My father is unable to get out of bed on his own. He needs a wheelchair to get around. So I now have a mobicam on my father at night and an RN and HHA that sit and watch the camera. If my dad moves around, they go to check on him. I'm not sure if this is the answer. I was hoping to hear what others are doing for their parents at night.
My great-aunt lived to 99 with all her cognitive functions completely intact but grew physically frail. Her younger sisters (in their late 80s to mid 90s) could be counted on to visit and phone during the day. In my college years, I visited 1-2 afternoons a week for family stories. Her younger brother (my paternal grandfather) died before I was born; so I enjoyed seeing her photo albums and hearing about my great-grandparents and their household with 10 children. My aunt's three daughters daughter rotated bringing or cooking a supper and spending the night with their mother from about age 97; occasionally another family member would stay a night or two when someone was on vacation or ill.
Two of her younger sisters also lived to 99 (6 of 7 girls lived to at least 93, one died in a car accident at 53, boys died at ages 63-78). One only had a single surviving son by the time she needed some overnight help, but she had provided a home for dozens of diminished capacity adults (brain injury or downs syndrome) over 4 decades and had 2 women still living with her who could help her or call someone if more help was needed than they could provide. In home help was hired for the third sister to serve a supper, assist in bedtime routine and remain in the house overnight.
So three basic in home options are:
1) family rotates to provide overnight care;
2) roommate or guest lives in to provide overnight care; or
3) hired care giver is engaged for overnight care.
Unless extraordinary financial resources are available, at some point AL or MC becomes a more affordable way to provide assistance on demand in something as close to a home like setting as possible.