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An adult diaper (or adult nappy) is a diaper made to be worn by a person with a body larger than that of an infant or toddler. Diapers can be necessary for adults with various conditions, such as incontinence, mobility impairment, severe diarrhoea or dementia. Adult diapers are made in various forms, including those resembling traditional child diapers, underpants, and pads resembling sanitary napkins (known as incontinence pads).
In the medical community, professionals are trained to use alternative terms such as "briefs" rather than "diapers" for the sake of dignity, as the term "diapers" is associated with children and therefore may have a negative connotation. In practice, though, most health care workers are accustomed to calling them diapers, especially those that resemble children's diapers.
—Merlene Davis of the Lexington Herald-Leader, referring to the Lisa Nowak incident and adult diaper usage in general.
People with medical conditions which cause them to experience urinary or faecal incontinence often require diapers or similar products because they are unable to control their bladders or bowels. People who are bedridden or in wheelchairs, including those with good bowel and bladder control, may also wear diapers because they are unable to access the toilet independently. Those with cognitive impairment, such as dementia, may require diapers because they may not recognize their need to reach a toilet.
Absorbent incontinence products come in a wide range of types (drip collectors, pads, underwear and adult diapers), each with varying capacities and sizes. The largest volume of products that is consumed falls into the lower absorbency range of products, and even when it comes to adult diapers, the cheapest and least absorbent brands are used the most. This is not because people choose to use the cheapest and least absorbent brands, but rather because medical facilities are the largest consumer of adult diapers, and they have requirements to change patients as often as every two hours. As such, they select products that meet their frequent-changing needs, rather than products that could be worn longer or more comfortably.
Specialty diapers are required for swimming or pool therapy. These are known as swim diapers or containment swim briefs. They are intended mainly for faecal incontinence, however they can also be useful for temporary urine containment, to maintain dignity while transferring from change room to pool. There are several brands available. The most effective style is one that is made from a stretch fabric, such as the one manufactured by Discovery Trekking. The stretch allows for increased adjustability for a snug fit. They are washable and reusable. There are no disposable adult swim diapers.
Fetishism and infantilism
Diapers may also be worn by infantilists and diaper fetishists for comfort, sexual gratification or for emotional reasons.
Other situations in which diapers are worn because access to a toilet is unavailable or not allowed for longer than even a normal urinary bladder can hold out include;
The adult diaper market in Japan is growing. On September 25, 2008, Japanese manufacturers of adult diapers conducted the world's first all-diaper fashion show, dramatizing throughout it many informative dramatic scenarios which addressed various issues relevant to older people in diapers. "It was great to see so many different types of diapers all in one showing," said Aya Habuka, 26. "I learned a lot. This is the first time that diapers are being considered as fashion."
In May 2010, the Japanese adult diaper market expanded to be used as an alternative fuel source. The used diapers are shred, dried, and sterilized to be turned into fuel pellets for boilers. The fuel pellets amount for 1/3 the original weight and contains about 5,000 kcal of heat per kilogram.
In September 2012, Japanese magazine SPA! (ja) described the trend of wearing diapers among Japanese women.
There are those who believe diapers are a preferable alternative to using the toilet. According to Dr Dipak Chatterjee of Mumbai newspaper Daily News and Analysis, public toilet facilities are so unhygienic that it is actually safer for people—especially women—who are vulnerable to infections to wear adult diapers instead. Seann Odoms of Men's Health magazine believes that wearing diapers can help people of all ages to maintain healthy bowel function. He himself claims to wear diapers full-time for this purported health benefit. "Diapers," he states, "are nothing other than a more practical and healthy form of underwear. They are the safe and healthy way of living." Author Paul Davidson argues that it should be socially acceptable for everyone to wear diapers permanently, claiming that they provide freedom and remove the unnecessary hassle of going to the toilet, just as social advancement has offered solutions to other complications. He writes, "Make the elderly finally feel embraced instead of ridiculed and remove the teasing from the adolescent equation that affects so many children in a negative way. Give every person in this world the opportunity to live, learn, grow and urinate anywhere and anytime without societal pressure to "hold themselves in.""
The usage of adult diapers can be a source of embarrassment, and products are often marketed under euphemisms such as incontinence pads.
In 2006, seventeen students taking a geriatrics pharmacotherapy course participated in a voluntary "diaper experience" exercise to help them understand the impact incontinence has on older adults. The students, who wore adult diapers for a day before writing a paper about it, described the experience as unfamiliar and physically challenging, noting that being in diapers had a largely negative impact on them and that better solutions to incontinence are required. However, they praised the exercise for giving them insight into incontinence and the effect it has on peoples' lives.
In 2008, Ontario's Minister of Health George Smitherman revealed that he was considering wearing adult diapers himself to test their absorbency following complaints that nursing home residents were forced to remain in unchanged diapers for days at a time. Smitherman's proposal earned him criticism from unions who argued that the priority was not the capacity of the diapers but rather staff shortages affecting how often they were changed, and he later apologized.
To read more about adult diapers, please click on the following link: http://en.wikipedia.org/wiki/Adult_diaper