Try this method I learned from the aides while working in a nursing home- instead of pulling down the soiled incontinence brief, grasp the top of one of the side seams and tear down- the brief will fall down, then tear the other side and pull off. In sitting on the toilet- take off any slippers or shoes, socks, and pull down the pants. Slide on the new brief, then the pants, then socks and shoes, have her stand and pull brief and pants up. The person is ready to go with just one down and up and you aren’t struggling with to get each item on and in place. Much more efficient and acceptable to the person.