Spinal Cord Injury Community

Accidents Happen

Aaron Baker
Spinal Cord Injury Lifestyle Specialist | Shield HealthCare
04/17/19  12:44 PM PST
Accidents Happen

What To Do After An Incontinent Episode

For the most part, the human body is a wonder of nature, a miraculous marvel of bio-mechanical intelligence, the apex of all creation. But: it can also sometimes create an utter catastrophe of unintended dysfunction.

One of the most private natural functions of the body is eliminating waste. This normal act can easily become one of the most humiliating moments if accidentally done in public. I should know — it has happened to me more than once… You can read about it in my previous blog Managing My Neurogenic Bladder.

In this article, I share a few tips and tricks I’ve used over the years to help prevent and/or subdue the aftermath of an accident. After all, we are all human and it happens.

The Right Stuff

First up: be well-equipped. When I wrote about Managing My Neurogenic Bowels, I shared a personal story about a not-so-pleasant experience I had. What I learned, is to roll with it and be as prepared as possible.

This means to think ahead.

First of all, consider your nutrition: the foods and drinks you choose, as they can play a significant roll in how your body reacts.

Second, the timing of when you eat and drink should be considered if you wish to maintain a level of control over your bowel and bladder program.

Third, I try to have a general understanding of what my day plan looks like. I think about where I’m going, and what I’ll be doing. This way I can prepare accordingly.

Fourth, pack accordingly. Have enough gear (supplies and a backup outfit) packed into a main backpack to last at least two days, in case things go badly.

Gear Bag

  • 10+ catheters for those who catheterize (I like the JAW)
  • Hand sanitizer / wipes / napkins / small hand towel
  • Rubber gloves
  • Tape
  • Deodorizer
  • Leg bag / tubing / condom
  • Screw top bottle (to use to urinate into if other options are unavailable)
  • Adult absorbent garment, such as pull-ups or briefs (just in case)
  • Extra shirt / pants / underwear

This main bag may seem excessive, but trust me, you’re better off having it packed and close by, then being stuck in public in a less-than-ideal situation.

Now, I’m not suggesting you haul a heavily loaded bag everywhere you go, I’m just saying it’s a good idea to have this “main bag” prepped and stowed close by. I prefer to keep a smaller bag with fewer supplies on me for short duration activities of the day. I can restock my small bag with items from the main bag. The main bag can be for the car or your workplace.

In the event an accident does occur, try to keep cool (I can say that, but I have, in the past, been guilty of losing mine) and execute damage control. Find a discrete spot away from public view: either a bathroom stall, empty room, quiet alleyway, or car and with your gear bag nearby, you have a good chance of resolving the problem effectively and efficiently.

Nobody wants to experience a bladder or bowel accident, especially in public, but if nature calls at a most-inconvenient time, well, then at least you’re prepared to repair.

If you do use an intermittent catheter, you may find my article about How to Safely Catheterize in a Public Restroom helpful.

I hope this article has encouraged you to get out there!



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