www.pharmacy.nhg.com.sg

Incontinence Care

Incontinence Care 

Different products are available for people who have poor bladder or bowel control (incontinence).    

Adult Diapers

Adult diapers can be used when a person has urinary or bowel incontinence. 

Look out for the following when choosing diapers: 

  • Size – user’s waist and hip size 
  • Ability to protect from leaks 
  • Ability to absorb liquid and prevent it from leaking   

Barrier creams 

People who wear diapers may develop sores or rashes on the area under or around the diaper. This is known as diaper rash and it may be caused by the skin being irritated by urine or fecal matter. You may protect the skin by using barrier creams when changing the diapers. 

Look out for the following when choosing barrier creams: 

  • Does not feel oily 
  • Contain ingredients that help with the protective effect such as 
    • Silic 15 and silicone cream contain dimethicone helps to 
      • Protect the skin from water, chemicals and other irritants  
      • Relieve symptoms of rubbing and blistering  
    • Zinc oxide helps to  
      • Protect the skin and  
      • To treat and prevent diaper rash  
  • Contain ingredients with antiseptic function such as 
    • Cetrimide helps to  
      • Prevent an infection if there is any broken skin 
       
     

How to use 

  1. Change wet and soiled diapers often  
  2. Clean the affected area and allow it to dry 
  3. Apply cream generously every time you change the diaper   

Incontinence Pads  

Some women above 40 years old may experience urine leaks when coughing, sneezing, running or exercising. Incontinence pads may be used in these women.  

Incontinence pads can also be used by men who have light to moderate urine leaks 

Look out for the following when choosing incontinence pads: 

  • Size 
  • Thickness 
  • Amount of liquid the pad can absorb compared to the amount of urine leaked by the user  

Catheters

catheter is a fine hollow tube which is placed into the bladder to drain the urine out.  It is important to note that catheters should only be used if your doctor advises you to do so. 

Healthcare professionals can help you to choose the most suitable urinary catheter for the user. Using a right catheter is important in preventing any risks and problems related to the use of a catheter. It can also improve the user’s comfort and quality of life. Caring for a catheter wrongly and using it wrongly may cause a serious infection. 

When is a catheter needed? 

 A catheter is needed when the patient 

  • has bladder problems such as  
    • incontinence (leaking of urine) 
    • urinary retention (unable to empty the bladder fully) 
    • bladder blockage 
     
  • is unable to move around freely 

 Look out for the following when choosing catheters: 

Material  

  • Latex 
    • Plain latex 
    • Bonded latex 
    • You should inform your healthcare professional if the user is allergic to latex 
     
  • Silicone 
    • 100% silicone  
    • Siliconised latex (not suitable for users who are allergic to latex) 
     
  • Plastic 
  • Materials strengthened with nylon reinforced  
 

Size 

Catheter sizes are commonly measured by the Charrière size (Ch). This refers to the outer diameter of the catheter. One Ch is the same as 0.33mm. Therefore a 12Ch catheter is has an external diameter of 4mm. 

Other units of measurements are French gauge (Fg) or French (F). 

The diameter size is important to ensure that the user is comfortable. A large Charrière size can cause discomfort and injury to the bladder. In general, a catheter with the smallest possible diameter that can allow enough urine to be drained should be used. 

Length  

 

  • For children (30cm) 
  • Female (23-26cm) – for female use only 
  • Standard (40-44cm) – for both male and female use 
 

Sex of the patient 

Male Catheters 

A penile sheath or external catheter may be used for male patients. A self-adhesive strip is used to fix the catheter properly onto the penis. The front end of the catheter connects the urine bag to the catheter, making it simple to use. 

Female Catheters 

Depending on the type of incontinence, females can use either the intermittent or Foley catheters. 

One-time use only or can be re-used  

 

 

Types of catheters 

Foley 

  • A flexible tube which is placed in the bladder. A filled, tiny balloon at the end of the catheter helps to keep the catheter in place. 
  • How long you can use the catheter for depends on what the material it is made of  
 

Intermittent 

One-time-use plastic catheter used for intermittent self-catherisation (ISC).  

ISC is used to drain bladders that do not empty fully. The patients are taught to insert the caterers themselves and are able to do so at certain time intervals. 

External 

  • Also known as penile sheath or external condom catheter 
  • For men only 
  • Does not need to be placed into the bladder 
  • Comfortable and simple to use. 
 

 

Product 

Features 

Uno® Foley Catheter 

  • Siliconized latex catheter 
  • Can  be used for up to 1 to 2 weeks of  use 
 

Uno® 100% Silicone Foley 

  • Silicone catheter 
  • Wear and tear less easily 
  • Can be used for up to 6 to 8 weeks of use 
 

 

 

 

 

 

 

Other Incontinence Accessories 

Lignocaine gel may be used to reduce pain and to make it easier to insert the catheter. Stop using immediately and see a doctor if there is any skin irritation.  

  

Drainage Bag

Drainage bags are used with catheters or by men using penile sheaths 

Look out for the following when choosing drainage bags  

  • Amount that the bag can hold  
  • Larger volume for overnight drainage 
  • Smaller volume for outdoor use. This allows the user  to hide the bag under the clothing 

 

Sheaths

A sheath is a soft sleeve which fits over the penis to collect urine and is attached to a leg drainage bag. It may be used as another option to pads. 

Look out for the following when choosing sheaths: 

  • Materials  
    • Latex (latex is not suitable for people allergic to rubber) 
    • Non-latex 
     
  • Size 

Connectors 

This joins the catheter to any regular urine bag and provides maximum drainage. A leg strap can be used to hold the connector in place. Non-allergic sticky tapes can be used to hold the catheters in place and prevent the urine from flowing back from the bag. 

  

Urinals

 

Urinals are suitable for people who have problems moving around. They are long-lasting, easy to bring around and can be recycled.   

Bedpans

 

These are easy to use for patients who are unable to move. The contoured shape provides extra comfort, and the polyethylene plastic makes the bedpan lightweight and free from strong smells. 

Contoured bedpan - made for greater comfort and will remain stable even on soft mattresses. Easy-grip handles can be found on both sides and the front. 

Fracture bedpan - suitable for patients after surgery. The low wedge shape allows the caregiver to move it in and out of position without moving the patient. Easy-grip handle can be found on the back. 

 Urinal Pan  

Mattress Protectors

 

Fitted Drawsheets 

These come in Single and Queen sizes and are fitted over the mattress to protect it from soiling. 
(Pre-order is required)
 

Underpads 

These are smaller and come in 2 sizes. They are placed under the patient’s backside on the bed to prevent urine and fecal matter from leaking onto the bedsheets. 

  

   

Back to Top 

Copyright @ 2012 NHG Pharmacy. All rights reserved
21C Cal Mag Zinc D Tab 120s 1200
21C Maxi Calcium 60s 800
21C Liquid Filled Calcium 600D 90s 1600
Back to top
eNewsletter Subscription