I noticed when researching this question that the answer depends on who you ask. Should incontinent sufferers be woke up during the night to have the wet disposable diaper pants changed and be cleaned up? Here is my school of thought but I welcome advice because I'm unsure. I've always been a big proponent of a good night's sleep being the best medicine, so I just hate waking Daddy up. As it is, due to sitting and laying down 24-7 for many months, the pressure point of the tailbone, (pressure points being anywhere there is little 'meat' between skin and bone, like heels, elbows etc,) was getting no blood flow and it caused him to develop a bed sore. I'm sure urine or excrement would make that wound worse and hurt. I'm going in and waking him (as little as possible,) to roll him from one side to the other to keep him off the wound on the tailbone, every couple hours. He's a 6' tall, 200 lb man and I'm a 150 lb 50 year old woman, so it's not easy particularly because in the middle of the night he's less responsive and at times, like when he has any other medical issue going on, he's more confused and has even hallucinated. (Even not having had a bowel movement for a few days does this, including the hallucinations which are NOT frequent thank God because it freaks me out and I want to help him so bad and of course, can't). Anyway, I want to get a better brand of adult diapers and pads and use 2 pads in the diaper for overnight. I mean, when my daughter was a baby I sure didn't wake her to change her diaper. I used ample padded diapers for overnight which wicked the wetness away from her and she never once had diaper rash. I read that in some nursing homes they wake the residents every 2 hours to either walk them to the bathroom or check to see if they need changing. That would be horrible and would totally disrupt any chance for a healthy sleep pattern! I read about someone saying they used towels in the overnight diapers. WHAT ARE YOUR THOUGHTS?? When a sufferer becomes incontinent and also has to spend most their time in bed, (in Daddy's case due to weakness and bodily stiffness,) how often should they be changed during the night if at all and how often do they need to be rolled over? (I'm in the US, are there any particular brands anyone recommends? I want to check out the Teva brand, read some good reviews for overnight pads and diapers.) Due to the PSP Daddy's body is oh so stiff, he can barely move and at times, he can't at all especially his legs. He's even said before he's telling his leg to move and it's not moving. How scary that must be to KNOW and be aware. Ok now I'm in tears, but I really need to figure this out because I'm the only overnight carer for Daddy. (adding tags: pressure ulcers, nappy rash, diaper) Thanks yall. And one other thing, the "pressure ulcer" or bed sore, (a thorn by any other name is still a thorn,) is almost gone in a week which surprised me because it was slightly ulcerated. I suspect we caught it very early and have taken measures immediately to get rid of it, but it's taking a toll on Daddy because it's preventing him from sitting in his lifting recliner in the family room. He's stuck in his bedroom where we his carers check on him frequently but he always seems depresssed when he's stuck in the bedroom full time and I don't blame him for feeling like that but he's so weak it makes him too difficult on individual carers to transfer him from bed to wheelchair to recliner. Ok, I'm really ending this THIS time haha and thanks again!