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Home > Freedom's Product Selection Guide
Here at New Freedom Solutions, we want you to find the perfect solution for any situation. That is why we have developed a unique approach to product selection which we call:
"The Five Cs"
  • Containment. Does the product hold up during a void? Is there consistent leaking or failure?

  • Confidence. How confident does the user feel while wearing the product? Can he/she go on outings? Will the product hold up when it needs to?

  • Comfort. How comfortable is the product to wear? Does it rub, bind, itch, or scratch? Is it too hot? Does the skin stay dry and healthy?

  • Convenience. How convenient is the product to apply or dispose of? If the user is independent, can they change the product easily? Will it need to be changed in a public restroom?

  • Cost. Which products are more affordable for the wearer? Do they change often, thus using more? Do they change infrequently, thus using less? Is a case quantity a better cost choice?

We have created the following guide with these "Five Cs" in mind. If you follow these steps you should have a good idea of which products are the best choices.
After you find the products that you think will work, we suggest that you try a few samples before you purchase a whole case of bag (samples not available on all products).
If you need any help please contact us at 1-866-342-2817 or email us at info@newfreedomsolutions.com.

Step 1 – Determine the Level of Absorbency Required

Using the chart below, determine the recommended level of absorbency best suited for the user. These product absorbency ratings appear on all our absorbent product pages, and can be found throughout the site to help you find the right solutions.

Level of
Absorbency Rating

Slight Loss:
  • Small amounts of urine loss (less than 1/2 cup) when sneezing, coughing, laughing, exercising, or any body movement that puts pressure on the bladder.
  • Small amounts of urine loss (less than 1/2 cup) following a sudden urge to urinate that does not allow enough time to get to the restroom.
For daytime use:
For overnight use:

Moderate Loss:
  • Moderate amounts of urine loss (more than 1/2 cup) when sneezing, coughing, laughing, exercising, or any body movement that puts pressure on the bladder.
  • Moderate amounts of urine loss (more than 1/2 cup) following a sudden urge to urinate that does not allow enough time to get to the restroom.
  • Fecal seepage resulting in the release of small amounts of fecal matter.
For daytime use:
For overnight use:

Heavy Loss:
  • Heavy amounts of urine loss (more than 1 cup) following a sudden urge to urinate that does not allow enough time to get to the restroom.
  • Constant urine leakage.
  • Fecal seepage that is continual
  • Loss of bowel control
For daytime use:
For overnight use:

Severe Loss:
  • Severe amounts of urine loss (more than 2 cups) following a sudden urge to urinate that does not allow enough time to get to the restroom.
  • Full loss of bladder control
  • Full loss of bowel control
  • Chronic diarrhea


For daytime use:
For overnight use:
Step 2 – Select the type of product or products most suitable for the user
Listed below are the categories of absorbent products along with a list of considerations:   

Pads and Liners

  • Are the easiest to apply and to change in both private and public settings
  • Are very discrete
  • Most can be placed in your own underwear or fixing pants, making these a comfortable choice for many
  • Come in a variety of sizes and absorbencies for most types of incontinence
  • Are comfortable in hot weather
  • Need to stay next to the skin to be most effective
  • Non-adhesive pads and liners may slip or need adjustment from time to time, especially after using the toilet
  • Can leak more easily than pull ups or briefs
  • Not suitable for overnight use for those with severe incontinence


Protective Belted Undergarments


  • Are very discrete
  • Do not require underwear or fixing pants.
  • Do not require clothing to be removed for changing
  • Are most comfortable for hot weather
  •  Belt holds the product securely in place
  • Belts can be uncomfortable to some users
  • Can be difficult to change for a person with limited hand dexterity
  • The "one-size-fits-all" sizing can be challenging for a tall or large person
  • Only suitable for slight or moderate incontinence

Protective Underwear (also known as Pull Ups or Pull Ons)

  • As easy to put on as underwear
  • A good option for persons with limited dexterity
  • Come in a variety of absorbency levels
  • Work well for athletic activity
  • Breathability helps with skin care,
  • More comfortable in hot weather than briefs (diapers).
  • Pull ups with internal leak guards are recommended for larger voids or bowel incontinence
  • Can add a pad or liner to a pull up for extra protection.
  • User is required to remove pants in order to apply a fresh product, which may be challenging in a public restroom.
  • Not as absorbent as a brief (diaper)


Briefs (Diapers)

  • Offer the maximum protection for all levels of incontinence
  • Most secure fit
  • Brief can be changed without removing clothing
  • Can be difficult to change standing up, but it is not impossible. If this is a concern, please review our tutorial on Applying a Disposable Product
  • Briefs with refastenable tapes allow users to remove the product to use the toilet and adjust the product as needed.
  • The heavy plus/extended wear briefs can allow for several hours between changing, and can generally contain multiple voids.
  • Some briefs are very bulky
  • Some briefs with plastic outer covers can be very noisy when the user moves around
  • Some briefs with tape fasteners can only be taped one time
  • Plastic-backed briefs can be uncomfortable in hot weather.

Step 3 – Determine the Size Needed

To determine the size of product that a user will need, measure the user’s hip and waist. Use the larger of the two measurements.

Each product size has a range of measurements the product fits. Many of the products overlap a bit in size range. Take the Medline Restore Brief for example. The Medium size fits 32"-42", and the Regular size fits 40"-50". Therefore, a person measuring 41" could select either size.
If there is more that one option for any given product, we recommend the following tips to help you choose the best solution:
Tip: If the user is a tall person use the larger product size.

Tip: If the user has a high volume of urine or fecal matter,
use the larger size.
Tip: If the user is very active use the larger size.

Tip: If the user will need a product for an extended period of
time select the larger size for more absorbency.
Tip: If the user prefers to change after each void,
selecting the smaller size should give the desired


Step 4 – Individual considerations and preferences

Steps 1-3 are intended to give overall ideas as to which products and sizes may best suit a given situation. This step is intended to offer some additional considerations to help fine-tune the selection process.
  • Is the user generally active and able to move around on their own? If so, you may want to be sure the product you choose is gathered at the leg to help prevent leaks as the user moves around. If the user is very active, you may also want to consider an internal leak guard that offers even more leakage protection during movement.

  • Does the user participate in athletic activity? If so, you may want to consider protective underwear (pull ups) for such activities. Pull ups will stay in place without the concern of tabs coming loose during athletic activity. These products come in a variety of absorbencies, and many have additional internal leak guards, which are particularly helpful for heavy or severe incontinence. If the user is more comfortable in a brief, we recommend using underwear or fixing pants to keep the brief more securely in place.

  • Is the user tall (around 6 feet or taller)? If so, you may want to choose a larger size in both briefs (diapers) or absorbent underwear (pull ups) to accommodate for the height. Also, belted underwear may be difficult to fit properly in tall persons and might not be the best choice. Height does not affect the sizing in pad and liners.

  • Does the user have any physical impairments that would affect their ability to apply and/or change their own product? If the user has some dexterity and wishes to remain independent, pad and liners or pull ups would be the best choices for them. All of these products come in a variety of absorbencies, and many contain internal leak guards, which are particularly helpful for heavy or severe incontinence. Briefs (diapers) may be difficult to apply, but it is possible. For more information on the various techniques, click here.

  • Does the user have limited mobility and/or is bedridden?
    Bed sores are a major cause of infections and many health problems. For this reason, it is a good idea to opt for a product with a heavier absorbency rating. These help keep the skin dry. Some products also have skin protection creams embedded into the core (Medline's Restore Brief is perhaps the best product available for reduction or prevention of bed sores). Also, you may want to consider adding a skin care product that is specially designed for both prevention and treatment of incontinence-related rashes and/or bed sores.

  • Is the user reliant on caregivers to change products? If so, you may want to opt for a heavier absorbency rating as these will keep the skin dry and healthier, and will require fewer changes throughout the day or during the night. Briefs and absorbent underwear (pull ups) fitting this description may be the best option.

  • How often will the product be changed? Some users may want to change their product between every void. If so, a product with less absorbency may be a good choice. If the user will be wearing a product for six to eight hours, will have limited access to a bathroom, or for overnight use, a more absorbent product should be selected. In addition, if a product will be checked or repositioned often, a brief with single-use tape fasteners will not be a good choice.

  • Will the product need to be changed in a public restroom? If so, you may want to consider products that can be changed discretely with as little contact with dirty restroom floors as possible. Pull ups, for example, require the user to remove pants or pantyhose to change the product. Liners, pads, and belted undergarments are the most discrete to change and do not require the removal of garments. Briefs can be changed in public restrooms without removing garments once the user has mastered the techniques of self-application (click here to see methods of self-application).

  • What feels the most secure to the user, and what is their personal preference? Because incontinence can have social and sanitary factors, whatever the user feels the most secure wearing is very important. For example, cloth-backs tend to make far less noise when worn, whereas plastic backs are less likely to have leaks. Also of great importance is the general feel of a product. Is there is something about a product that is particularly comforting or particularly bothersome to the wearer?

  • Will the product be worn in hot or humid weather? More breathable products such as cloth-back briefs and pull ups are more comfortable and cause fewer rashes in heat or humidity than plastic backs. If practical, liners and pads with cotton underwear or fixing pants, and belted undergarments are the coolest, most breathable choices and are best for overall skin health in heat and/or humidity.

  • What is the cost? Cost can often be the deciding factor in choosing a product. That is why we have put the cost per unit on every product page and in the product information table at the bottom. However, cost per unit may not always give the full picture. If a less expensive product is chosen but requires more frequent changes, it may not be less expensive in the long run. Also, because the heavier absorbency products cost more per unit, the user may want a lighter absorbency product for daytime use rather than using a heavier absorbency both day and night. Adding boosters to products in order to prolong product life is another way to cut costs.

  • If in doubt, experiment. Samples are available for some of the absorbent disposable products we carry. They are an inexpensive way of experimenting with several options before settling on any given product. Look for the following button on product pages:

    To view all available product samples, click here.



You can find more product information here: