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We put in a Poise pad in my mother's nighttime diaper and that actually keeps her pretty dry at night. we also have a incontinence pad underneath for potential accidents and leakage. but this seems to do the trick. just a depends diaper is definitely not enough.
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willnotorcannot Dec 2018
I will get the Poise pads and start with putting that in the underpants diaper. She seems to only like the fit and feel of the Publix Brand Large. I think that an extra pad may help and have not thought about that. She does not have accidents every night but when she sleeps hard - she never wakes up to go. The washable incontinence pads I think are getting soaked when she does not wake up so maybe the extra pad in the diaper will help. THANKS :)
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Dear willnotorcannot,

Your mom's doctor is correct that there are side effects to medications. While I do not have any medical background, I would respectfully argue that incontinence and staying in wet pull-ups for long periods also has negative side effects, UTIs for one. My m-i-l in assisted living has nighttime incontinence. Staff had her on a toileting schedule waking her 3 -4 times per night to help prevent "accidents" but the sleep disruptions were having a negative impact on her mental health. With her frequent UTIs her MD prescribed a medication called Methanamine which can have negative side effects. However, the medication has greatly decreased the frequency of UTIs which in turn has decreased her nighttime incontinence. Now staff only has to get her up once a night.

Honestly sometimes I think it comes down to deciding between the lesser of two evils. M-i-l is 86 so for us it is about her quality of life.

I am so sorry you are having to deal with this.
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If she's afraid to walk but still capable of standing she may be able to use a bedside commode with a sturdy bed assist rail to help her transfer. I'd also recommend some physical therapy to make sure she retains as much ability to stand, transfer and walk a few steps as is possible, if she loses that it will be nearly impossible to care for her at home. I would encourage her to use a walker/rollator as often as possible.
As for the laundry - I assume you already have a waterproof mattress cover. Washing the bed pads with bleach is usually not recommended as it will ruin the waterproof layer - check the label.
What kind of incontinence pad or pull up is she wearing, there are many that are more absorbent than those commonly found at the local drug store.
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Blue chux underpads = you chuck them in the trash afterwards! We use 3-4 large ones under mthr all the time, and when one gets wet, it goes. Not all get wet everytime, but it protects the furniture, the wheelchair, and the bed. Cheap at Sams. You might want to put her in depends overnight since that is the problem time. That's how we transitioned mthr from panties to depends full time, started with night which was worse for her.
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willnotorcannot Dec 2018
Thank you - I may purchase the underpads and use several - and just throw away the ones that get soaked. She is only incontinent during nighttime for the most part and it is not every night (thankfully). I never thought of using more than one pad and the throw away kind I have seen at CVS and Publix look very thin. I will check out Blue chux - Thanks for the tips!
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If she doesn’t already wear incontenence pull-ups or briefs at night, I would start now, along with the washable bed pads. If she sleeps from 3 am to 1 pm can you wake her up in the morning for a bathroom run when you’re getting up and ready for work in the morning? Then she can go back to bed. If she doesn’t want to get up, you could change the disposable brief and the bed pad if needed while she’s in bed. Theres a method to this (you can google it) that the cnas at Moms NH use by rolling her on her sides and she barely wakes up if she’s napping. It just takes a couple of minutes.
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willnotorcannot Dec 2018
Hi,
Thank you for the reply. I do not live with mom - but I am within 3 miles in a straight shot ( so I am not there to wake her. I don't know how I feel about ever having to change her - I guess we do what we need to do when the time comes and when that time comes I guess I will be able to do that. For now I wash , dry, fold , grocery shop, put away groceries and visit and eat at least two meals a week with her. Just want to make sure I am keeping things as clean as I can in this stage.
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Hi. I live in the UK and have bought my mum a completely waterproof, breathable mattress. I also use a Kylie sheet underneath the cotton fitted bed sheets.
Mum has TENA incontinence pads and netted pants as well.
Have you considered a commode chair next to her bed (if it's possible for her to transfer to it easily)?
We used one for mum when she first moved in with us two years ago, but now it's not necessary as the pads are a godsend. (Even though she still goes to the bathroom as it is an ingrained habit I think).
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