Author Archives: Brooke Phillips

Aww, Nuts! 6 Surprising Foods Irritating Your Bladder

Posted by on February 21, 2013 under Resources | 2 Comments to Read

Top 6 Bladder Irritants

Woman buying groceries, Image courtesy of Ambro / FreeDigitalPhotos.net

Image courtesy of Ambro / FreeDigitalPhotos.net

Bladder irritants include any foods or beverages that contain ingredients which increase the acidity of your urine.  These foods and beverages, including caffeinated drinks, alcoholic beverages, and highly acidic foods, can cause further irritation in areas of the bladder and urethra that are already inflamed.

While many people may not be bothered by highly acidic urine, for those managing incontinence, catheterization, urostomies or other medical issues, an irritated bladder can be a very serious issue.

That’s why we’ve composed a list of these top acidic food and beverage culprits.  Some you might have guessed; others may surprise you!  Read on to see what parts of your diet may be contributing to your irritated bladder:

1. Carbonated beverages:  Drinks such as sodas and carbonated water fall into this category.  The Alternative: No surprise here – spring water is what your body needs!  Good for everything from your skin to your kidneys, water also dilutes uric acid to soothe an irritated bladder.  For a little extra flavor, try adding a slice or zest of orange or limes.

 2. Processed meats: (especially those containing nitrates): Spicy, processed and smoked meats fall into this category, including hotdogs, sausages, and meats with peppery marinades or sauces.  The Alternative: fresh and mild-flavored meats have a generally soothing effect on the bladder, including fresh turkey, chicken, fish, beef and lamb.

 3. Aged and processed cheeses:  Hard aged cheeses like Parmesan and Asiago and “stinky” cheeses like Blue and Roquefort , as well as chemicals in processed cheeses such as American Cheese slices or Cheez Whiz, can all irritate the bladder.  The Alternative: Mild cheeses such as mozzarella, feta, ricotta and mild cheddar are gentle on the bladder.  Cream cheese and cottage cheese also fall into this “soothing” category.

 4. Acidic or spicy vegetables and fruits: Tomatoes, hot peppers, pickles, raw onions, pineapple, cranberries, and citrus fruits and juices such as orange, grapefruit and lemon are the biggest culprits.  The Alternative:  Tolerance to acids in fruits varies greatly, so trial-and-error may be the best way to determine which fruits you can tolerate.  Blueberries, strawberries, pears and honeydew melon are especially low-acid and are a good place to start.  Vegetables like avocados, asparagus, broccoli, squash, cauliflower, cucumber, green beans, kale, spinach, and most salad greens can soothe an irritated bladder.

 5. Nuts:  Surprisingly, most nuts fall into this category, though tolerance varies from person to person.  The Alternative: Almonds, cashews, pine nuts and sunflower seeds are healthy and soothing nut choices for those with sensitive bladders.

 6. Coffee, Tea, Alcohol and artificial sweeteners:  Unfortunately, some of our favorite indulgences are also highly acidic and irritating to the bladder.  The worst culprits are coffee (both caffeinated and decaffeinated), beer, wine, black or green teas (hot and iced), and beverages containing high amounts of artificial sweeteners.  The Alternative:  Low acid coffees, which are “treated” to reduce the acid.  Very dark roasts are naturally low-acid as well.  Rum, vodka and gin may be easier on the bladder than beer or wine, and herbal teas – particularly chamomile and peppermint – are usually ok.  Natural sweeteners such as sugar, brown sugar, honey and maple syrup are best, but artificial sweeteners like Splenda and Stevia are more gentle than Nutrasweet, Aspartame or Saccharine.

For more information on bladder matters, visit our blog on totalhomecaresupplies.com!  For incontinence or urological supplies, visit our online store at www.TotalHomeCareSupplies.com.

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Depends for Women – Free Shipping!

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Depend for Women at www.totalhomecaresupplies.com

Depend for Women Maximum Absorbancy Underwear at www.totalhomecaresupplies.com

Depend Briefs for Women

For more than 140 years, Kimberly-Clark has designed quality, innovative personal care products, including brands like Depend, Poise, Pull-Ups and more.  The Depend for Women incontinence product line has become a household name because of their superior quality, innovative designs, and product reliability!  If you’re looking for an incontinence product to fit your lifestyle, look no further than Depends.

Depend for Women at www.totalhomecaresupplies.com

Depend for Women Protective Underwear offer discreet incontinence protection, an ultra-sleek fit, and the cloth-like comfort of real underwear.  A new-and-improved slim, sleek design is less likely to be seen under clothes, while the finished waistband gives the look and feel of real underwear.  With three size options (Small, Large and Extra-Large) and two different absorbencies (Moderate and Maximum), women can find the right incontinence product for their lifestyle.

Depend Silhouette for Women at totalhomecaresupplies.comIf a close, discreet fit is your top priority, Depend Silhouette Briefs For Women are the perfect choice for you.  Depend Silhouette Briefs For Women provide the sleek look and feel of real underwear while guaranteeing worry-free leakage protection.  A cloth-like fabric creates a sleek, ultra-smooth fit under your clothes and is soft against the skin. The slim side profile provides the most discreet fit without compromising maximum protection, and the all-around leg elastics guard against leaks.

At TotalHomeCareSupplies.com, we’re proud to offer discreet, affordable incontinence products like Depends.  And there’s no need to waste your hard-earned money on shipping: we offer FREE SHIPPING on all orders over $40, guaranteed!  No hassle, no promo code necessary – all you need to do is place your order of $40 or more, and free shipping is automatically applied to your purchase.

Why So Gassy? How Certain Foods Affect Waste

Posted by on February 20, 2013 under Ostomy Care | Be the First to Comment

Clip Art Upset TummyMost people don’t think much about how the food they eat affects their waste, unless their body’s response is frequently inconvenient.  For those living with an ostomy, however, making intelligent and informed diet and nutrition choices is the only way to control when – and how often – a pouch fills with waste and gas.

What makes the digestive system move quickly, and what stops things from moving (food blockages)?  What causes waste to be more liquid or more solid? Which foods create more odors? Which foods produce more gas – not necessarily the same thing?

Whether or not you’re living with an ostomy, making informed diet choices and knowing how certain foods affect your digestive tract can be a good thing!  Here are a few digestive tips for ostomates and non-ostomates alike:

Foods that slow things down (or can cause blockages):

While fiber is key to healthy digestion, too much of a good thing can also be a problem.  For ostomates with an ileostomy in particular (an outside opening created in the small intestine for waste discharge), undigested fibrous foods can cause complications and food blockages.  Corn, dried fruit, hotdogs and sausages, pineapple, and fruit and vegetable skins are a few examples.

Foods that cause unwanted odors:

Digestive odor is created by bacteria breaking down certain foods, turning it into odorous waste and also sometimes creating odorous gases.  Though some ostomy pouches have filters that deodorize and release gasses, it can be easier to simply avoid – or eat with moderation – odor-causing and gas-forming foods.  Foods that cause especially strong odors include asparagus, coffee, garlic, prunes, beans, cucumbers, green peppers, radishes, brussel sprouts, eggs, milk, turnips, cabbage, fish, onions and alcoholic beverages.

If you’re indulging in an odor-causing food, try pairing it with foods that can reduce odors, such as buttermilk, parsley, yogurt, cranberry juice or spinach.

image of bacteria partying in small intestine

Foods that produce lots of gas:

There’s no two ways about it: some foods simply produce lots of gas during digestion.  Even if gases from these foods are not as odorous as gases from the foods listed above, they can still be unpleasant and cause abdominal pains.  These foods include apples, soda, dairy products, onions, asparagus, melons, beans, mushrooms, corn, broccoli, nuts, cabbage and beverages consumed through straws (you’ll swallow more air).

Foods that thicken waste:

Liquid waste can compromise the skin barrier and irritate peristomal skin.  For this reason, it’s good to know what foods can thicken waste.  Some thickeners include yogurt, bananas, milk, creamy peanut butter, breads, cheeses, pastas, potatoes and rice, among others.

Foods that thin waste:

Conversely, sometimes waste moves too slowly through the digestive system or is too firm for comfort.  Fruits and fruit juices, chocolate and green beans are a few of the foods that can thin overly firm stool.

Diarrhea Need-to-Know:

Diarrhea happens to everyone – and the end result is fluid, potassium and sodium loss.  Dehydration is a top concern with diarrhea, and can be a serious risk for ostomates.  Along with plenty of liquids, consider adding foods slightly higher in potassium and sodium (salt) until the digestive tract returns to normal.  Some foods high in potassium include milk, chicken, beef, fish, pork, turkey, lima beans, V8 Juice, apricots, bananas, avocado, tomato juice, potatoes, broccoli, grapefruit juice, oranges and orange juice, watermelon and strawberries.  Foods high in sodium are not hard to find; most pre-packaged foods, canned soups and seasonings have high sodium content, and simple table salt can counter the deficiency.

A complete ostomy nutrition guide can be found here.  For more ostomy information and to buy ostomy supplies, visit www.totalhomecaresupplies.com.  Fast, free, discreet shipping for all your ostomy needs!

Prevail Underpads on Sale at TotalHomeCareSupplies

Posted by on February 18, 2013 under BladderMatters | Read the First Comment

Extra Large Prevail Underpads  FQ UP100.1Looking for a little extra protection? A customer favorite, super absorbent Prevail® Underpads are designed to protect beds, chairs and other surfaces against leakage. All Prevail Underpads feature a soft, yet strong cloth-like top sheet with a flat seal around the pad so that no plastic edges are exposed to the skin. This seal provides added comfort and preserves skin health. Prevail disposable underpads also feature an Integra Mat (bonded construction) which reduces top sheet separation and clumping.

Prevail Underpads are available in a variety of sizes, including:

These underpads are sold by the case at Total Home Care Supplies. Each case comes with either 100 or 120 all-purpose underpads, and can be used on any surface requiring wetness protection, including car seats, mattresses, pet beds, chairs, sofas and more. Prevail Underpads can be used by themselves or in conjunction with other incontinence products for complete wetness protection.

All orders come packaged in discreet, unmarked boxes for customer privacy, and shipping is completely free on all orders over $40.

Prevail® Underpads – Not Only for People

People aren’t the only ones who need incontinence protection. Older pets, and pets with some health issues may also struggle with incontinence. Though designed with people in mind, Prevail Underpads are versatile enough to be used with our cherished four-legged family members, too. Keep your pet’s bed dry and comfortable, and protect other accident-prone areas from messy cleanup.

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Does Working Past Retirement Keep Us Sharp?

Posted by on February 15, 2013 under Resources | Be the First to Comment

actvseniors

We all know that mental and physical activity is good for our health, but did you know that the more active you are, the longer your life expectancy – and the sharper your mind?

Studies by the Archives of Internal Medicine have shown that sitting unstimulated for prolonged periods of time could reduce your life expectancy compared with your more physically and mentally active peers. In a study of 220,000 people, individuals who sat for more than 8 hours a day were 15% more likely to die within the next 3 years than those who only sat for 4 hours a day.  Another study showed that moderate levels of physical activity increased life expectancy by up to two years – and that high levels of physical activity increased life expectancy by up to four years.

Helen_DanekaMaybe that’s why someone like Helen Deneka is as sharp and active today as she was 40 years ago.  At 87, Helen Deneka could very well be the nation’s oldest working nurse.  Now with over 7 decades of nursing experience, Helen works full-time at the Outpatient Surgical Center of Baptist Memorial Hospital in Covington, Tennessee.  Born in 1925, she gained interest in the field while taking care of family members when they were sick, then enrolled in a nursing program at Baptist Memorial Hospital in Memphis, TN, in 1943 – at the ripe old age of 17.

70 years later, she has seen and worked through remarkable changes in professional medical care, including the introduction of penicillin; installation of air conditioners, patient telephones and bathrooms in hospitals; and impressive advancements in medical technology itself.

“Back then, we did everything by hand,” Deneka says. “Checking the pulse, taking blood pressure…We used to wash all the syringes and needles between patients and sharpen our needles with a whetstone.  Now they throw everything away.”

The changes in technology haven’t slowed Helen Deneka down one bit.

“I do the paperwork, then start the patients’ IVs,” says Deneka, describing her daily routine at the outpatient surgical center. “Fortunately, I get them on the first stick 99 percent of the time.”

“She never sits!” says fellow nurse Margaret Green, 66. “She’s going all the time…She’s such a caring and conscientious person.  I can’t imagine her retiring.”

Whether or not genetics play a role, there’s no question that the daily physical and mental stimulation help keep Helen Deneka’s mind sharp and her body fit.  In an era where early retirement is a popular goal – yet health care costs keep going up – perhaps we’re approaching old age the wrong way.  Maybe ceasing to work isn’t the ripe fruit we imagine it to be; maybe we should look at retirement as not so much “stopping working” as shifting to work that stimulates and enriches us, even if it doesn’t pay as well.

As for Helen, does she ever plan to retire?

“I’m thinking about it,” she says, returning to her charts. “But not today. We have a lot of patients coming in.”

Fearing the Onset of Genetic Alzheimer’s

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buy adult diapers at totalhomecaresupplies.comWhen we think about Alzheimer’s, we usually think about older adults.  That’s because approximately 95% of the Alzheimer’s cases we hear about have developed later in life – after age 60.    The causes of Late-Onset Alzheimer’s Disease are still not fully understood, though researchers suspect that a combination of genetic, environmental and lifestyle factors  contribute to our likelihood of developing the disease.

For a small percentage of Alzheimer’s patients, however, there is very little question about the cause of their disease.  Familial Alzheimer’s Disease (FAD) is a form of Early-Onset Alzheimer’s Disease that is caused by genetic mutations on any of three different chromosomes:  21, 14, and 1.  A child whose parent developed Familial Alzheimer’s Disease has a 50/50 chance of inheriting the mutated gene, and if so, they will very likely develop FAD.  FAD occurs in people between the ages of 30 and 60 years old.

The New York Times recently published a poignant article written by a woman whose grandfather and father both died of the disease.  Her father – driven to a career in neurology by his own father’s onset of Alzheimer’s – taught his young daughter all about the disease he would later succumb to.  With a 50/50 chance of developing FAD herself, she voices her own anxiety and fears.”

“I’m not losing track of my car keys, which is pretty standard in aging minds,” she writes. “ Nor have I ever forgotten to turn off the oven after use, common in menopausal women. I can always find my car in the parking lot, although lots of ‘normal’ folk can’t.  Rather, I suddenly can’t remember the name of someone with whom I’ve worked for years…am I losing track of me?”

In her article, Nancy Stearns Bercaw voices the fears we all fight off watching the slow deterioration of the ones we love.  You can read the entire article, “Waiting for the Forgetting to Begin” on the New York Times website.

For more information on the 10 Early Signs and Symptoms of Alzheimer’s, check out the Alzheimer’s Association web page.

Caregiver Survival Tips: Creativity as Self-Care

Posted by on February 13, 2013 under Caregiver Corner | Read the First Comment

Caring for the Caregiver

Caregiver providing home careIn times of stress, our personal needs tend to go on the back burner.  For caregivers, this happens when someone else’s needs have to come first – and this can be over an extended period of time.  Without the luxury of time or space, how do we meet our own needs?  Is there a way to confront and manage our emotions that doesn’t feel selfish, that doesn’t cost our loved ones the time and attention they deserve?

Paula Swenson says there is, and shows us the way by sharing her own journey.  In a beautifully-written guest blog article – “Creativity as Self Care in Times of Extreme Need” – the author and artist shares how she turned to creativity to handle the stress of unexpected caregiving, and then to manage grief at her ultimate loss of a partner.

“Years ago I encountered a quote, ‘The only antidote to destruction is creation’ [which] until this point in my life I had always seen…as an external battle:  to put creativity into the world to balance the destruction of war, of prejudice, or injustice.  Now as I work, I realize that I am using my creativity to rebuild my destroyed identity, my sense of self that had been shredded by the unexpected loss of my best friend and anchor, my calm port, my home.”

Through an almost instinctive need to create, she reached first for ink and paper – then shifted to other materials – and found that she could express feelings through art that she wasn’t able to express in words.  Her meditative creations, some sketched in the long hours of doctor’s visits and surgeries, became a way through.

“With a pocketable notebook and a waterproof-ink pen, I was able to shift my mind out of the frantic cycle of worry and stress that threatened to engulf me,” she writes. “I was able to focus on something tangible, something creative, and in so doing create a calm, ordered space in my mind.  That calm and order allowed me to approach the horrifying challenges in something closer to a state of balance.”

You can read more about her journey (and see some of her creations) in this article, “Creativity as Self Care in Times of Extreme Need”.  She also offers a free copy of her ebook on self care, “Care and Feeding of the Creative Self“.   As for us those of us here at TotalHomeCareSupplies, we’ll be taking some of her tips ourselves.  Because as caregivers, sometimes all we need to avoid burnout is a little help finding our way through.

Are you concerned about Caregiver Burnout?  Read this article on warning signs and symptoms, as well as tips to help you recover.  For more health information and useful tools, please visit our Resources Blog on TotalHomeCareSupplies.com.

Care More.  Spend Less.  Save Now.

Which Incontinence Product Do You Need? Take Our Whiz Quiz to Find Out

Posted by on February 11, 2013 under BladderMatters | Read the First Comment

1234Without walking into a store, how do you know which incontinence product is right for you or for a loved one?  If you’re struggling to decide what to buy, you’re not alone.  Take our 2-minute whiz quiz, and we’ll help you figure out exactly which product you need:

Question #1:  Is the customer mobile?

YES:  If the customer has some degree of mobility, you’re looking for pull-ups ,  belted shields, pad-and-pant systems, or liners & pads.  All these products are primarily for people who are active during the day, and are designed to absorb urine when a person is sitting, standing, or in any other upright positions.  Keep reading to find out the differences between them!

NO:  If the customer is more or less immobile without full caregiver assistance, you’re looking for adult briefs or adult diapers.  These products are specially designed to absorb urine while a person is both vertical and horizontal, such as lying on their back or side.   Adult diapers come with tabs on the side, which makes it easier to change a person who needs a lot of assistance moving around.

Question #2:  Is the customer often able to make it to the bathroom without assistance, or with limited assistance?

YES:  You’re most likely looking for liners & pads or  pad-and-pant systems.  Both of these categories are designed for light-to-moderate incontinence.  Liners and pads are highly absorbant, disposable inserts that can be worn discreetly inside your preferred underwear. Pad-and-pant systems are similar, except the cotton underwear you wear is specifically designed for inserting liners or pads (like these TotalDry Cotton Pants, for example).

NO:  You’re most likely looking for pull-ups or belted shields.  These categories are designed for moderate to heavy incontinence.  Pull-ups are soft, stretchy and cloth-like protective undergarments that have the look and feel of underwear, but provide maximum protection against urinary incontinence.  Belted shields are a similar, less common option; belted shields are used by those who may want the reliance of a maximum-protection pad, but without the rest of the undergarment.  These “shields” are kept secure with an elastic belt, and may be worn with or without other underwear.

Question #3: Does the customer have full bowel incontinence?

YES:  If the customer needs a product that absorbs both stool and urine,  briefs/adult diapers are the protection you need.  Only briefs/adult diapers have full and adequate protection in all the right places.

NO:   If the customer is only managing urinary incontinence, any of the products listed above should meet your needs.  Pad-and-pant systems and liners & pads offer light to moderate protection and pull-upsbelted shields, and briefs/adult diapers offer moderate to heavy protection.

Need any other questions answered?  Let us know, and we’ll add them to our Whiz Quiz!

Top 5 Incontinence Myths

Posted by on February 9, 2013 under Resources | Be the First to Comment

Man Woman Bathroom symbolIncontinence is one of those embarrassing topics nobody likes to discuss, even with our doctors.  But did you know that experts estimate approximately 50% of women and 30% of men have had bladder problems at least once in their life?  With such an uncomfortable topic of conversation, it’s no surprise that there are so many misconceptions about conditions like Urge Incontinence ( Overactive Bladder).  Read on to see if you’ve fallen for these 5 tall tales:

1. FALSE: Going to the bathroom all the time is a normal part of getting older.

TRUE: Overactive bladder – also known as urge incontinence – may become more common as people get older, but you can have an overactive bladder at any age.   Constantly needing to use the bathroom is not normal, and shouldn’t be accepted as a part of everyday life.

2. FALSE: You’re the only one having trouble making it to the bathroom in time.

TRUE:  Good news – you’re far from alone.  Approximately 13 million American adults suffer from urge incontinence.  For a variety of medical reasons, someone with urge incontinence may have trouble controlling the sudden, strong urge to urinate.  If a bathroom is too far away when the urge hits, they may have an accident.

3. FALSE: To avoid a bladder accident, you should go to the bathroom every chance you get.

TRUE: If you’ve ever had a bladder accident, it’s understandable why you’d want to go to the bathroom frequently, “just in case.” But since urge incontinence often has nothing to do with the volume of urine, emptying your bladder doesn’t actually help – and may in fact hurt.  Not only are you visiting the bathroom more frequently, you’re slowly retraining your bladder to hold less urine, and you’re teaching your nervous system that it doesn’t need to “warn” you when you need to urinate.

4. FALSE:  The only reason you’re going so much is because you have a tiny bladder.

TRUE:  The average bladder holds 350-550 milliliters of urine, with most people starting to feel the urge to go around 200-250ml.   Sudden, strong urges to urinate are usually caused by involuntary bladder contractions, not because your bladder is too small or because you drank too much fluid.  There are many medical conditions that can interfere with normal bladder control, including neurological disorders—such as multiple sclerosis or stroke—which cause faulty signals between the brain and bladder.

5. FALSE: To control overactive bladder, you should cut back on the amount of fluids you drink.

TRUE: Cutting back drastically on how much water you drink isn’t healthy, period.  Our bodies are made up of more than 60% water, and our blood is composed of 92% water, and limiting fluid consumption can take a toll on all of your organs, including your heart, skin, kidneys and brain.  Besides – although you’ll make less urine, it will have a higher concentration of uric acid, and thus be more irritating to the bladder.  Strangely enough, drinking too little water might actually make you need to urinate more often!  Most adults should aim to drink six to eight cups of fluids throughout the day.

For CNN’s list of Top 10 Myths About Overactive Bladder, go to http://bit.ly/V4Hvce.

All this bladder talk make you think about your incontinence products?  Don’t run out – take a look at our incontinence supplies before you go.  Totalhomecaresupplies.com ships low-cost name-brand products right to your door, discreetly packaged, with free shipping on all orders over $40.

Maximum Overnight Protection with Tranquility All-Thru-the-Nite Briefs!

Posted by on February 8, 2013 under BladderMatters | Be the First to Comment

Tranquility All-Thru-the-Nite Disposable Briefs

Tranquility All-Thru-the-Nite Disposable Briefs

Looking for an incontinence product to keep your loved one dry throughout the night?  Tranquility ATN (All-Thru-the-Nite) Disposable Briefs are our most popular brief for maximum overnight protection.  Each brief holds over a quart of liquid while keeping sensitive skin dry.  With Tranquility ATN Disposable Briefs, both you and your loved one can finally enjoy an uninterrupted night’s sleep without needing to wake up for changes – and without compromising skin safety.   Tranquility’s patented “Peach Mat” absorbent core guarantees skin dryness and odor control,  while neutralizing pH and inhibiting the growth of bacteria.  Tranquility ATN Briefs are latex-free for all skin types.

Tranquility ATN Briefs are shipped for free in discreet, unmarked packages straight to your doorstep.   Still not convinced?  Customers give the Tranquility ATN Disposable Brief 4.7 out of 5 stars!  Hear what our customers have to say:

“Not another night without it,” says one reviewer.  “The ATN brief allows my Mom to sleep through the night, with confidence that she and the bed will be dry in the morning. Wonderful product.”

“Truth in Advertising!” says another. “We’re used to changing diapers three times a night as our child receives 8 hours of overnight liquid nutrition through a tube.  Now, we are able to allow her to sleep without interruption. Talk about PRICELESS!”

Tranquility All-Thru-the-Nite Disposable Briefs come in 5 different sizes:

  • TJ 2183  YOUTH (18-26 inch waist)
  • TJ 2184  SMALL (24-32 inch waist)
  • TJ 2185  MEDIUM (32-44 inch waist)
  • TJ 2186  LARGE (45 – 58 inch waist)
  • TJ 2187  XTRA LARGE (56-64 inch waist)

We know you have many options when you shop, and we appreciate your business.  Thank you for trusting www.totalhomecaresupplies.com with your home care medical supply needs.