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New here. Hi!  I’m Carrie. I use heavy absorbent diapers with an ultimate overnight pad. By 7 am she’s soaked and so is her bed. She’s on a plastic hospital bed. Is there a good pad? Towels? What do you do? I can’t wake up in middle of night and change her. Trying to keep her home. I change her at 9:30 pm. So it’s from 9:30 pm to 7 am. I weigh her diapers and minus diaper and pad dry weight it’s 1/2 gallon a night !

Hi Carrie,
I had this issue with my father. He was also on Lasix which made him pee even more. It was a lot of work every morning of cleaning him up, and doing all the laundry. Im not going to lie the hardest was that the room started to smell like urine. I bought a new mattress like every 6 months. An expensive ordeal. Finally, I had enough and told the doctor what was happening. He sent my dad to a urologist and they did a suprapubic catheter. It was wonderful! All I had to do was drain the bag. There is a risk for infection but the risks of them laying in urine for hours is way worse. This also let my dad stay home instead of going to a nursing home. I needed to lighten up my work because I am no spring chicken either. I promised my parents I would never put them in a nursing home and I plan to keep that promise. However, I no longer judge those who have to make that call because its very hard to take care of an aging parent.
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Reply to Panurse25
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Mom has to be woken up once during the night/early morning hours (like 5am) to be changed. There's no other way. Idk about the external catheters like PureWick though, those may be a good answer.
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Reply to lealonnie1
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Carrie, weighing the pads is already more careful than most of us start out. Half a gallon across ten hours is on the heavy side, so before you buy more bedding I'd get two things looked at with her doctor: a urine test (an infection makes the bladder irritable and the output heavier) and her evening medicines and drinks, especially any water tablet taken late in the day. Moving one dose to the morning sometimes changes the whole night.
For the bed, work in layers so you're not changing sheets in the dark: a fitted waterproof cover (not loose plastic, it pools), then a washable absorbent underpad, then a cotton sheet, and a second identical set made up underneath. If she floods you strip one layer and the bed is already made. Two minutes, no wrestling.
On her, a night-rated brief plus a booster pad inside holds far more than either one alone. If she's soaked by 4am, it's the wrong brief rather than the pad, so go up a size if she's between sizes.
The part that costs you later is her skin. Barrier cream, zinc or petrolatum, thin at 9.30pm, then wash and air dry properly in the morning. Broken skin from urine is what puts people in hospital, not the laundry.
And you: if you're up every night you'll be the one who gets ill. If a night aide is out of reach, change her once at 11pm before you sleep so the long stretch is shorter. Not perfect, but it protects your sleep, and your sleep is what keeps her home.
Ask about the two tests. Five minutes with the doctor can save you months.
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Reply to MyaWolf
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Also recommending booster pads. They are making a difference for my mom.
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Reply to ShirleyDot
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Half a gallon a night is a lot of fluid. She must be drinking a lot for that to be possible (surely it can’t be liquid blood!). It would make sense to check when she is drinking liquids, and change her major intake to morning so that she doesn’t lose it in the night.
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Reply to MargaretMcKen
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I would look into a PureWick system.

https://www.purewickathome.com/all-products?srsltid=AYCX9vLsETJP-LGHGOWKU5fNv21k7r2p4v0Hv-nlfl8GPjdU1JIHOSNk

New, they are expensive but it will probably pay for itself in replacing briefs and pads and labor. Used ones can be found on resale sights. Not sure if they're covered by Medicare or other insurance.
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Reply to Geaton777
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Carrie, why can't you wake up in the middle of the night to change your mom? That would sure solve her being as soaked every morning don't you think?
You should have what are called chux under her to keep the pee off the mattress, and make sure she's not drinking anything past 7:00 p.m.
Other than some kind of a catheter being used she really needs to be changed at least once overnight to prevent her skin breaking down and sores forming.
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Reply to funkygrandma59
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Hi Carrie, I'm Dee....good to have you here. In addition to the great insights already given, I will add this. So, we have taken care of my MIL with vascular dementia for 3 years at home. She has been bedridden and on hospice that entire time. we do four brief (diaper) changes per day, and the last is between 7:30 and 8p. Since we started in 2023, we have been able to sleep thru the night and do not do middle of the night changes. So yes, it can be done. Like Mya said, the use of zinc and pretroleum barrier creams have been vital. Her skin is prisitine, and the nurses always comment how good her skin is after a total of 5 years (2 in a facility) being bedbound. We are thankful to the Lord for that ❤️
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Reply to CaringinVA
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I can see not wanting to get up in the middle of the night to change Mom. For me, once I am awake, it was hard to get back to sleep. Hard to take care of someone with only a few hours of sleep every night.

Mom does seem to be putting out a lot of water. I agree, nothing to drink after a certain hour. Coffee, tea and sodas irritate the bladder and make you go more. When you change her for the night, you may want to try and get her to go to the bathroom. Yes, is she on a water pill? I would talk to her doctor.
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Reply to JoAnn29
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