From where I'm sitting over here in the cheap seats (haha) it seems like almost everyone on this forum is in the UK and ohh my gosh! You all are SO blessed! I'd have never imagined there existed such a thing as an "incontinent nurse" who comes to the home at all hours of the day and night WOW, sounds like a dream! We pay out of pocket now for in-home nurse's aides. Every road we've followed to attain in-home care through medicaid or medicare has been a dead-end. Is there anyone here who has ANY idea how to overcome these things in the good ol' USA where healthcare is outrageously EXPENSIVE!!!!!