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Changing an adult's diaper is an important part of a carer's routine, but potentially a difficult one (for both carer and patient). Privacy and respect are important to preserve patient dignity.

It's usual to change a patient lying down for ease of handling.

Before you start, make sure you have a clean diaper, toilet paper, wet wipes and non-latex gloves handy.

Put on your gloves. Take the patient's trousers down, and also pull up any top garments (e.g. sweater, t-shirt) that may get in the way.

Undo the tapes of the diaper and open it out. Then roll the patient on to their side, so that the diaper is left flat on the bed.

Remove the soiled diaper, and dispose of it properly; bag it up in a clinical waste bag.

Clean the genital area and buttocks, first with toilet paper and then with wipes. If the patient has had a bowel movement, it's important to wipe away from the genitals, to avoid possible contamination and infection of that area.

Fold out a fresh diaper flat on the bed, and roll the patient on to it. Pull the front pad up in to place and secure the adhesive tapes on to the back pad. The diaper should be securely in place, but not too tight.

Please note that these are general instructions, and might not be suitable for a particular patient's needs. Discuss with a doctor if you are unsure about how to care for the patient in question.

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15y ago

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