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I did discover that they are checking her, changing her and moving her every 2 hours during the night, so that makes me feel better. They say her skin is quite well, so, that makes me feel better.
We get away with using one of these because we use a system of making the bed more like the one jjarz describes. She has the waterproof but cloth on the outside type cover on the mattress and topper (again you could use a separate one on the topper to make changing easier) and then a quilted pee protector pad, the bottom sheet and top sheet and comforter. The quilted protector pads are made for absorbing urine and protecting the mattress, they use them in the hospital all the time. In fact they used to put one down on the chair as well when she was there and that's where we got the idea to use them at home. I like the idea of doubling the pad and fitted sheet so you can just pull off the top one and have afresh one, not needing to make the bed each time is genius!
The way we have it set up is that we have 3 full sets of supplies (not the mattress pad/case), waterproof pad, bottom and top sheet folded together as a package so one can be in the laundry, one on the bed and one in the closet ready to go. We also have 2 of the waterproof mattress cover/pads and 2 comforters in case they get wet or soiled so the bed can always be made. We have found though that the mattress cover is protected enough using the quilted pads and doesn't get soiled so we really haven't needed that second cover. We have had to wash the comforter because it got soiled but not the mattress cover. Go figure! Now, full disclosure her incontinence undergarment set up is a very important part of this set up as well. We have found that she likes the Depends over everything else and they work so it's easier to stick with them both day and night rather than try and use different brands day and night (it's too complicated for her too). We tried using the nighttime Depends as well but she would get them mixed up and forget to use the nighttime at night which often meant leaks and wasting the more expensive Nighttime Panties, instead she uses a pad inside the panty at night and it seems to work just fine. She still wets the bedding at times, often if she isn't following the evening routine well which happens frequently but what can you do and it's really not a big deal she is able to take care of it herself now most of the time anyway, just take off the fitted sheet and pad, throw in the washer and put the clean one from the closet on. We have a couple of extra waterproof quilted pads too for putting on top of the fitted sheet when she's spending more time in bed than usual or putting on the couch when she's not feeling well and parks there for the day, that sort of thing and when she travels. Poor mom has suffered with this for years, well before her stroke and just doesn't have any sensation when she has to go a lot of the time and now that she so often forgets to get up and use the bathroom every hour or 2 now there really isn't any other way.
The Depends and pads do get expensive of course but I have her set up on automatic delivery through Amazon Prime which has the best price I have found on the Depends (in large or bulk packages) except when Costco (also a very good price) has a coupon on them, that can be a better deal so I keep n eye out and check prices again when that happens and stock up at Costco if that's the better deal, I can hold the Amazon deliveries whenever I want to and start them back up when I'm ready again. I do the same with the pads but we don't need those as often. Sorry I went into much more detail than necessary I think but I've been typing this for a few hours now, getting pulled away to do something else often in-between so I kept loosing track. Good luck, whether you decide it's time for Hospice to take over and they take care of the mattress or you do it I think you will find there are many easier options now for making a regular or hospital bed comfortable than there used to be. Good options for keeping them dry without giving up comfort as well.
So far it is working for me. The Pellon I have is discontinued (no idea why) and is also a cooling protector which is what made me purchase it.
Good Luck honey.
A waterproof cover that could be wiped down would be possible, if you think that the staff would clean and sanitize it each time.
I would ask about the alternating pressure mattress. The cover can be wiped down but due to the air flow you can not put another cover on it.
Mattresses can be rented most of the time they are paid for by Medicare and they can be changed out so if one becomes soiled it can be replaced quickly, usually within 24 hours. When my Husband was on Hospice we first got an alternating pressure mattress then another type that had air chambers that would fill and deflate if that is how you set it or they would remain static. (a bit loud but never had pressure sores so it was worth it!)
I have seen other residents there in hospital beds and they just didn't look comfortable to me. I have only slept in a hospital bed one time and it was horrible. I'm not sure how I feel about it. Can you request an upscale model? lol
The alternating pressure mattress is available to put on a hospital bed frame or on other frames. They can be rented. If you're on hospice, they will be supplied. Sometimes the VA will supply.
Next get a waterproof mattress cover that is waterproof on at least 5 sides (6 is better). I like the ones with terry cloth, and no padding.
smile.amazon.com/Twin-Extra-SureGuard-Mattress-Protector
Make the bed in this order: Put your memory foam ;-) or egg crate on top of the mattress; then the waterproof mattress protector; then a 30" x 40" (approx) quilted pad with a waterproof backing; then a fitted sheet; then another 30" x 40" quilted pad; then another fitted sheet.
It seems like a lot, but if the bed gets wet during the night, you only have to remove the sheet and quilted pad, and the bed is ready to sleep in again. 95% of the time, I never have to remove anything except the sheet and the quilted pad.
Good luck,
Jamie