My diabetic husband who is not doing what he should for his diabetes (that's another story), eats junk all day, is always thirsty, and consumes an incredible amount of diet drinks and unsweetened tea all day long. He has to go to the bathroom constantly and several times he has not made it in time and wet his pants. He does have some Depends-type products, but he says he can't get them off in time to go to the bathroom and ends up getting urine on his pants anyway. His doctor put him on an overactive bladder med, and it seemed to work for a while, but not so much any more.
Our sons both want us to come visit them this year, and these trips require long plane trips with some stopovers. If he wears a Depends-type brief, should he just pee in them rather than try to make it to the airplane or airport bathroom? Then he would have to change them in an airport, I guess. I think at this point maybe he just can't travel except by car when we could stop every hour. That would mean I would be driving 4 or 5 hours a day for several days. His driving is terrible. I'm not sure I'm up for that.
How do others deal with this?
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Your DH has uncontrolled diabetes. He is not compliant. He will not change his behaviour, which would help the frequent urination.
This is 100% on him. It is not your problem to solve. But yous sons should be told Dad is not compliant in managing his diabetes, so they are be prepared for the fact he is choosing to die sooner than later. My neighbour did this. Al had weeping ulcers on his legs, he would sit at this computer with junk food spread over his desk. He knew what he was doing and he did not care. Al boasted about how high his blood sugar was, he died shortly after his 60th birthday.
He will not proactively go to the bathroom, but waits until it is an urgent situation.
He wets his pants at home.
He blames Depends on his accidents.
Do you sons know Dad is incontinent? If not, it is time to have a conversation with them. Especially if you would be staying with them. They need to know that Dad will have accidents in their homes.
They also know that any outing planned will be disrupted by Dad's need to pee and accidents while out.
If you plan to stay in a hotel, are you prepared to pay large cleaning fees? If he wets the bed, the floor etc, you will have to pay for the bed to be replaced and floors professionally cleaned.
Is there a reason the kids cannot come to see you?
Is there a reason you cannot go alone? Wouldn't it be nice to see your sons and not have to clean up after DH for a week or so?
Or yes, put hubby in respite care for a week or two and go on the trip alone.
How many ounces of liquid do you think he is drinking per day? Is he on any diuretics? Do any of the drinks he ingests have diuretic properties, like coffee? I hate to say decrease liquids as most elders are usually in danger of dehydration but this just seems excessive!
I would test whether a depend with an insert would absorb all the pee he puts out. If it works, that would be good to know for when there's an inevitable "emergency". Might want to get him on a schedule where he goes to the bathroom every XX minutes as opposed to waiting until he has the urge which is usually going to be too late.
I don't know what med he's on and everyone is different, but my mom was on oxybutinin (sp?) and she definitely had some memory issues due to it so there's that to consider as well.
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If you prefer to keep this matter more private, he will need to move to Depends or similar when out & about.
The mixed incontinence: urge (involuntary loss) but also functional (managing clothing or mobility issues) makes travel harder, but not impossible.
Some ideas... Well fitting pull-ups can be worn. A booster pad can be worn inside. He can take himself to the toilet regularly & change just the booster pad. This will reduce the risk of pullups underwear getting soaked to capacity & leaking. Take a spare shirt to tie around his waist to hide any visible accidents getting off the plane if need be. Disabled toilets in the airport can be used to assist him changing trousers if required. Carry a 'hygiene' pack with gloves, wipes, spare pullups, trousers, socks & rubbish/ziplock bags.
While I get it is not nice to just say wee in the pad/pullups when he does have control, it's a practical solution & can reduce the stress, rushing & falls risk. Then he can make his way to the toilet (without the stress) to change the booster pad after he goes.
My relative was seen by a Continence Nurse, referred by the Doctor. It was a fantastic service with lots of practical advice. "When cure is not possible, contain is the aim"! That was her motto 😃
Tell him if he can not get to the bathroom in time to let the pull-up absorb the urine then he can change without the fear of his pants getting wet. He would have to bring another pull-up with him to change. He has to get it to his mindset that it is OK to not "make it to the toilet" and that it is OK to let the brief absorb as it is supposed to do.
There are Condom Catheters he could use during a trip. Ask the doctor about them. It should make a long trip more comfortable for him.
Me personally, I would not go on a trip with him. Stopping every hour when driving...you'll never get there.
Cut out the diet drinks and tea. I just read that dark soda's are bad for the kidneys. With uncontrolled diabetes, his kidneys are already compromised.
It was not fair for me who arrived at a professional event stinking of a stranger's urine and looking a mess. I don't know what the airline did about the soaked seats as another flight was boarding immediately after ours and though I told the flight attendants, they said there was nothing they could do. The next bunch had to sit in those seats too. Please consider others as well as your own comfort. Thanks and wishing you the best.