My wife and I care for my 90-year-old Mum who lives with us. She has worsening vascular dementia and Alzheimer’s. Main problem at the moment is bed wetting at night balanced against fluid intake. She is on a low dose antibiotic to combat regular UTI’s and we have to keep her fluid intake up. At the moment she has around 1.6 litres/day as drink plus another 350ml as fluid added to food by way of gravy, sauce, milk (porridge / breakfast) etc. We used to calculate the 1.6 litres by including measurable fluid added to food so the increase is really only the 350ml. We profile her intake so that she takes about two thirds of her fluid before 1200 hrs when she has a nap, and the rest up to around 1800 hrs. We take her to the toilet sometime around 2100 hrs and she then goes through the night until 0730 when we get her up. Up until the last couple of months the Tena incontinence pads have coped overnight but recently (maybe because we have upped her fluid intake?) they don’t. We have tried a middle of the night visit to the toilet but she really struggles having been in a deep sleep, doesn’t really know what’s happening and fails to go. So it just becomes a change of her pad which is sometimes dry, sometimes moderately filled. We don’t really know what to try next given that we have to keep her fluids up, the middle of the night toilet visit / pad change isn't working but she then fills her pad when asleep and wets the bed. Just wondered if anyone here might have any suggestions. Thanks.