Order Extrasorbs by Medline on Amazon, the extra large size, which hold a gallon of fluid apiece. They're disposable Chuck pads for the bed and they're life savers.
I have a fitted sheet, then a folded flat plastic sheet, a lightweight small cotton blanket, and a bed underpad. Then I add a folded hand towel as an insert in his pull up Depend. Every morning, I cut the Depend off with scissors, have him raise up and I throw the hand towel in the washer and the Depend in the trash. If the underpad is wet, it goes in the washer, and if the cotton blanket is wet, it goes in the washer. No mess, no lingering urine odor. I don’t expect him to not wet the bed, I just have to improvise so the workload is not too hard. With the plastic sheet, I don’t have to change his bottom fitted sheet as often. Best wishes.
Doubling up a pull up brief will not double the absorbency. the pull up and tab briefs have a liner on the outside that is there to prevent leakage. this will prevent a second pull up or tab brief from fully absorbing excess fluid. There are pads that are made to be placed inside a pull up or tab brief that will absorb more. You can get a much more absorbent under pad that will help keep bedding lean and dry. There are condom catheters that you could use. Another option might be to wake him and have him use a urinal if getting him out of bed and to the bathroom or commode is not easy or safe to do.
We experienced this same issue with my dad. It’s tough on everyone! We used a different brief, Tena, I think? He slept in pull on shorts b/c he didn’t like to sleep in just his brief. Also, when he did, he’d sometimes fidget with it and undo it, so shorts worked great.I bought waterproof quilted bed pads that can be laundered. One side is blue, the other white quilting. Very comfortable to lay on & hold up to hundreds of washings. There are various sizes, too. We used a 3’ by 5’ nearer the end as he was more restless and the bed was protected. Easy to change out even if your loved one is bedridden. We checked and changed my dad every 4 hours so he wouldn’t get skin breakdown. My dad was wheelchair bound. There’s hope!
I have the same issue with my mom. Her doctor cut her down to 1 liter of fluid max per day and no fluids after 6 p.m. However, she goes through two bed pads per night and at least two pairs of pants. This is in addition to multiple diaper changes through the night and getting up 2-3 times to use the bathroom!! We are scratching our heads on this one and will be talking to her doc next week during a follow up appt.
With her doc's approval I tried AZO with Go-Less and it worked for about a month- she stopped wetting during the night. But now, it stopped working and we're back to square one.
We are going to see if her doc will approve a PureWick (external catheter system for women) as this will help with her nighttime wetting. For men, a condom catheter might be your best bet.
In the meantime, she wears McKesson ultra absorbency pull ups at night (she still soaks through them). I use the large size Beck's classic reusable bed pads, (I get mine from carewell.com) underneath which they have been great with keeping the wetness from going any further. I have a lot on hand just in case. You can double these up too if you need to or if you get one large enough fold in half for extra protection. Just in case, I have plastic sheeting underneath her fitted sheet to keep anything from getting to the mattress protector.
It is interesting that docs would suggest cutting back on fluids when they are necessary to assist with the side effects of any Rx. (ie help expell) The body needs water. As well, both when I worked in health care and took care of my mom I would never put anyone ever on any type of catheter "of old" but looked at these newer types. I still feel horrible when one night when I was at the hospital with my mom - they asked if they could insert a catheter. She was screaming in pain. That was a while back and maybe they have improved.
She died within the next two days and I realized they were just too lazy to change her diaper and I was tired from being there around the clock often changing her myself (rather then wait for a long time for staff to come) and I had never been around when one was inserted. (I only say this as I once buzzed for them to come to her aide as the morphine had worn off and she was highly agitated trying to crawl over the railing. She had cancer, and I tucked her in with the sheets and ran out to see the staff eating pizza!!! ignoring the buzzes!!! (it was a VERY quiet night). The doctor who knew my mom (RN, PA for four neurosurgeons) was livid as I told him I never wanted these two individuals on with my mother ever and he asked why. She had never missed a single day of work!
Here is an Amazon review (great for getting feedback on many things). One can see the negative reviews along with the positive.
I have this problem with my husband who has dementia. Someone here (I forget his name now) suggested a wonderful idea. I buy “ultimate absorbency” pads and insert the pad AFTER I cut open the sticky side of the pad. When the pad is over saturated, the excess is absorbed by the Depend giving me additional protection. This only helps cut down on the amount of leakage; it does not prevent leakage. I still have to get him up at 4am to change (and every 3 hrs during the day). By that time, both the pad and the Depend are super wet.
Depend also has “ultimate absorbency,” so get that. Order online from Sam’s club. Much cheaper than in stores. Again, same thing for the pads and get the extra long ones. Buy the CVS ones because they are long and the back are easier to cut. Forget the thin ones. They are useless.
As for pants, don’t bother in bed. They will always get wet, so why bother. During the day, yes. Not in bed at night.
There are absorbing sheets that are like 36" x28" that healthcare institutions use over the sheets. We used them for mom and they helped. We would use two to cover a larger area. We also had a large plastic sheet between the bed sheet and waterproof mattress encasement.
Hello! I recommend: 1) see a continence expert, a WOC nurse. They are Board Certified in this question! 2) my recommendation would be investigate trying a condom style catheter -the advantage of being male -just for over night. Good luck.
Yes I totally agree. The condom catheters will let you and him sleep through the night without having to wake up with wet sheets or assisting with placing a urinal. I didn’t find out about them until 5 yrs after my dad became bed ridden. Medicare covers them and I would still recommend him sleeping on a washable pad and diaper in case they come loose but these are a life saver for those caring for men overnight who are incontinent!!! Good luck!!
Only thing left is to be Catherized and that has to be changed every 30 days and hurts to have it done plus you end up getting Urinary Tract Infections..just put a fitted vinyl bed cover over the mattress and hire a Caregiver a couple hrs a day with changing the sheets, clean him up If assistance is needed and doing a load of clothes as one of her jobs.
I know it's a pain in the butt but look on the bright side, he can still urinate on his on.
Aknow try vinyl underwater over the diapers and make sure he's wearing Night Time thicker Adult Diapers at night.
https://www.amazon.com/Medline-Extrasorbs-Drypad-Underpads-Permeable/dp/B07GYZNDY8/ref=sr_1_5?crid=30TWVDKTSCUAK&dchild=1&keywords=medline+extrasorbs+ap+30x36&qid=1618530758&sprefix=Extras%2Caps%2C318&sr=8-5
You can also order guards.....they're like doublers for the Depends and hold lots of extra fluid
https://www.amazon.com/Depend-Incontinence-Maximum-Absorbency-Packaging/dp/B01KOFCNP0/ref=sr_1_6?dchild=1&keywords=depends+doublers&qid=1618530567&sr=8-6
Good luck!
the pull up and tab briefs have a liner on the outside that is there to prevent leakage. this will prevent a second pull up or tab brief from fully absorbing excess fluid.
There are pads that are made to be placed inside a pull up or tab brief that will absorb more.
You can get a much more absorbent under pad that will help keep bedding lean and dry.
There are condom catheters that you could use.
Another option might be to wake him and have him use a urinal if getting him out of bed and to the bathroom or commode is not easy or safe to do.
With her doc's approval I tried AZO with Go-Less and it worked for about a month- she stopped wetting during the night. But now, it stopped working and we're back to square one.
We are going to see if her doc will approve a PureWick (external catheter system for women) as this will help with her nighttime wetting. For men, a condom catheter might be your best bet.
In the meantime, she wears McKesson ultra absorbency pull ups at night (she still soaks through them). I use the large size Beck's classic reusable bed pads, (I get mine from carewell.com) underneath which they have been great with keeping the wetness from going any further. I have a lot on hand just in case. You can double these up too if you need to or if you get one large enough fold in half for extra protection. Just in case, I have plastic sheeting underneath her fitted sheet to keep anything from getting to the mattress protector.
She died within the next two days and I realized they were just too lazy to change her diaper and I was tired from being there around the clock often changing her myself (rather then wait for a long time for staff to come) and I had never been around when one was inserted. (I only say this as I once buzzed for them to come to her aide as the morphine had worn off and she was highly agitated trying to crawl over the railing. She had cancer, and I tucked her in with the sheets and ran out to see the staff eating pizza!!! ignoring the buzzes!!! (it was a VERY quiet night). The doctor who knew my mom (RN, PA for four neurosurgeons) was livid as I told him I never wanted these two individuals on with my mother ever and he asked why. She had never missed a single day of work!
Here is an Amazon review (great for getting feedback on many things). One can see the negative reviews along with the positive.
"""""""""""""""https://www.amazon.com/Bard-Medical-Purewick-External-Catheter/dp/B07Y42RD9T/ref=sr_1_1?dchild=1&keywords=purewick+female+external+catheter&qid=1618771565&sr=8-1"""""""""""""""""
Depend also has “ultimate absorbency,” so get that. Order online from Sam’s club. Much cheaper than in stores. Again, same thing for the pads and get the extra long ones. Buy the CVS ones because they are long and the back are easier to cut. Forget the thin ones. They are useless.
As for pants, don’t bother in bed. They will always get wet, so why bother. During the day, yes. Not in bed at night.
My mom is now in a hospice house but I did care for her in my home for many years.
She is incontinent due to her Parkinson’s disease and her age.
A nurse told her that sugar causes more urinating. Mom has always loved eating ice cream and drinking ensure drinks which have sugar!
When she cut back on the sugar it didn’t seem to make a huge difference. Maybe for some people it does help.
That pill, began with a b, sorry can’t remember the name took a long time before a slight change was noticed.
Wetting the bed at night is an extremely common problem.
Mom has a catheter in place now. She has dealt with some UTI’s but the antibiotics have kept them under control so far.
1) see a continence expert, a WOC nurse. They are Board Certified in this question!
2) my recommendation would be investigate trying a condom style catheter -the advantage of being male -just for over night.
Good luck.
I know it's a pain in the butt but look on the bright side, he can still urinate on his on.
Aknow try vinyl underwater over the diapers and make sure he's wearing Night Time thicker Adult Diapers at night.