Introduction

Maintaining cleanliness, comfort, and dignity is an essential part of caring for elderly individuals, patients recovering from surgery, and adults experiencing urinary incontinence. Whether care is provided at home, in a hospital, or in a nursing facility, managing accidental urine leakage and keeping beds dry can be a daily challenge for caregivers.

Wet bed linen, soiled mattresses, and prolonged exposure to moisture can make personal care more difficult. Changing bedding frequently can also be time-consuming, particularly when caring for individuals with limited mobility or those who spend extended periods in bed. Underpads offer a practical solution by providing an absorbent layer that helps protect beds, mattresses, chairs, and other suitable surfaces from moisture.

Understanding how to use underpads for elderly care, hospital beds, and home care can help caregivers maintain a cleaner care environment and make daily hygiene routines more manageable. With the right product, correct placement, and timely replacement, underpads can become a valuable part of everyday incontinence care.

Realcare offers underpads designed for practical hygiene needs. The product specifications provided for this article include a 60 × 90 cm size, a polyethylene (PE) backsheet, a latex-free design, and superabsorbent polymer (SAP).

In this guide, we will explain how to use underpads correctly, explore their benefits in different care settings, and share useful tips for caregivers who want to provide comfortable, hygienic, and respectful care.

What Are Underpads and Why Are They Important?

Underpads are absorbent protective sheets placed beneath a person or on a suitable surface to help manage accidental urine leakage and other moisture. They are commonly used in hospitals, nursing homes, elderly care settings, and private homes.

Disposable underpads generally contain an absorbent inner layer and a moisture-resistant backing. The absorbent layer collects liquid, while the backing helps prevent it from reaching the mattress or furniture underneath.

Underpads are particularly useful for:

• Elderly individuals experiencing urinary incontinence.
• Adults with limited mobility.
• Bedridden patients who need assistance with personal hygiene.
• Patients recovering from surgery or illness.
• Individuals who need additional protection during rest or overnight care.
• Caregivers who want to simplify routine bedding protection.

Learning how to use underpads for elderly care, hospital beds, and home care correctly can help improve daily hygiene management. However, underpads should complement regular personal care, appropriate incontinence products, and skin-care routines rather than replace them.

How to Use Underpads for Elderly Care, Hospital Beds, and Home Care

Underpads are simple to use, but correct positioning and timely replacement are important for their effectiveness.

Step 1: Choose the Right Underpad

Before using an underpad, consider the person’s needs, the surface being protected, and the expected amount of moisture.

Look for the following features:

• Suitable absorbency for the individual’s needs.
• A size that covers the area most likely to become wet.
• A moisture-resistant backing.
• A comfortable top surface.
• Clear usage and disposal instructions.

Realcare underpads are specified as measuring 60 × 90 cm and containing SAP, with a PE backsheet and a latex-free design. Check the current product packaging for additional details about absorbency and intended use.

Step 2: Prepare the Bed or Surface

Ensure that the mattress, bed linen, chair, or other surface is clean and dry before placing the underpad.

Gather any supplies needed for personal care, including clean underwear, adult diapers if required, cleansing materials, and a disposal bag.

Preparing these items beforehand helps caregivers work efficiently and reduces unnecessary interruptions during care.

Step 3: Position the Underpad Correctly

Place the underpad on the area that needs protection, with the absorbent side facing upwards and the moisture-resistant backing facing downwards.

For bed use, position it beneath the person’s hips and pelvic area, where urine leakage is likely to occur. Make sure the pad covers the required area and lies flat.

Avoid folding, bunching, or layering the pad beneath pressure-sensitive areas, as this may create discomfort or uneven pressure.

If the underpad moves frequently, review its placement and consider whether a product designed for the particular surface would be more suitable.

Step 4: Check the Underpad Regularly

Check the underpad according to the person’s care needs and replace it whenever it becomes wet, soiled, saturated, or damaged.

Do not wait for the liquid to reach the mattress. A saturated underpad may no longer provide adequate protection and can leave the person in prolonged contact with moisture.

Step 5: Clean and Dry the Skin

If urine or other moisture comes into contact with the person’s skin, clean the affected area gently using an appropriate cleansing method.

Pat the skin dry rather than rubbing vigorously. If the individual is prone to skin irritation or moisture-associated skin damage, ask a healthcare professional about suitable skin-protection products.

Step 6: Dispose of the Used Underpad

If using a disposable underpad, fold or roll it inward to contain the soiled surface while avoiding direct contact with the contaminated area.

Dispose of it according to the manufacturer’s instructions and local waste-management guidance. Do not flush disposable underpads down the toilet.

Wash your hands after handling used products and before continuing other care activities.

How to Use Underpads for Elderly Care

Elderly individuals may experience urinary incontinence, reduced mobility, difficulty reaching the bathroom, or medical conditions that affect bladder control. Underpads can help caregivers manage accidental leakage while protecting bedding and furniture.

1. Use Underpads During Bedtime

For elderly individuals who experience leakage while sleeping, an appropriately sized underpad can provide additional protection for the mattress and bed linen.

Place it flat beneath the area most likely to become wet. Check it when assisting the person with nighttime toileting or routine care, and replace it whenever necessary.

Do not assume that every underpad is suitable for overnight use. Select a product with appropriate absorbency and follow the manufacturer’s instructions.

2. Use Underpads During Personal Care

Underpads can be placed beneath an individual during appropriate hygiene activities, such as changing an adult diaper or cleaning after an incontinence episode.

They help protect the surface from moisture during the process and may simplify cleanup.

Caregivers should explain each step, preserve the person’s privacy, and involve the individual in their care decisions whenever possible.

3. Use Underpads for Individuals With Limited Mobility

Some elderly individuals need assistance when turning, sitting up, or moving between the bed and a chair.

An underpad can provide localised surface protection while caregivers manage daily hygiene needs. Ensure that the pad is positioned safely and does not bunch beneath the person.

When repositioning or transferring an individual, use appropriate techniques and equipment recommended by their care team. Underpads should not be pulled forcefully to move a person unless they are specifically designed and approved as repositioning aids.

4. Support Skin Hygiene and Comfort

Underpads help protect bedding, but they do not eliminate the need for skin care.

Check the skin regularly, particularly around the buttocks, hips, and other areas exposed to moisture or pressure. Change wet pads promptly and follow appropriate repositioning and pressure-injury prevention guidance.

Benefits of using underpads in elderly care

Benefit	How it helps
Bedding protection	Helps reduce moisture reaching mattresses and bed linen.
Easier personal care	Supports cleanup during incontinence episodes.
Everyday convenience	Can reduce the need to change all the bedding after minor leaks.
Additional surface protection	Can be used alongside suitable adult diapers or other incontinence products.
Dignity and comfort	Supports a respectful care routine when combined with prompt changing and gentle hygiene.

How to Use Underpads for Hospital Beds

Hospitals and healthcare facilities often care for patients with different mobility levels, continence needs, and recovery requirements. Underpads can be useful for protecting suitable surfaces and supporting routine hygiene care.

1. Place Underpads on Suitable Hospital Beds

Before placing an underpad on a hospital bed, check the patient’s care plan and any instructions from the nursing team.

Position the underpad flat beneath the area that requires protection, ensuring that it does not interfere with the bed’s safety features or any prescribed pressure-relieving equipment.

Use a size suitable for the patient and the intended application.

2. Use Underpads During Patient Hygiene Procedures

Underpads can be useful during selected hygiene procedures when there is a risk of moisture reaching the bed linen.

They may help protect the mattress and simplify cleanup after appropriate personal care activities. Follow hospital infection-control procedures and the product’s instructions for use.

3. Replace Wet or Soiled Underpads Promptly

Healthcare staff and caregivers should check underpads according to the patient’s needs and replace them when they become wet, soiled, saturated, or damaged.

Prompt replacement helps maintain a cleaner surface and reduces prolonged exposure to moisture.

4. Follow Hospital Hygiene and Infection-Control Guidelines

In hospitals, underpads must be used according to facility protocols. This may include hand hygiene, the appropriate use of personal protective equipment, safe disposal, and cleaning of surrounding surfaces when necessary.

Disposable underpads should not be reused unless the product is specifically designed for reuse.

5. Consider Patients at Risk of Pressure Injuries

Patients who remain in bed for long periods may be at increased risk of pressure injuries. Underpads are not a substitute for pressure-relieving mattresses, repositioning schedules, or clinical skin assessments.

Care teams should select products that suit the patient’s condition and avoid unnecessary folds or layers that could create additional pressure.

Benefits of using underpads for hospital beds

Hospital care need	How underpads can help
Incontinence management	Helps manage moisture during patient care.
Bed protection	Helps prevent liquid from reaching the mattress when correctly used.
Hygiene procedures	Provides localised protection during selected care activities.
Routine replacement	Allows a used disposable pad to be replaced without necessarily changing all the bed linen.
Caregiver convenience	Supports more organised daily hygiene routines.

The appropriate use of underpads can support hospital hygiene practices, but all product choices should follow clinical and facility-specific guidance.

How to Use Underpads for Home Care

Home care often involves family members or professional caregivers supporting adults with incontinence, reduced mobility, or recovery needs. Underpads can be a practical addition to a home hygiene routine.

1. Use Underpads on Beds and Mattresses

Place an underpad on the bed where leakage is most likely to occur. Ensure that it lies flat and covers the required area.

A Realcare underpad measuring 60 × 90 cm may be suitable for many localised bed-protection needs, depending on the person’s size, sleeping position, and the area that needs coverage.

If the pad does not cover the required area, consider a larger product designed for the intended application.

2. Use Underpads on Suitable Chairs

Underpads may also be used on appropriate chairs or other seating surfaces to help protect them from accidental urine leakage.

Make sure the pad is suitable for the surface and does not slide, bunch up, or interfere with safe seating.

For wheelchair users, check that the pad does not compromise positioning, stability, or the function of prescribed seating equipment.

3. Keep Underpads Available for Daily Care

For individuals who require regular assistance, keeping a supply of underpads at home can make daily care more convenient.

Store unused products in a clean, dry place and follow the packaging’s storage instructions.

4. Combine Underpads With Other Incontinence Products

Underpads can be used alongside suitable adult diapers or other wearable incontinence products.

An adult diaper helps manage urine close to the body, while the underpad provides additional protection for the bed or chair. This combination may be useful for individuals who experience occasional leakage despite wearing an appropriate incontinence product.

Benefits of using underpads for home care

• Helps protect mattresses, bed linen, and suitable seating surfaces.
• Makes managing accidental leakage more convenient.
• Supports personal care routines for individuals with limited mobility.
• Can reduce the need to clean entire bedding sets after minor leaks.
• Provides additional surface protection when used with suitable incontinence products.

Realcare Underpads: Features That Support Everyday Care

Choosing an underpad requires an understanding of the materials and construction that contribute to its intended function.

Realcare underpads are described in the supplied product specifications as featuring the following:

1. 60 × 90 cm Size

The 60 × 90 cm dimensions provide a defined area of coverage for suitable bed and seating applications.

This size may be useful when protection is needed around the hips and pelvic area. However, caregivers should assess whether it provides sufficient coverage for the individual and surface.

2. Superabsorbent Polymer (SAP)

SAP is used in many absorbent hygiene products because it can absorb liquid and retain it within the absorbent core.

In underpads, SAP can help manage urine and other moisture. Actual absorption capacity varies by product design, so check the stated product specifications rather than assuming a particular number of millilitres or duration of protection.

3. PE Backsheet

The polyethylene backsheet is designed to help resist liquid penetration through the bottom of the underpad.

This layer helps protect the mattress or other surface underneath when the pad is used correctly and replaced as needed.

4. Latex-Free Design

A latex-free design may be useful for individuals who need to avoid natural rubber latex.

However, people with sensitive skin can react to other materials as well. Review the product information and monitor for signs of irritation.

5. Disposable Convenience

Disposable underpads can simplify product replacement during everyday care. Used pads can be discarded according to the manufacturer’s instructions and local waste-management guidelines.

For the most accurate information about Realcare underpads, check the current packaging for absorbency, pack quantity, intended use, and any additional features.

Underpads vs. Adult Diapers: Understanding the Difference

Underpads and adult diapers are commonly used in incontinence care, but they serve different purposes.

Feature	Underpads	Adult diapers
Main purpose	Protects beds, chairs, and other surfaces from moisture.	Collects urine close to the body and may manage faecal incontinence, depending on the design.
Placement	On a suitable surface beneath the person.	Worn on the body.
Typical use	Additional surface protection.	Primary wearable incontinence management.
Replacement	Changed when wet, soiled, saturated, or damaged.	Changed according to product instructions and care needs.
Combined use	Can provide an extra layer of surface protection.	Can be used alongside a suitable underpad when needed.

Underpads do not replace adult diapers, and adult diapers do not eliminate the possibility of leakage onto bedding. The appropriate combination depends on the person’s continence needs and care routine.

Common Mistakes to Avoid When Using Underpads

Using underpads incorrectly can reduce their effectiveness and make care less comfortable.

Avoid these common mistakes:

1. Using an unsuitable size: Make sure the pad covers the area that needs protection.
2. Placing the wrong side upwards: Keep the absorbent surface facing up and the protective backing facing down.
3. Waiting too long to replace a wet pad: Change it promptly when wet, soiled, saturated, or damaged.
4. Allowing the pad to bunch up: Smooth it out to reduce discomfort and avoid unnecessary folds.
5. Assuming underpads prevent pressure injuries: Continue appropriate repositioning and skin-care measures.
6. Reusing disposable pads: Discard disposable products after use according to instructions.
7. Ignoring skin irritation: Seek medical guidance if persistent redness, pain, or broken skin develops.
8. Restricting water intake unnecessarily: Do not reduce fluids simply to minimise urine leakage unless a healthcare professional has advised a specific fluid plan.

A consistent care routine and correct product use can help caregivers get better results from underpads.

Frequently Asked Questions

1. What are underpads used for?

Underpads are absorbent sheets placed beneath a person or on a suitable surface to help manage urine leakage and protect beds, mattresses, chairs, and other surfaces from moisture.

2. How do I use underpads for elderly care?

Place the underpad flat beneath the area most likely to become wet, with the absorbent side facing upwards. Check it regularly and replace it when wet, soiled, saturated, or damaged. Continue appropriate personal hygiene and skin care.

3. Can underpads be used on hospital beds?

Yes, when the product is suitable for the intended application and its use is consistent with the patient’s care plan and hospital procedures. Ensure that it does not interfere with pressure-relieving equipment or bed safety features.

4. How should I use underpads at home?

Place the pad on a clean, dry bed or suitable seating surface. Position it to cover the area requiring protection, check it regularly, and replace it when needed. Follow the product’s usage and disposal instructions.

5. What size underpad should I choose?

Choose a size that covers the area most likely to become wet. Realcare underpads are specified as 60 × 90 cm in the product information provided for this article. This may be suitable for many applications, but the required coverage depends on the individual and surface.

6. What is SAP in Realcare underpads?

SAP stands for superabsorbent polymer, a material used to absorb liquid and help retain it within an absorbent core. The overall performance of an underpad depends on its construction and stated absorbency capacity.

7. What does the PE backsheet do?

A PE backsheet is a moisture-resistant layer designed to help prevent liquid from passing through the bottom of an underpad and reaching the protected surface.

8. How often should I change an underpad?

Change an underpad whenever it becomes wet, soiled, saturated, or damaged. Check it regularly according to the individual’s care needs and follow the manufacturer’s instructions.

9. Can underpads be used with adult diapers?

Yes. Underpads can provide additional surface protection alongside suitable adult diapers. The diaper manages urine close to the body, while the underpad helps protect bedding and furniture if leakage occurs.

10. Can underpads prevent bedsores?

No. Underpads are primarily intended for moisture and surface protection. They cannot prevent pressure injuries on their own. Appropriate repositioning, pressure-relieving equipment, skin assessments, and clinical advice remain important for people with limited mobility.

11. Are Realcare underpads suitable for bedridden patients?

Realcare underpads may be considered for suitable surface-protection needs, subject to the product instructions and the patient’s care requirements. Bedridden individuals may also need regular skin assessments, repositioning, and other pressure-injury prevention measures.

12. How should disposable underpads be discarded?

Fold or roll the used pad inward to contain the soiled surface and dispose of it according to the manufacturer’s instructions and local waste-management guidance. Do not flush disposable underpads down the toilet.

13. Can underpads be used on wheelchairs?

They may be used on suitable seating surfaces if the product is appropriate for that application. Ensure the pad does not slide, bunch up, or compromise safe positioning. Follow any seating or pressure-care guidance provided by a healthcare professional.

14. Do underpads replace regular personal hygiene?

No. Underpads help protect surfaces from moisture, but they do not replace cleaning the skin, changing wet clothing or wearable products, or maintaining an appropriate hygiene routine.

Conclusion

Understanding how to use underpads for elderly care, hospital beds, and home care can make everyday incontinence management more organised and convenient. By providing an absorbent layer between the person and the protected surface, underpads help manage moisture, protect bedding and furniture, and simplify selected personal care tasks.

To get the best results, choose a suitable size and absorbency, position the underpad correctly, replace it promptly when wet or soiled, and maintain regular skin care. Caregivers should also preserve the individual’s dignity, follow appropriate hygiene procedures, and seek professional advice when there are concerns about skin damage, worsening incontinence, or other health symptoms.

Realcare underpads, with their specified 60 × 90 cm size, SAP absorbent material, PE backsheet, and latex-free design, offer features worth considering for suitable everyday care needs. Always check the current product packaging and instructions to confirm that the product is appropriate for the intended use.

Whether you are caring for an elderly family member, supporting a patient in a hospital, or managing personal care at home, the right underpad can be a useful part of a thoughtful hygiene routine.

Realcare — supporting everyday hygiene, comfort, and practical care for adults and elderly individuals.