Bout every 3 or 4 days for sheets and towels. I don't think DH washes himself very thoroughly (he's losing his memory). I got him in the bath one day and gave him a good scrubbing and washed his hair but he didn't like it very much (very ungrateful I thought) so I just have to keep cleaning things and make sure he's got clean clothes on. There will come a time when I'll have to nurse him but not just yet.
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. Spare bed is changed as needed and yes, if the same body is going in there next time not after every overnight stay.