UNISEX ADAPTIVE GARMENT FOR DISABLED, INCONTINENT, OR INFIRM PATIENTS
Disclosed is an adaptive garment which is fabricated to be worn by patients who may be disabled, incontinent, and/or infirm. The inventive concept comprises a one-piece quantity of fabric which incorporates two similar, symmetric patterns, each pattern conforming generally to the front and rear contours of a human body. The one-piece garment is bi-folded at the area of the shoulders. The first folded segment consists of the profile of a front-oriented human body pattern, while the compatible second folded segment consists of the profile of the rear-oriented human body pattern. Both body patterns are integrally merged at common left and right shoulder junctions. Further, both body patterns may be detachably connected at their respective left and right leg inseams, out-seams, and at front and rear bodice segments, by a variety of mechanical and/or fabric fastening mechanisms.
Not applicable.
STATEMENT REGARDING FEDERALLY SPONSORED RESEARCH OR DEVELOPMENTNot applicable.
NAMES OF THE PARTIES TO A JOINT RESEARCH AGREEMENTNot applicable.
BACKGROUND OF THE INVENTION (1) Field of the InventionThe field of the present inventive concept relates generally to protective and/or adaptive clothing for patients who may be infirm or undergoing a stage of dementia or other disabling physical or mental health condition. Besides suffering from various infirmities, such patients are also frequently bedridden. The adaptive garment 1 disclosed is particularly well-suited for use with bedridden, mentally and physically challenged patients. The adaptive garment 1 discloses improved placement of closures, zippers, and adjustable fastening mechanisms. Further the invention presents a unique design that simplifies both the donning, and removal of the garment from a patient.
Unfortunately, the typical care garments offered to persons in this condition are often inefficient and impractical with respect to coping with waste matter that may accumulate in the underwear/undergarments that may be worn by the patient. This waste matter may be unconsciously touched and handled within the care garment by the patient him/herself which is completely counterproductive to the object of hospitals and care centers of instilling in the patients and their families a sense of health and wellbeing.
Typical hospital garments, often referred to as “Johnny Coats,” normally comprise thin, drafty, and revealing gowns that wrap around the patient and tie in the back. For these reasons, there is a need for garments for use by patients having reduced mental, cognitive, and physical functions. These medical garments must also fit patients of different sizes, either male or female. Moreover, such care garments must be highly functional, and provide caregivers with an efficient way to dress and change the patient's body, whether the patient is standing or lying.
(2) Description of the Related Art, Including Information Disclosed Under 37 CFR 1.97 and 1.98U.S. Pat. No. 5,911,312; Holyfield; Jun. 15, 1999. Protective clothing for use in care of elderly and infirm patients. In one embodiment, clothing is provided without any front entry, and with a rear entry slit that has one or more protective flaps which cover and protect a fastener from manipulation by the patient. Preferably, the garment has an elongated zipper running vertically along the center of the rear. The zipper closure is toward the top, ending adjacent the collar of the garment. One or more, and preferably at least three flaps are provided, anchored on one side of the rear of the garment and disposed to fold substantially horizontally across the zipper, and having hooks provided on the flap to releasably fasten to matched loops located in the other side of the rear of the garment. These protective flaps hinder elderly and infirm patients from engaging the zipper slide so as to loosen and ultimately remove the garment.
U.S. Pat. No. 9,491,975 B2; Lintel, C.; Nov. 15, 2016. A garment is adapted for use by female patients. A frontal portion of the garment covers at least a portion of the frontal trunk and frontal lower limbs of the female patient when the garment is worn. A left rear portion, in turn, is attached to a leftmost edge of the frontal portion and covers at least a portion of the rear trunk and rear lower limbs of the female patient. A right rear portion is attached to a rightmost edge of the frontal portion and overlaps the left rear portion. In order to secure the garment, a left belt attached to a leftmost edge of the left rear portion passes through a belt hole located proximate to the interface of the frontal portion and the right rear portion as well as a right belt loop, while a right belt attached to a rightmost edge of the right rear portion passes through a left belt loop.
U.S. Published Patent Application 2011/0231981 A1; Appel et al. Sep. 29, 2011
A medical gown and method of assembling a medical gown for a patient that provides coverage and dignity as well as easy of treatment and examination. The medical gown may include two garment portions. Each garment portion includes a first panel and a second panel which is generally a mirror image of the first panel. Each garment portion is formed by joining the first panel to the second panel along the first and second top edges and joining the first and second outside edges such that an arm opening is formed between the first and second panels. Each garment portion is thereby adapted to be secured to a patient by placing an arm through the arm opening and releasably joining the closure members together under the patient's opposite arm.
U.S. Pat. No. 5,418,978; Hochman, S.; May 30, 1995 A one piece washable garment having high thermal qualities and designed as a restraint for old and incapacitated people. The garment is closed at the front except for a small but concealed cavity at the waistline to house a catheter tube. A sheath for accessories is stitched to the underside of the front of the garment. The rear of the garment is divided into two segments held together by a plurality of fasteners, one of which extends from near the neckline to the crotch.
U.S. Published Patent Application 2008/0000006 A1; Ochoa et al.; Jan. 3, 2008 Disclosed are hospital patient and medical gowns designed to facilitate not only convenient and unobstructed access to the patients body by medical personnel, but also provide an improved fit, ease of wearing, and an enhanced level of modesty and privacy when compared to conventional rear-access hospital gowns.
U.S. Published Patent Application 2010/0313330 A1; Sampson-Howlett; Dec. 16, 2010; A hospital gown having front and rear openings for convenient access while providing sufficient coverage of the patient's body is provided. In one embodiment, the hospital gown comprises a first segment and a second segment. When one segment is put on a patient by inserting one arm through an arm hole and the other segment is put on in the same manner but on the opposite side of the body, the front and back portions of the segments overlap at the front and back. The segments may be releasably connected to one another by fasteners located on the first and second segments at the front and back overlapping portions. The first segment then wraps around the patient's body and over a part of the second segment, and the front and back portions of the first segment are releasably connected at or near the side of the patient's body.
BRIEF SUMMARY OF THE INVENTIONThere is an ongoing and growing need for adaptive, protective clothing for the elderly and the infirm, and particularly for mentally deficient patients who may frequently be incontinent or lack sufficient mental faculties to enable reasonable body hygiene while wearing typical patient garments. This problem is rapidly increasing, as large segments of the population are living longer and requiring extended long-term care, whether in the home or institutional settings.
The disclosed inventive concept is designed, in its primary embodiment, to prevent a patient from accessing their underwear which is usually worn inside the adaptive garment. Removing a patient's access to the inside of the garment will prevent a patient's engaging in fecal smearing, referred to as scatolia. The garment is designed to be worn over a patient's underwear, and not only prevents the patient's access to his/her underwear, but importantly, allows a caregiver to fully dress the patient in the garment whether or not the patient can help participate in donning of the garment. In fact, the garment can also be used for persons who are paralyzed or otherwise immobile and cannot participate in their own dressing.
Essentially, the disclosed adaptive garment 1 is a one-piece item of clothing for dressing an infirm, debilitated, or incontinent person. The adaptive garment 1 comprises a one-piece quantity of fabric consisting of a front-oriented human body pattern 2, conjoined with a rear-oriented human body pattern 3. Both body patterns 2, 3 are united at junctions corresponding to each pattern's respective left and right shoulders. Upon folding the adaptive garment 1 along said junctions, both body patterns 2, 3 are symmetrical and overlay each other and may be placed on and around a male or female patient with the coordination of a caregiver. The adaptive garment 1 may then be detachably connected, by a variety of mechanical and/or fabric fastening mechanisms at seams along the bodice and leg segments of each respective body pattern 2, 3.
The objects, features, and advantages of the inventive concept presented in this application are more readily understood when referring to the accompanying drawings. The drawings, totaling twelve figures, show the basic components and functions of embodiments and/or methods of use. In the figures, like reference numbers are used in each figure to correspond to the same component as may be depicted in other figures.
The terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. As used herein, the term “and/or” includes any and all combinations of one or more of the associated listed items. As used herein, the singular forms “a,” “an,” and “the” are intended to include the plural forms as well as the singular forms, unless the context clearly indicates otherwise. It will be further understood that the terms “comprises” and/or “comprising,” when used in this specification, specify the presence of stated features, steps, operations, elements, and/or components, but do not preclude the presence or addition of one or more other features, steps, operations, elements, components, and/or groups thereof.
By way of introduction, it is an unfortunate fact that hundreds of persons suffering from dementia and other mental and physical infirmities also suffer from incontinence. Many dementia patients additionally suffer from dual (or double) incontinence which is the presence of both urinary and fecal incontinence over which the patient has no control. At this writing, the typical adaptive care garments available for or offered to persons with these conditions are often ineffective, inefficient, and impractical with respect to ease of dressing and undressing a patient or preventing a patient from accessing the insides of his/her care garments.
In the current health care environment, choices for adaptive garments that address feces smearing are extremely limited and do not address the need to easily dress and undress bedridden patients who have limited or nonexistent movement of their legs and arms. Most adaptive garments are designed primarily to prevent inappropriate undressing by the patient, but not as a means of preventing fecal smearing. The patient garments and/or gowns available generally have no functional means to prevent a patient from accessing the inside of their underwear. There are also jumpsuit- and jumper-style garments that may zip and fasten up a back junction on the garment, to prevent removal of the garment by the patient, but these require assistance from the patient in putting on or taking off the garment.
From the foregoing discussion, it becomes apparent that one important and primary objective of the present inventive concept resides in the providing of new and useful protective clothing which is fabricated so as to prevent removal by a patient. The garment should be capable of being placed on the patient by a single caregiver, with or without the patient's assistance.
An important objective is to fabricate the garment in different size ranges having several adjustable fittings and closures, thereby accommodating a variety of different body shapes and sizes, while achieving a comfortable fit.
Other important objectives of the inventive concept include the providing of an adaptive clothing ensemble for the elderly and the infirm which:
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- (a) is practical and efficient in the initial preparation, arrangement, layout, and placement of the clothing about the wearer's body;
- (b) will markedly reduce the chances of a wearer removing the garment;
- (c) will substantially prevent the wearer from reaching inside and touching body waste, which causes contamination of his/her hands, face, hair, clothing, bed linens, and other items inadvertently touched;
- (d) is practical and efficient in the care of the garment (machine washable and dryable);
- (e) does not require medical or specialized training on the part of the caregiver in order to use the garment with the patient; and
- (f) can be provided with simple fastening mechanisms and fittings such that caregivers can easily place a patient into the adaptive garment 1, and further, can efficiently remove the adaptive garment 1 from the patient at the appropriate time.
Other important objects, features, and additional advantages of this inventive concept will become apparent as details are revealed through the ensuing detailed description, the accompanying drawings, and from the appended Claims herein.
Essentially, the disclosed inventive concept is a one-piece adaptive garment 1 to be worn by an infirm, debilitated, or incontinent person. The primary intent of the adaptive garment 1 is to minimize the possibility that the wearer may engage in behavior which is medically termed, “scatolia.”. The garment comprises a unitary segment of fabric consisting of a front-oriented human body pattern 2 and an identical rear-oriented human body pattern 3.
Both these body patterns 2, 3 are united at junctions 16, 26 which correspond to their respective left and right shoulders. Additionally, upon folding the adaptive garment 1 at the shoulder junctions 16, 26, and placing both body patterns 2, 3 about a patient's body, both body forms 2, 3 may be detachably connected by fastening mechanisms along the inseams 12, 22, 32, 42 and out-seams 13, 23, 33, 43 of the adaptive garment 1. The term, “front-oriented body pattern” signifies that the body pattern generally conforms to the frontal body contour of a person. Similarly, the term “rear-oriented body pattern” signifies that the body pattern generally conforms to the rear body contour of a person.
The discussion of the present inventive concept will be initiated with
Further shown in
The clasp devices 19, 29 and clasp receptors 39, 49 may comprise any of a variety of fasteners, including snaps, hook-and-loop mechanisms, zippers, buttons, plastic tracks, clips, or other fastening means. In the preferred embodiment, the clasp devices 19, 29 and clasp receptors 39, 49 are constructed as hook-and-loop mechanisms.
As further clarification, the components and functions discussed in
At its bottommost portion,
In viewing
In the preferred embodiment, mated zippers, including sliders, stops, and pull tabs, are incorporated into the locations of the inseams pairings 12-32, 22-42 and outseams 13-33, 23-43, to provide fastening of the left leg segments 10, 30 and right leg segments 20, 40 of the adaptive garment 1. It is to be noted that other mechanisms and means of fastening together the left leg segments 10, 30, and the right leg segments 20, 40 may also be utilized, as set forth above.
In referring to
In viewing
In the course of a caregiver dressing a patient in the adaptive garment 1, a connective union is formed between the left outer leg fastener 34 and left inner leg fastener 34(a) about a portion of the left front leg loop fastener 14 (shown in
In the same manner, the right outer leg fastener 44 and right inner leg fastener 44(a) are to be connected by the caregiver, if a hook-and-loop fastening mechanism is provided. Although not illustrated, the result of such connection would be similar to that shown in
In a similar manner, the bottommost portions of the left front leg 10 and left rear leg 30 will also be fastened together in the same manner, near the patient's calves, if the adaptive garment 1 is fabricated using male female buckle fastening combination 61, 63.
In
In considering all illustrations thus far presented, an efficient method for a caregiver effecting the donning of the adaptive garment 1 by a patient 4 may be initiated by the caregiver first, placing the neck opening 28 over the head of the prospective patient 4, preferably while the patient 4 is standing. The next step would logically be overlapping the inner surfaces 2(a), 3(a), of the adaptive garment 1 (see
The following procedures describe sequences in which the adaptive garment 1 utilizes zippers as the fastening means for the leg inseam pairings 12-32, 22-42, and outseam pairings 23-43, 13-33, and also the front and rear bodices 15, 25. The caregiver uses these integral means provided for fastening the adaptive garment 1, beginning at the left armhole 17 of the patient 4, connecting the left front bodice 15(a) to the left rear bodice 25 (b), the left front leg outseam 13 to the left rear leg outseam 33, which connection terminates directly above the left front hem 11 and left rear hem 31.
Next, the caregiver engages the fastening means proximate the right armhole 27 of the patient 4, connecting the right front bodice 15 to the right rear bodice 25, the right front leg outseam 23 to the right rear leg outseam 43, which connection terminates directly above the right front hem 21 and right rear hem 41. The donning sequence continues with the caregiver fastening the left leg front inseam 12 to the left leg rear inseam 32, and immediately continuing the movement of the zipper so as to fasten the right leg front inseam 22 to the right leg rear inseam 42, these two steps automatically closing the crotch area 18 of the adaptive garment 1.
The caregiver then attaches the left front clasp device 19 to the left rear clasp receptor 39 and also attaches the right front clasp device 29 to the right rear clasp receptor 49. The final step is for the caregiver to adjust the fit of the leg openings around the patient's left and right calves, and in so doing, conceal the zipper pull, assuming the leg inseams and outseams were connected by zippers. The securing of the hems 11-31 and 21-41 may be accomplished by use of front and rear hook-and-loop fasteners 14, 34, 34(a) for the left leg pairing 10-30 and the utilization of front and rear hook-and-loop fasteners 24, 44, 44(a) for the right leg pairing 20-40.
An alternative method of donning the adaptive garment 1, particularly with bedridden patients, would be placement of the outer surfaces of the adaptive garment 1 upon a bed adjacent to the prone body of the patient 4. A caregiver then carefully turns the patient, allowing half the exposed inner surfaces 2(a), 3(a) of the adaptive garment 1 to be pushed under the body of the patient 4, where the adaptive garment 1 is then pulled out from the other side of the prone body of the patient 4.
Thereafter, the caregiver maneuvers the neck opening 28 over the head of the patient, then, starting at the underarm, fastens bodice segments 15, 25, continuing with leg outseams 13 to 33, and ending directly above the left front and rear hems 11, 31. Next, the bodice segments 15, 25 are connected, followed by the right leg outseam segments 23 to 43, ending directly above the right front and rear hems 21, 41. Thus the leg segments 10, 30, 20, 40 are fastened about the patient. It is to be noted that each leg outseam, 13, 23, 33, 43 extends the full length of the front/back body pattern, 2, 3 from the armholes 17, 27 to the hems 11, 21. This feature makes it more efficient and practical to enclose and fasten each leg segment 10, 30, 20, 40.
As additional information, the adaptive garment 1 may function effectively using any one of several types of fastening mechanisms, including snaps, hook-and-loop mechanisms, zippers, buttons, staples, plastic tracks, clips, and others.
While preferred embodiments of the present inventive method have been shown and disclosed herein, it will be obvious to those persons skilled in the art that such embodiments are presented by way of example only, and not as a limitation to the scope of the inventive concept. Numerous variations, changes, and substitutions may occur or be suggested to those skilled in the art without departing from the intent, scope, and totality of this inventive concept. Such variations, changes, and substitutions may involve other features which are already known per se and which may be used instead of, in combination with, or in addition to features already disclosed herein. Accordingly, it is intended that this inventive concept be inclusive of such variations, changes, and substitutions, as described by the scope of the claims presented herein.
Claims
1. A one-piece garment for wearing by an infirm, debilitated, or incontinent person, the garment comprising a one-piece quantity of fabric having two symmetrical, conjoined patterns, consisting of a front-oriented body pattern and a rear-oriented body pattern, both body patterns united at two junctions, corresponding to the respective left and right shoulders of each body pattern, and further, upon folding the garment along said junctions, both body patterns overlay each other, thereby enabling the patterns to be detachably connected to each other.
2. A one-piece garment for minimizing the possibility of engaging in scatolia by an infirm, or incontinent person, the garment comprising a one-piece, folding quantity of fabric comprising (a) a front-oriented body pattern having left and right front leg segments, a front bodice; and (b) a rear-oriented body pattern having a left and right rear leg segments, a rear bodice, wherein (c) the front-oriented body pattern and the rear-oriented body pattern are permanently conjoined at common left shoulder and right shoulder junctions, and further, (d) the front-oriented body pattern and the rear-oriented body pattern are detachably connected at seams along the respective front and rear bodices, and seams along the respective left leg and right leg segments.
3. The one-piece garment of claim 2, wherein
- (a) the front-oriented body pattern comprises a front bodice having a front neck opening, left armhole, and a right armhole; a left front leg having a leg hem, an inseam, and an out-seam extending to the front bodice; a right front leg segment having a leg hem, an inseam, and an out-seam extending to the front bodice; a left clasp device, and a right clasp device;
- (b) the rear-oriented body pattern comprises a rear bodice having a rear neck opening, left armhole and right armhole; a left rear leg segment having a leg hem, an inseam, and an out-seam extending to the rear bodice; a right rear leg segment having a leg hem, an inseam, and an out-seam extending to the rear bodice, a left clasp receptor, and a right clasp receptor;
- (c) the left front leg segment and left rear leg segment have mutually corresponding fastenings incorporated into (i) the length of their respective inseams and (ii) the length of their out-seams, including extensions of the outseams to the front bodice; and
- (d) the right front leg and right rear leg have mutually corresponding fastening means incorporated into (i) the length of their respective inseams, and (ii) their out-seams, including extensions of the outseams to the rear bodice.
4. The one-piece garment of claim 2, wherein the means for fastening the outseams and inseams of the front and rear leg segments, and the fastenable seams of the front and rear bodices consists of any one of a variety of cooperative-mated fasteners selected from the group consisting of hook-and-loop mechanisms, male and female snaps, zippers, plastic rails, buckles, buttons, claws, and clasps.
5. The one-piece garment of claim 2, wherein the clasp devices and clasp receptors consists of any one of a variety of mated fasteners selected from the group consisting of hook-and-loop, snaps, zippers, plastic tracks, buckles, buttons, claws, and latches.
6. A method for employing a garment for clothing a disabled, infirm, and/or incontinent person so as to minimize the possibility of the wearer engaging in scatolia, the method comprising the steps of:
- (a) providing suitable fabric material for constructing a one-piece garment consisting of two conjoined patterns, being a front-oriented body pattern, and a rear-oriented body pattern;
- (b) constructing the front-oriented body pattern so as to include:
- (i) a left front leg segment having an inseam, outseam, and hem;
- (ii) a right front leg segment, having an inseam, outseam, and hem,
- (iii) a front neck opening, left front shoulder seam and a right front shoulder seam;
- (iv) a front bodice segment having left and right armholes, fastenable seams, and left and right clasping devices;
- (c) constructing the rear-oriented body pattern so as to include:
- (i) a left rear leg segment having an inseam, outseam, and hem;
- (ii) a right rear leg segment, having an inseam, outseam, and hem,
- (iii) a rear neck opening, a left rear shoulder seam, and a right rear shoulder seam;
- (iv) a rear bodice segment having left and right armholes fastenable seams; and left and right clasp receptors;
- (d) fabricating the front-oriented body pattern and the rear-oriented body pattern such that both are conjoined at their respective left and right shoulder seams, thereby forming a left shoulder junction and a right shoulder junction;
- (e) providing means for fastening the outseams and inseams of the front leg segments to the corresponding outseams and inseams of the rear leg segments;
- (f) providing means for fastening the front and rear bodices at their corresponding seams;
- (g) providing a means for tightly securing the left front and left rear hems and also the right front and right rear hems proximate the mid-calf area of a wearer;
- (h) placing the unitary garment about the body of the subject person;
- (i) fastening the front and rear leg inseams and outseams, and fastening the front and rear bodice segments;
- (j) securing the leg cuffs about the mid-calf area both legs of the person; and
- (k) attaching the left and right clasp devices to the respective left and right clasp receptors.
7. The method of claim 6, wherein the means for fastening the outseams and inseams of the front and rear leg segments, and the fastenable seams of the front and rear bodices consists of any one of a variety of cooperative-mated fasteners selected from the group consisting of hook-and-loop mechanisms, male and female snaps, zippers, plastic rails, buckles, buttons, claws, and clasps.
8. The method of claim 6, wherein the left and right clasp devices and the left and right clasp receptors consists of any one of a variety of cooperative-mated fasteners selected from the group consisting of hook-and-loop mechanisms, male and female snaps, zippers, plastic rails, buckles, buttons, claws, and clasps.
9. The method of claim 6, wherein (a) the hem of the left front leg segment is connected to the hem of the left rear leg segment and (b) the hem of the right front leg segment is connected to the hem of the right rear leg segment by the utilization of any one of a variety of cooperative-mated fasteners selected from the group consisting of hook-and-loop mechanisms, drawstrings, male and female snaps, zippers, plastic rails, buckles, buttons, claws, and clasps.
Type: Application
Filed: Jan 28, 2023
Publication Date: Aug 1, 2024
Inventor: Laura Haynie (Peachtree City, GA)
Application Number: 18/102,702