Viewing the Malem comparison chart, there is a choice between wearable models and a non-wearable or bedside option. The wearable models require sensors attached to underwear to detect moisture and trigger the alarm. The 2 types of sensor applying to these wearable devices are a “standard” or an “easy clip” sensor. With these sensors any bladder leakage can be contained with bedding protection.
The bedside option has a flat vinyl sensor which is called a “bed-mat sensor”. This mat is connected by a lead to a bed side alarm. The bed-mat detects moisture when it permeates a sheet or other cover; so in this case water proof and absorbent bedding protection can’t be used and this is often the first determining factor in assessment of which type is most appropriate for your needs. However, if a user has difficulty in wearing a device or sensory issues preventing the wearing of a device than this is the most suitable option.
Considering the standard or easy clip options, generally it is recommended that the user does not wear absorbent briefs or pull ups. This is found to encourage the user to move beyond reliance particularly on disposable pull-ups. There is potentially a positive association with moving to regular underwear and a reinforcement of the need to close the bladder, which the alarm assists with. In the case of the user wearing regular underwear the easiest sensor to manage is the easy clip sensor. The sensor lead is plugged into the alarm and is usually threaded under the pyjama top or tee shirt and then on the outside of a firm fitting knitted brief or boxer with the spring clip being attached to a dry fold of fabric nearest to the point which is going to get damp first, which will then trigger the alarm.
The standard sensor is inserted between 2 layers of fabric (as it should not lie directly on the skin). If wearing a disposable pull-up or pad is preferred, (whether temporarily at the commencement of the programme or for longer) the standard sensor with its small flat plate can simply be inserted through a narrow slit which can be cut in the front of the pad. As soon as the fabric becomes damp around the sensor the alarm will be triggered.
Managing the alarm, disconnecting and re-connecting the sensors after a bladder release is a subject covered in the manuals provided.