Just joining in to add my say on this night time problem. I too have been told that using high strength pads, and doubling up with a booster pad runs the risk of compromising my OH skin. But if I have to get up 3 or more times a night to keep changing him so he stays comfortable I can't able to cope with the level of exhaustion that causes. And he would have to go into a home, which I want to put off until there is absolutely no other way of caring for him well enough.
So, like Izzy, I and our carers are vigilant to the extreme about the care of his skin but do use the extra pads, disposable bed pad, draw sheet, Kylie sheet, waterproof mattress cover. And still change him at least once a night, and still get some leaking through into PJs etc as he is very restless and manages to displace things, thank goodness for all these disposable bits.The washing machine is on overtime as it is.
One product which I don't think has been mentioned, if it is OK to give the brand name,
was recommended by our main carer, and is on prescription. It is available as a cream and a spray - we use both - it is called Proshield. It does an excellent job of protecting his skin.