she is at home, in a state of coma - some eye movement; limbs movement in response to pain stimulus ... View answer, hi i am looking for a answer about one patient who has history of mitral valve stenosis ... is in coma GCS E2V2M2, developed subdural and subarachnoid hematoma with hydrocephalus ....mri is done ... View answer, My husband is in the hospital in the ICU. Hopefully if and when that time comes, we can understand the level of care that our loved ones ideally will, and should, receive to keep them healthy and maintain their dignity. That’s six to 12 hours of nursing care per day, in addition to at least half an hour of concentrated attention from a doctor making check-in rounds per day. ... You the picture sketchers seems to like fantasizing helpless immobile girls that has to wear diapers. But this often involves 24-hour monitoring and rapid interventions as patients’ conditions evolve, Cox says. Comas are a staple of pop culture. In Germany, younger patients in drunken coma are placed in hospital diapers. they'll definitely have a catheter in their urethra (where urine comes out) because they'll be getting IV fluids. Most patients wake up from comas relatively quickly, Huiss says, although this can be a slow and difficult process, especially if they need to deal with any long-term neurological damage. Living with incontinence takes strength – and finding the right protection shouldn’t hold you back. Copyright 2020 © healthcaremagic.com. Thanks for writing in. Find a brand of diapers that fit snugly. “You don’t want to have bed sores, urinary tract infections, aspiration pneumonia, or blood clots that lead to a pulmonary embolism and death.”. Aside from weaning a patient off the drugs is there another way to wake the patient out of the coma such as a drug or... View answer, hi doctor My grandmother went into a diabetic coma around 12 in the morning she also has lung cancer that is spread thru her lungs and and small parts of her brain i was wondering how long ... View answer, my uncle had a heart attack on december 27 and is now in a coma since that date. Reply. Use of this site is subject to our Terms & Conditions, Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties. Enter your password. Coma rarely lasts more than 4 weeks. I wanted ― needed ― someone to do all the caregiving tasks for pay that I have been doing out of love. Assistance with bowel and bladder relief using catheter and/or diapers; ... of unconsciousness, emergence from unconsciousness is a gradual process. When do you try and wean them off of the sedative to see if they will respond and are still in there ... View answer, that Propofol and Phenabarbatol can be used to induce the profound coma. Hi, Other important points include straining and discomfort, use of drugs, recent surgery, and illness.
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