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I would change the sheets as much as needed. The medical supplies under your health insurance should covering pads to cover the mattress.
Also, I air out the bedroom daily. Keep the air circulated. You can also wash your bed sheets with laundry detergent and vinegar and baking soda. This gets rid of any sour smell. It's works great for athletic socks too.
Studies show the color lavender is calming for the elderly. I bought my mother a Lands End lavender comforter with matching sham. The other sham I put on her nightstand. She loves it.
These little things do matter. I know it's tough to strip the bed but it's quality of life for our loved ones. When I put Mom to bed at night we have our routine--her rosary beads go under her pillow and a feminine handkerchief. She has a smile on her face. There's a lamp left on until she dozes off.
It's makes me feel happy inside so when it's Mom's time to go I will know I did my best!
Bed linens should be changed whenever they are soiled. Otherwise I change bed linens once a week.
There are bed pads that can be ordered on Amazon. Medline is the brand I used. They work well to protect the bed from incontinence.
The correct fit on the disposable underwear such as depends or tabbed diapers used with pads can reduce the need to change the bed if the depends are changed often.
https://www.amazon.com/Medline-Washable-Underpads-incontinence-reusable/dp/B09QG9T69B
I'm picky about linens and have my bed changed every other day. When we rented cottages, sheets were changed every Sunday and Wednesday. On Sundays after guests checked out we changed everything, mattress pads, pillows, all sheets and blankets.
I still remember the comforting feeling of fresh sheets and the soothing taste of the hot tea that she brought to us.
Now of course he had several large waterproof pads under him just in case he had an accident, but thankfully my husband had a permanent catheter so only had to be concerned if he pooped after his paid CNA left in the morning(which thankfully he only did a few times in the 22 months he was bedridden.)
So if the sheets aren't soiled, twice a week should be fine, otherwise change as needed.
My daddy would ask me to bargain with his doctor about taking a break from his catheter. I think he got so tired of laying in the hospital bed, rather than being able to walk to the bathroom.
The doctor was sweet and said to me, “Okay dad can have a break today but tomorrow it’s going back in.” That seemed to satisfy my father.
I think daddy felt that his doc would give him an automatic, ‘No!’ So, he sent me into negotiate with him.
Mom’s home health and hospice nurses kept an eye out for pressure wounds.
If they aren’t soiled then once a twice a week is fine. The smell will be overwhelming if sheets aren’t cleaned regularly.
Not sure if they make them anymore but when my girls were babys the had crib paids the had flannel on the outside and rubber in the middle. I placed these on top of the sheet so I didn't have to change them every time there was an accident. I still had one and used it in Moms chair.
Even if there are no spills, not much sweating, change those sheets, for dignity's sake.
You can change the pillow cases more often, even daily.
There is a technique where you put an extra sheet over the regular sheet set.
Often called the slide sheet, it can be used as the only fresh sheet to be changed during the week. It is not tucked in at the top and bottom.
The bedridden patient can be rolled over, the sheet rolled up, then roll the patient the opposite way to remove and re-install a new sheet.
If soiled, resourceful caregivers on here have even reported that instead of dealing with a truly soiled sheet, they threw it away.
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