Fianna says
10 years ago
hawtmess, was Elsa in a spica cast? My friend's 2 year old broke her leg and was placed in one yesterday. Any btdt suggestions for her? They say the cast is waterproof so diaper changes shouldn't be ...
latest #38
Fianna says
10 years ago
Too miserable. She's in it for 6 weeks.
Fianna says
10 years ago
And hi everyone... I'm alive. Just drowning a bit....
HawtMess
10 years ago
Yes Elsa was in a spica cast
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HawtMess
10 years ago
Feel free to pass on my contact info to her
HawtMess
10 years ago
The problem with the waterproof material is that the moisture just stays on the skin whereas the plaster cast is slightly absorbent
HawtMess
10 years ago
So her main challenge is still keeping moisture out - otherwise the child will have awful skin problems
HawtMess
10 years ago
Diaper changes are her main challenge. Even if they used the waterproof material or especially if they used the waterproof material...
HawtMess
10 years ago
I suggest she line the edges of the cast around the diaper area with Saran Wrap, come it as far down into the cast as possible and wrapping it up and around the cast
HawtMess
10 years ago
Secure it with masking tape which doesn't stick to the cast so much
HawtMess
10 years ago
Then cram the diaper in there - use the biggest one possible. Then tape the whole thing to the cast with more masking tape.
HawtMess
10 years ago
I also suggest she angles the car seat and cushion the butt area so that the kid can sit in it in a reclined way or if that's not possible, just lie flat in the back seat
HawtMess
10 years ago
Moisture is the enemy. The people who put casts on in orthopedics know how to put a cast on, but don't know how to care for the spica cast that well. Telling her diaper changes won't be a problem is stupid
HawtMess
10 years ago
If poop gets down in the leg part of the cast, it's going to sit there on the kid's skin and cause severe breakdown. She absolutely has to be incredibly vigilant about the diaper care. It took me a good 30-45
HawtMess
10 years ago
minutes to change the diaper.
HawtMess
10 years ago
Each time.
HawtMess
10 years ago
Especially without absorbent material like plaster. There's nowhere for the poop to go , so the skin will breakdown
HawtMess
10 years ago
Also, tell her to invest in a wagon. It was a lifesaver and kept us from being completely housebound.
HawtMess is
10 years ago
it a boy or a girl? For a boy, you can have better luck keeping the pee out of the cast than with a girl
Fianna says
10 years ago
It's a girl. She also works so her mil will be on duty for the day. I'm going to screen shot all this and share if you don't mind.
HawtMess
10 years ago
Please pass it on - the dry cast part is extremely important! Sometimes the people who put the cast on just don't know much about the long-term cast care.
HawtMess
10 years ago
I can't believe they told her that the waterproof stuff (I'm guessing fiberglass) wouldn't make diaper changes too bad.
HawtMess
10 years ago
Her skin will literally rot in there a la trench foot if she isn't extremely vigilant about diapering.
Fianna says
10 years ago
She posted a good pix and I'm really shocked at how high up the cast goes. It looks like a newborn size diaper fits in the opening. I'll pass on everything. Thanks so much!
HawtMess
10 years ago
Yeah, I think I tried many different sizes of diapers. I also had her lie on those waterproof pad things becUse they all leak
HawtMess
10 years ago
I finally figured out that you can use a big diaper backwards, cramming the front of the diaper in the butt cut out of the cast, then just taping the back part of the diaper to the front / to the outside of the
HawtMess
10 years ago
Cast
HawtMess
10 years ago
Because of the half reclined position, all the pee will flow towards the butt, anyway, so you want the more absorbent part of the diaper in the butt cutout
HawtMess
10 years ago
The cast does go up to the armpits.
HawtMess
10 years ago
With a cut out for the belly and cut out for the butt
HawtMess
10 years ago
And yeah, line the cast with plastic wrap to keep it from getting soggy and smelling bd
HawtMess
10 years ago
You don't want to have to take the cast off and reset if the cast becomes too damaged - it's better to keep that first one on.
HawtMess
10 years ago
HawtMess
10 years ago
This was Elsa's cast before they cut out the butt area
HawtMess
10 years ago
And this was the cast being removed
HawtMess
10 years ago
HawtMess
10 years ago
Oh and one more thing - that ace bandage type of stuff they use at hospitals that sticks to itself? That also works really well at attaching diapers and whatnot to the cast. She should see if ortho will
HawtMess
10 years ago
give her some.
Fianna says
10 years ago
Thanks so much! I've passed this all on to her. It's still so early on for them.
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