Or maybe it's one more medical or "special need" self care item I am soley responsible for taking on, given that I am capable of doing so when not in hospital, and let's be frankly honest:
(Top right: Tranquility Slimline: size small, Middle: Prevail Youth: 16-21 inch waist, Tranquility Slimline: size extra small)
My personal preference, for any pull on or tabbed incontinent item, is a thinner item with quick absorbency. Thinner items don't hold as much fluid overall, but a single product isn't meant to be worn for long periods at a time.
Or, at least that's my logic
You'll need to measure, and I'm going to further emphasize this further down, but with an item meant to fit a 16-21 inch waist, we aren't talking Old Navy jeans size measuring chart 21 inch. We're talking your ACTUAL waist circumference. A popular complaint for all products is "true to size". Hate to say, but vanity sizing (like when you go to Abercrombie and fit a 00, you usually aren't able to fit a little kid's size 10) has skewed in the way we measure.
Here's the product when laying it flat. When putting a brief on yourself (again, this post is directed toward the young adult population...and I do put these on myself, in a wheelchair nonetheless) or with help you need the padding of the brief to surround your waist. As you can see here, the unpadded areas are very, very thin. Like...gift wrap tissue paper thin.
And thin coverage/incomplete coverage = fail.
Leaks are a great way of starting or finishing a crazy day.
Come on. We're touching on a sensitive topic. Sometimes, you've just gotta laugh.
Back to the point on hand:
The best thing this brief has going for it is the price. It's very affordable, I believe for 90 briefs it's a total of around $30-35, and in a lot of cases, depending on the diagnosis, insurance will cover these. This close up shows some of the elastic. It's pretty rigid, so not too forgiving with movement. These were the first tabbed items I tried, and since I don't have much in the way of sensation, I didn't notice until, by observation of a nurse in hospital, noticed red marks. I hadn't gotten the hang of doing this at that point, so all I had to do was fix the position and method of taping. The issue resolved within a month.
You can see the thin material at the edge. For this not to become soggy, you need to count on the padding fitting properly. The edges in the front and back need to overlap, and taped down.
I didn't get a picture, so I apologize, but the tape tabs are two on each side, about an inch lies between the ones on top and bottom. I know many parents who use these end up only being able to get the top tab on comfortably, and I have found this to be true as well. YES, it will still work just fin, and doesn't pose any threat to the performance of the brief.
Here's the product after taping. If it looks small...that's because it is.
Absorbency: Not so "quick-whick", but does a decent job. I have these on hand always too, in case I run out of the product I use daily. Useful for both bowel and bladder incontinence.
Practicality: My experience: most tabbed briefs are very practical. Pretty self explanatory, and if you've ever babysat or had a younger sibling you pretty much already know how to put them on.
Pricing: These are very, very affordable. And the performance is good as well, so it's not a matter of finding something cheap and being perpetually frustrated. These also are covered items of Medicaid and Medicare.
Overall Satisfaction: These get the job done, while they have weak points it's still a very good product. On that note, none of these are perfect items. However, the performance combined with the price if paying out of pocket is very satisfactory.
Recommendation: Absolutely. Especially to needy families with poor insurance, or for the broke college student
Other Prevail Specialty Briefs Include: Prevail Per-Fit (average w/ bariatric sizes), Prevail Nu-Fit (average sizing, no bariatric sizes), and Prevail Breezers, which is most popular (average sizing, no bariatric sizes)
Tranquility Slimline: Small and X-Small
(small on the left, x-small on the right)
Oh, Tranquility. These are the gold standard for leak protection, skin integrity, comfort and ease of use...as close to perfection as you're gonna get. I find I am not alone in this opinion.
Of course. There just HAS to be a catch. But it makes sense, sort of like the difference between ground and whole bean coffee. On is affordable and perfectly fine, the other fairly more expensive but also a more pleasant experience.
Let's look at both viewed flat.
Significant difference. Initially I went by the small. I was stupid and read the Amazon reviews about "my six year old child" for the x-small (with the label of Youth) and "my elderly mother" for the smalls.
Dude, really, I'm just trying to save you from all the fails that I made.
I was used to mainly either the Prevail Youth briefs or the Pampers Underjams, so when I got this from a vendor on Amazon, I wasn't expecting what I saw:
Down the middle we again run into a soft, absorbent core, but look at the side panels. This slim product (and it really is quite slim. Like, I don't have to wear looser jeans AND I do wear leggings with these on) is able to be this way due to the side panels redirecting the fluid path to not spread (which is the natural pattern) to first go in center and THEN cover area as the middle cannot hold anymore.
Quick word for those who are also unable to really feel for when to change: these very rarely leak when using the correct size. They also don't expand noticeably. Be sure to check the clock or even set a timer, otherwise you may end up with some skin breakdown, the nemesis of anyone in a wheelchair.
Easy way to check? Look at this:
The yellow lines turn blue! Which I think is pretty cool, as it's a very quick indicator of when to change.
(I don't think it's cool in that I will be showing all my friends. Mt friends and I are quirky and weird, but none of us are...quite that messed up)
Yay for elastic! Elastic around the legs is not only more comfortable, it's more healthy for the skin and allows for more freedom of movement, even if you cannot move too much. You can see the Kuffguard around as well, and the tabs are solid. I have never had one rip, while the Prevail does rip on occasion.
The tabs hold well, and can be repositioned and taped again as many times as is necessary.
Currently I am using the Tranquility Slimline Youth XS tabbed brief most of the time. When I'm not using that, I use Pampers Underjams. The Underjams are actually what I prefer when asleep, as it is a closer fit for me and no leakage when laying down, while the Slimline does.
Absorbency: Very absorbent, yet it manages to stay so thin (that was a late '90's phrase women used because that was the boon of diet shakes and stupid crap like that). Useful for both bladder and bowel incontinence. This product I recommend over all reviewed items for bowel incontinence.
Pricing: Ok, more likely than not, your insurance will not cover these. I get a lot of my needs on Amazon. The price reduction is amazing, and if you have Prime free two day shipping. Sites like Healthykin and others cannot match that.
However, one of the vendors contacted me personally to ask my view on this item. It was after my first order, which was too large. The vendor's name is Quality Homecare, which we set up a monthly delivery, which give me 5% off every order. The shipping is 1-3 days, and doesn't cost anything. They are also great about answering questions.
Practicality: About as practical as it gets. Again, very straightforward.
Overall Satisfaction: Couldn't be more satisfied.
Recommend To Others: Oh yes. I have and I do.
Other Tranquility Products: Tranquility All Through the Night (ATN) Briefs: super thick and absorbent for overnight. Tranquility Wipes: adult sized and more sturdy wipes, for those of us that don't make ours ourself at home.
Tips and Experiences:
- MEASURE BEFORE ORDERING: This makes all the difference in how a product functions. The wrong size can result in some exhausting disasters of mass destruction. Too tight is more dangerous than too loose, as soiled content so close to the skin can cause some nasty bacteria to grow.
- Be Prepared: Use a backpack. Just because you're using incontinence items doesn't mean you have to run out and find a knapsack. Most people aren't going to notice too much, not anymore in these times. Many people aren't too observant. Keep whatever wipes you have with you, a couple of products in case you need to change, and small bags to bring out to toss out the waste. There really is no need to pack more than that...but along with being prepared, don't focus on it so much as it ruins times out with friends or family.
- No Shame. No Blame: Please don't stew in blame and/or shame about the situation you find yourself in. This isn't something we see as common, and as those in our late teens to early thirties the prospect of being in the minority in this avenue can seem painfully humiliating. There is nothing that is accomplished from mulling this over and over in your mind. Please don't hole up in your house being miserable, and don't feel like you HAVE to let your friends know. That's a very personal choice. I have let people know and it doesn't bother me, or my friends.
- The Skin You're In: Take care of it! Using a moist product will be less irritating. Bathe or shower regularly.
- Desitin Or Not: If your skin is fine, there is no need to spend a lot of money on creams. Save that just in case something changes, but there is no need to use when there isn't a problem.
- Under Pads: Or "Chux" pads. It's a broad term for an item that will protect your bed or other surfaces in the case of leaks. They are a good idea, and they will cost money. I personally have one that is washable and reusable. Also hundreds more comfortable than what's at the hospital, and MUCH more comfortable than the disposable ones, which crinkle and sticky. They're more convenient. That's about all the disposable Chux have going for them.
- Clothing Concerns: OK, not gonna lie: you will need to go through your jeans, pants, and -- if female -- your short shorts. Short shorts gotta go. The just do. Those are typically tighter by nature, and if you're using a tabbed brief, a tab can show. If using a pull on...those cover a broud area, and very well could hang lower than the shorts themselves. Don't wear anything overly tight. Not only is it not comfortable, but -- again -- wetness against skin can cause skin breakdown. How I have come to wearing what I already own is this: I can use either the Slimline or Underjams under leggings. But my leggings aren't skin tight. If yours are, try something like wearing a skirt over the leggings or wearing a larger shirt belted at the waist to cover noticeable bulk. I have not needed to buy new jeans since this has happened, but there were some stuff I couldn't wear anymore. But hey, this could be a good reason to find a new style...I don't follow trends all that much. Try making something uniquely you.