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Incontinence Aids and Appliances

What are incontinence aids?

Incontinence aids are products which have been specifically developed to help manage bladder or bowel control problems. The use of incontinence aids can provide a person with security and confidence and raise their quality of life.

They may be used temporarily during treatment, or as a long term solution if the incontinence is irreversible.

The continued use of incontinence aids should be monitored regularly to ensure that the most appropriate products are being used.

What types of incontinence aids are available?

Absorbent pads and pants

These products are designed to absorb urine and contain faecal loss. They are available in a range of sizes and varying levels of absorbency.

Some pads are disposable and designed for one use only. Other pads and pants are reusable - they can be washed and used many times.

To reduce odour and maximise effectiveness, it is recommended that pads are held in place by either firm fitting underwear or specifically designed pants which hold the pad firmly in place.

Absorbent bed sheets and chair covers

Reusable and disposable bed and chair protection is available. These products are constructed so that, if used as recommended, moisture is absorbed into the material layers away from the skin. They can be used to directly absorb the urine loss or provide extra protection when used with other incontinence aids.

Condom drainage and catheters

These products allow for drainage of urine into a collection device such as a leg drainage bag. Your continence advisor will provide the necessary information and advice on the appropriate type and size of product required.

Aids to toiling.

These can be used to prevent or minimise episodes of incontinence. The aids to toiling include urinals, bedpans and commodes, and recommended modifications to your living environment such as hand rails and raised toilet seats.

What to consider when selecting an incontinence aid

The best product is one that works effectively, is comfortable and assists you in regaining a normal lifestyle. When selecting an incontinence aid, consideration should be given to:

1. The type and severity of incontinence
   Your choice of incontinence aids may be determined by the frequency and volume of the urinary and/or faecal loss.

2. Your personal lifestyle
   Individual needs with regard to work, home requirements and your normal social activities may affect your choice of incontinence aids.

3. Your mobility, transfers and manual dexterity
   Your level of independence to reach the toilet and change incontinence aids may need to be assessed.

4. Availability and supply of products
   Some incontinence aids are available locally, e.g., supermarkets, chemists, while others may be more easily obtained from specialist medical suppliers.

5. Disposal requirements and facilities
   Most disposable products can be disposed of in normal household rubbish. Speak to your local council if you have any concerns.
   Incontinence aids should NEVER be flushed down the toilet.

6. Washing guidelines
   Manufacturers can supply information on the care of reusable products. In most cases, washing guidelines are included on the product or its packaging.

Who pays for incontinence aids?

Incontinence aids can be expensive, in most cases the individual users must meet their own costs.

For those with entitlements, the Department of Veterans' Affairs may accept the responsibility for the costs of incontinence aids.

In some circumstances certain products are available free of charge through government funded schemes such as Continence Aids Assistance Scheme (CAAS) or Program of Aids for Disabled People (PADP).

Advice on eligibility and the types of aids available can be sought from the National Continence Helpline.

Need help in selecting incontinence aids?

Initially, you may find that you have to trial various products. You may need the assistance of a continence advisor in choosing the products that best suit your needs.

The Continence Foundation of Australia can provide you with further information and names of continence advisors in each state and territory who can help you.

Remember

You are not alone. Incontinence can be cured, treated or more effectively managed.

Where can help be found?

There are many health professionals qualified to assist you with bladder control problems. You may seek assistance from your doctor who may offer treatment directly or refer you to a specialist, or to a qualified continence advisor. You may also seek help and obtain information directly from the following sources:

• National Helpline 1800 330 066.
• Continence services and clinics.
• Continence Nurse Advisors.
• Local Community Health Centres.
• Local Doctors.
• Domiciliary Nursing Services.
• Independent Living Centres
• Continence Foundation of Australia.
• Australian Physiotherapists Association in your state (see telephone book)