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Finding out current ADL condition

To respect one's dignity, it is important to pay attention on how to care for those who are using adult diapers. Introduce basic skills of nursing care and excretion care to those who are in need and with adult diapers.

Review of Activities of Daily Life

The most important part of excretion care is to look over those who are in nursing care and let them use the bathroom to excrete as much as possible when needed. It is necessary to properly understand activities of daily life(ADL) of people who are under nursing care.

ADL Index

ADL, abbreviation of activities of daily living, display the index with graphic labels to represent the capability of basic activities of people who are under nursing care such as excretion, eating, and bathing. There are four graphic icons of ADL used at Unicharm.

How to identify the possibility of excreting in the bathroom

It is important to identify the capability of daily life activities by examining one‘s capability of basic activity such as changing, keeping existing position and initiating movements when excreting in the bathroom.

As described in the table below, one‘s movement level that is close to “Able to move well” is considered as capable of some sort of independence; where when close to “Unable to move much” is considered as needing nursing care. In the case of able to "sit down", one is considered as capable of excretion by oneself by sitting on the toilet.

Properly understand symptom and condition of excretion

Excretory disorder progress in stages. To support independency when disorder stage is progressing, it is important to have proper care accordingly to the disorder.

Progression of excretory disorder

Excretion comparison of healthy people and elderly

Compare to healthy people, the elderly tend to experience a decrease in total urine volume. While there is an increase in frequency, urine volume for one urination decreases. Also generally, elderly tend to excrete more urine volume at night compared to daytime.

  Healthy People Elderly
Generation of urine 1200-1500cc /day 1100-1200cc /day
Status of bladder - Urine collection in Bladder:300-500cc
(Bladder capacity: 500cc)
- Urinate 200cc-300cc
- Contracted bladder, Loss of elasticity
- Unstable bladder innervation, abnormal bladder pressure
- Weakening of pelvic floor, narrowing of urethra
Guideline of urine output volume per time 200-300cc 100-150cc
Frequency of urination 5-6 times /day - Frequent urination:8-10 times/day
(Daytime:6-8 times)
- Nighttime urine volume::hormonal changes within the day
(Bedtime:2-3 times)

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